Lost Social Security Card Affidavit
Document under oath that your Social Security card has been lost, stolen, or destroyed to support a replacement card application with the Social Security Administration and to create a sworn record protecting you against identity theft. Useful for employers, banks, and credit bureaus if your number is later misused.
Prefer to fill in by hand?
Download a blank PDF template to print and complete manually.
Download Blank TemplateLost Social Security Card Affidavit Affidavit — Frequently Asked Questions
What should I do if I lost my Social Security card?
Request a free replacement card from the Social Security Administration online through your my Social Security account or at a local SSA office with proof of identity. If the card may have been stolen, also place a fraud alert with one of the three credit bureaus and monitor your credit reports, since your number itself cannot be replaced except in rare cases.
Do I need an affidavit to replace a Social Security card?
The SSA itself does not require an affidavit for a routine replacement — you apply with proof of identity, and replacements are free but limited to three per year and ten per lifetime. A notarized affidavit of loss is still valuable as a dated sworn record for banks, employers, and credit bureaus if your number is later misused.
How do I make a lost social security card affidavit affidavit legally valid?
Fill in the lost social security card affidavit affidavit, print it, and sign it in front of a Notary Public — do not sign beforehand. Bring a valid government-issued photo ID. Notaries are available at UPS Stores, banks, law offices, courthouses, and through online notarization services, and fees typically range from $2 to $25 per signature depending on your state.
Is this lost social security card affidavit affidavit template free?
Yes. You can generate a completed lost social security card affidavit affidavit PDF or download a blank printable template completely free, with no sign-up required. Your information is used only to generate the document and is not stored after the PDF is created.