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 Privacy Act and PRA Statements Attached
Section 205(a) of the Social Security Act, as amended, authorizes us to collect the information requested on
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 and PRA Statements into the form at its next
scheduled reprinting:
Privacy Act Statement
Collection and Use of Personal Information

Section 205(a) of the Social Security Act, as amended, authorizes us to collect this information.
We will use the information to notify your employer of your Social Security number (SSN),
upon assignment, for wage reporting purposes.
Furnishing us this information is voluntary. However, failing to provide us with all or part of the
information could prevent us from completing your request to notify your employee of the
assigned SSN.
We rarely use the information you supply for any purpose other than to notify your employer of
the assigned SSN for the purpose of wage reporting. We may also disclose information to
another person or to another agency in accordance with approved routine uses, which include but
are not limited to the following:
1. To enable a third party or an agency to assist Social Security in establishing rights to
Social Security benefits and/or coverage;
2. To comply with Federal laws requiring the release of information from Social
Security records (e.g., to the Government Accountability Office and Department of
Veterans’ Affairs);
3. To make determinations for eligibility in similar health and income maintenance
programs at the Federal, State, and local level; and,
4. To facilitate statistical research, audit, or investigative activities necessary to assure
the integrity and improvement of Social Security programs (e.g., to the Bureau of the
Census).
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 payments
or delinquent debts under these programs.
A complete list of routine uses for this information is available in our System of Records Notice
entitled, Master Files of SSN Holders and SSN Applications, 60-0058. This notice, additional
information regarding this form, and information regarding our programs and systems, are
available on-line at www.socialsecurity.gov or at your local Social Security office.’

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. You can find your local Social Security office
through SSA’s website at www.socialsecurity.gov. Offices are also listed under U. S.
Government agencies in your telephone directory or you may call Social Security at 1-800772-1213 (TTY 1-800-325-0778). You may send comments on our time estimate above to: SSA,
0001. Send only comments relating to our time
6401 Security Blvd, Baltimore, MD 21235-6401.
estimate to this address, not the completed form.