Ssa l996 2025

1. Click ‘Get Form’ to open the SSA L996 in the editor.
2. Begin by entering your Social Security Number if known, followed by your full name as used currently. If your name differs from what is shown on your last Social Security card, include that as well.
3. Fill in your full name at birth and date of birth in the format MM/DD/YYYY. Select your gender and provide the place of birth, including city, county, and state or foreign country.
4. Complete the section for your parents' names: include the full maiden name of your mother and the full name of your father, regardless of their current status.
5. Read the penalty statement carefully before signing. Ensure you sign in ink and provide your street address along with city, state, and ZIP code.
6. If required, have two adults witness your signature by providing their signatures and addresses below yours.
7. Once completed, save the document and follow instructions to mail it to the DEBS Enumeration Unit at the provided address.

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