Form SSA-132 Notification of a Social Security Number (SSN) to an Emp

Form Approved
OMB No. 0960-0778

Social Security Administration

Notification of a Social Security Number (SSN)
to an Employer for Wage Reporting Purposes
A.

Employer Information

Employer's Name:

Employer's Address:

Street:
City:

State:

Zip:

Employer's Identification Number (EIN):

B.

To be completed by the SSN applicant
I request that SSA notify my employer of my SSN
upon assignment.
Printed Name:

Signature:

Date:
(MM/DD/YYYY)

C.

For SSA use only
An SSN has been assigned and a Social Security card was mailed to the following person who
requested we notify you directly of the SSN.
First Name:
Middle Name:
Last Name:
Social Security Number:

NOTE: This notification may only be used for original SSN applications when SSA has not yet
assigned an SSN.

Form SSA-132 (05-2010)

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Social Security Administration

Instructions for Completing Notification of a Social Security Number (SSN)
to an Employer for Wage Reporting Purposes Form
Please read these instructions carefully before completing this form:
When to Use
This Form

Use this form if you are applying for a Social Security
Number (SSN) and want SSA to notify your employer of the
SSN upon assignment.

How to Complete
This Form

Section A. Employer information
Fill in the employer name, mailing address, and
Employer Identification Number (EIN).
Section B. To be completed by the SSN applicant
Sign and date the form at the SSA office at the time
you apply for the original SSN.
Section C. For SSA use only
The SSA field office employee will complete the name
and SSN of the person who signed in Section B. upon
assignment of the original SSN.

.
.
.

PRIVACY ACT NOTICE
Collection and Use of Personal Information

See revised PRA
and Privacy Act
Section 205(a) of the Social Security Act, as amended, authorizes us to collect the information requested on
Statement
this form. Completion of this form is voluntary. By signing this form, you authorize us to notify your
employer of your Social Security number (SSN), upon assignment, for the purpose of wage reporting.
Without your signature, we cannot complete your request to notify your employer of the assigned SSN. We
will not use this form for any other purpose.
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.
C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer
these questions unless we display a valid Office of Management and Budget control number. We estimate
that it will take about 2 minutes to read the instructions, gather the facts, and answer the questions. SEND
OR BRING THE COMPLETED FORM TO YOUR LOCAL SOCIAL SECURITY OFFICE. The office is
listed under U. S. Government agencies in your telephone directory or you may call Social Security
at 1-800-772-1213 (TTY 1-800-325-0778). You may send comments on our time estimate above to: SSA,
6401 Security Blvd, Baltimore, MD 21235-6401. Send only comments relating to our time estimate to
this address, not the completed form.

Form SSA-132 (05-2010)

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SSA will insert the following revised Privacy Act Statement into the form as soon
as possible:
Privacy Act Statement
Collection and Use of Personal Information
Sections 205(a) and 205(c)(2)(B)(i)(I) of the Social Security Act, as amended, authorize us to
collect this information. We will use the information you provide to notify your employer of
your assigned Social Security number (SSN), for wage reporting purposes.
Furnishing us this information is voluntary. However, failing to provide us with all or part of the
information may prevent us from processing your request.
We rarely use the information you supply us for any purpose other than to notify an employer of
your assigned SSN. However, we may use the information for the administration of our
programs including sharing information:
1. To comply with Federal laws requiring the release of information from our records (e.g.,
to the Government Accountability Office and Department of Veterans Affairs); and,
2. To facilitate statistical research, audit, or investigative activities necessary to ensure the
integrity and improvement of our programs (e.g., to the Bureau of the Census and to
private entities under contract with us).
A list of when we may share your information with others, called routine uses, is available in our
Privacy Act System of Records Notices 60-0058, entitled Master Files of SSN Holders and SSN
Applications. Additional information about this and other system of records notices and our
programs is available online at www.socialsecurity.gov or at your local Social Security office.
We may also use the information you provide in computer matching programs. Matching
programs compare our records with records kept by other Federal, State or local government
agencies. Information from these matching programs can be used to establish or verify a
person’s eligibility for federally funded or administered benefit programs and for repayment of
incorrect payments or delinquent debts under these programs.

SSA will insert the following revised PRA Statement into the form as soon
as possible:
Paperwork Reduction Act Statement - This information collection meets the
requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction
Act of 1995. You do not need to answer these questions unless we display a valid Office
of Management and Budget (OMB) control number. We estimate that it will take about 2
minutes to read the instructions, gather the facts, and answer the questions. Send only
comments relating to our time estimate above to: SSA, 6401 Security Blvd, Baltimore,
MD 21235-6401.