Letter to Custodian of Birth Records

OMB 0960-0693

OMB 0960-0693

SSA prepares Form SSA-L106 (Letter to Custodian of School Records)and SSA-L706 (Letter to Custodian of Birth Records) for individuals who need help in obtaining evidence of their age in connection with Social Security number (SSN) card applications and claims for benefits or Supplemental Security Income (SSI). SSA uses the SSA-L106 to determine the existence of primary evidence of age for SSN applicants. SSA also uses both letters to verify with the issuing entity, when necessary, the authenticity of the record submitted by the SSN applicant or claimant. The respondents are the beneficiaries and claimants who sign the letters; and the schools, State and local bureaus of vital statistics, and religious entities who submit the information regarding evidence of age for the beneficiary or claimant.

The latest form for Letter to Custodian of Birth Records expires 2023-01-31 and can be found here.

OMB Details

SSA-L106 Letter to Custodian of School Records (Private Sector)

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-L106Letter to Custodian of Birth RecordsPaper OnlyForm

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