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step-by-step instructions on how to fill out SSA form ss-5 number one write your name first name middle name and last name if you have any changes because of marriage or divorce on number one write your first name New or Old middle name and your new last name full name at Birth will be your maiden name you can keep you current middle name or change your middle name to your maiden last name your first name cannot be changed number two write your social security number number three the place you were born number four your date of birth number five your citizenship or immigration status number six and seven is optional number eight your sex number nine a your motheramp;#39;s maiden name number nine B you can leave this blank number ten a your fatheramp;#39;s name number ten B you can leave this blame number eleven yes if you had a social security card before number 12 and 13 you can leave this blank number 14. todayamp;#39;s date number fifteen your phone number number 16 where