Please rate Form Ssa 89 05-2025
The signer states that they are the individual to whom the SSN was issued or the parent or legal guardian of a minor or legally incompetent adult.
Reason: select one: to apply for a mortgage, loan, credit card or job, to open a bank or retirement account, to meet a licensing requirement, or other.
Consent: valid only for one-time use. This consent is also valid only for 90 days from the date signed, unless indicated otherwise by the individual named above.
Timeframe: if you wish to change this timeframe, fill in: this consent is valid for days from the date signed (please initial).
Authorization: the signer authorizes SSA to verify the SSN to the Company or Company's Agent, if applicable, for the purpose the signer identified.
| Question | Answer |
|---|---|
| Form Name | Form SSA-89 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 25 |
| Avg. time to fill out | 5 min |
| Edition | 05-2025 |
| Issuing agency | Social Security Administration |
| SSA estimate | it will take about 20 minutes to read the instructions, gather the facts, and answer the questions |
| Other names | SSA-89, SSA89, SSA 89, Form SSA-89, SSA-89 form, Authorization for the Social Security Administration To Release Social Security Number Verification |
| Official source | Form SSA-89 (Rev 05-2025), Social Security Administration |
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Please rate Form Ssa 89 05-2025
