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Click ‘Get Form’ to open the social security earning statement in the editor.
Begin by entering your name as it appears on your Social Security card in the designated fields for First Name, Middle Initial, and Last Name.
Provide your Social Security Number (SSN) and Date of Birth. If applicable, include the Date of Death and any other names used.
Select the type of earnings information you need: either an Itemized Statement of Earnings or Certified Yearly Totals. Make sure to check the appropriate box.
Indicate the years for which you are requesting earnings information by filling in the Year(s) Requested fields.
If you want this information sent to someone else, fill in their details in section 3.
Sign and date the form at the bottom, ensuring that if you sign with an 'X', two witnesses must sign as well.
Finally, mail your completed form along with any required fees to the Social Security Administration within 120 days of signing.

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See more social security earning statement versions

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Versions	Form popularity	Fillable & printable
2022	4.2 Satisfied (51 Votes)
2021	4.8 Satisfied (140 Votes)
2020	4.4 Satisfied (196 Votes)
2019	4.3 Satisfied (56 Votes)
2014	4.4 Satisfied (540 Votes)
2010	4 Satisfied (26 Votes)
2001	3.8 Satisfied (33 Votes)

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