Form H1106-A, Proofs You Need to Apply for a Social Security Number Card

Instructions for Opening a Form

Some forms cannot be viewed in a web browser and must be opened in Adobe Reader on your desktop system. Click here for instructions on accessing your form.

Effective Date
11/1988
H1106-A.pdf (97.54 KB)

Instructions

Updated: 1/1992

PURPOSE

To inform clients what evidence of age, identity, and citizenship or lawful admission is required by the Social Security Administration (SSA).

PROCEDURE

When to Prepare

Certification staff use Form H1106-A with the computer-printed Form H1106, Enumeration Referral, to inform clients what evidence is required by SSA.

Number of Copies and Transmittal

Certification staff attach one copy of Form H1106-A to the computer-printed Form H1106 and give or mail both forms to the client.

Form Retention

There is no retention requirement.

DETAILED INSTRUCTIONS

The form is self-explanatory.

Note: When processing Form H1106 at a TANF periodic review with a 60-day completion deadline, indicate on the top of Form H1106-A that Form H1106 must be returned by SSA by the 60th day after it is given to the client.