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Form SSA-89 (04-2023) Discontinue Prior Editions Social Security Administration. Authorization for the Social Security Administration (SSA) To Release Social Security Number (SSN) Verification . Social Security Number: With the following company ("the Company"):
The Social Security Administration published the revised Form SSA-89 (04-2023) (Authorization for the Social Security Administration (SSA) To Release Social Security Number (SSN) Verification) and Form SSA-88 (Pre-Approval Form for Consent Based Social Security Number Verification).
CBSV services enable private businesses and entities to verify that the SSN, name, and d ate of birth provided by a customer match or does not match the data in the SSA’s records. This verification service is allowable only with the written consent of the SSN Holder provided on SSA’s Form SSA-89.
Social Security Form SSA-89: What It Is and How Fill It Out. Form SSA-89 authorizes the SSA to verify the connection between your name and your Social Security Number to a third party.
includes restrictions on the further use and disclosure of SSA's verification of your SSN. To view a copy of the entire model agreement, visit http://www.ssa.gov/cbsv/docs/SampleUserAgreement.pdf.
Consent Based SSN Verification (CBSV) Form SSA-89 Instructions. The Social Security Administration requires IntelliCorp to obtain compliant SSA-89 form for each Consent Based Social Security (CBSV) search submission. No exceptions can be made. The current form version: Form SSA-89 (12-2020).
Authorization for the Social Security Administration (SSA) To Release Social Security Number (SSN) Verification. This document contains both information and form fields. To read information, use the Down Arrow from a form field.
