Statement Regarding Date of Birth and Citizenship

SSA uses Form SSA-702 to collect information when preferred or other evidence is not available to prove age or citizenship for an individual applying for Social Security benefits. SSA uses this form for individuals who must establish age as a factor of entitlement or U.S. citizenship as a payment factor. Respondents are individuals with knowledge about the date of birth or citizenship of applicants for one or more Social Security benefits who need to establish their dates of birth as a factor of entitlement or U.S. citizenship as a factor of payment.

The latest form for Statement Regarding Date of Birth and Citizenship expires 2020-12-31 and can be found here.