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Authorization for the Social Security Administration (SSA) To Release Social Security Number (SSN) Verification . Social Security Number: With the following company ("the Company"): I authorize the Social Security Administration to verify my name and SSN to the Company and/or the Company's Agent, if applicable, for the purpose I identified. I ...
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).
Form SSA-89 (04-2017) Privacy Act Statement Collection and Use of Personal Information. Page 2 of 2. Sections 205(a) and 1106 of the Social Security Act, as amended, allow us to collect this information. Furnishing us this information is voluntary.
Form SSA-89 authorizes the SSA to verify the connection between your name and your Social Security Number to a third party.
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.
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.
Form SSA-89 (06-2013) Privacy Act Statement. SSA is authorized to collect the information on this form under Sections 205 and 1106 of the Social Security Act and the Privacy Act of 1974 (5 U.S.C. § 552a). We need this information to provide the verification of your name and SSN to the Company and/or the Company's Agent named on this form.
