These forms are for genealogical and historical records only.
We are not connected to the Social Security Administration in any way.
If you are wanting a Social Security
number or need to contact the Social Security Administration please click here.
DO NOT ENTER ANY INFORMATION ON LIVING INDIVIDUALS. IT WILL NOT BE POSTED
Please transcribe the full record, if you do not have the full record or all the facts required, please do not use this form.
Please cite the source of your information in the Additional Comments box if
there is no box on the form for citing a printed source.
NEArchives Social Security Applications
Click here for information about these forms.
(Opens a New Browser)
Use this form to transcribe and send your ancestors Social Security Application to the NEArchives
formatted for acceptance in the USGenWeb Archives Project Or you can send your file by email to the
Archives Manager for your county (Addresses below)
(Fields with an * are required
Please double check this before you submit.) Your tab key will work to move between fields.