Form SSA-753 PDF Details

Send or bring the completed form to your local Social Security office.

Questions: all questions must be answered or marked "Unknown."

More space: if you need more space for answers, continue them under "Remarks" on Page 2.

Witnesses: required only if this statement has been signed by mark (X); two witnesses who know the person making the statement must sign, giving their full addresses.

Voluntary: providing the information is voluntary, but not providing all or part of the information may prevent an accurate and timely decision on the individual's claim.

QuestionAnswer
Form NameForm SSA-753
Form Length3 pages
Fillable?Yes
Fillable fields79
Avg. time to fill out14 min
EditionRev 07-2026
Issuing agencySocial Security Administration
Where to sendYour local Social Security office
Other namesSSA-753, SSA 753, Form SSA-753, Form 753, Statement Regarding Marriage
Official sourceForm SSA-753 (Rev 07-2026), Social Security Administration