Current SSA-85

Social Security Administration

Form Approved
OMB No. 0960-0189

INFORMATION NEEDED TO REVIEW YOUR SOCIAL SECURITY CLAIM
Please have documents or proof of the ITEMS CHECKED below available for your interview if you have
them in your possession. This will help us complete the review of your claim more quickly. Information
regarding any items that are not checked but may pertain to you should also be mentioned during the
interview. With the exception of W-2 forms and tax returns, we must see the original document or a copy
certified by the custodian of the record or by a representative in your local Social Security office.
Social Security or Medicare card for

Birth or baptismal certificate for
recorded before age 5 - otherwise, at least two of the following documents are needed: school
records, census records, delayed birth certificate, children's birth certificates, family bible,
naturalization certificate, any other documents showing age or date of birth
Marriage certificates for

Divorce or annulment decrees for all prior marriages

Death certificates for any deceased spouses

Discharge certificate or proof of military service active duty dates

Pay slips or W-2 forms for

Self-employment tax returns for

Other:

FORM SSA-85 (08-2014)