# Form SSA-89

URL: https://pdf.net/pdf-forms/legal-forms/form-ssa-89
Category: Legal Forms
Attributes: Trusted by accountants

Form SSA-89 is a consent form that authorizes the Social Security Administration (SSA) to verify your name and Social Security Number (SSN) for a third party.

Our PDF Forms hub offers a fillable Form SSA-89 that you can easily open in our editor, complete with the required details, download to your device, and submit it to the SSA.

## Versions

- 2025 — [download PDF](https://cdn.sanity.io/files/i16te7yp/production/200aabae1c2fab73e52af7138fb1b00e2400282a.pdf)

## How to Fill Out the Form SSA-89?

Step 1: Open Form SSA-89 in our PDF editor.

Step 2: Add your name, date of birth, and SSN.

Step 3: Select your reason for requesting authorization, according to the Form SSA-89 instructions.

Step 4: Enter information about the third-party entity.

Step 5: Sign the form.

Step 6: Submit it to the company.

## Facts

### What Is the Form SSA-89?

Form SSA-89 is a document used to authorize the Social Security Administration (SSA) to verify your name and Social Security Number (SSN) and release this verification to a third party. This is typically done for job or mortgage applications and other purposes.

### Who Is Required to Fill Out Form SSA-89?

The individual whose name and SSN need to be verified must fill out Form SSA-89, though the request will usually come from a third-party entity, such as a bank, an employer, or a lender.

### When Is the Form SSA-89 Due?

There is no set due date for Form SSA-89, since it should only be submitted when the third party requires it. However, it’s typically valid for 90 days after you sign it, unless you specify otherwise.

### What Are the Penalties for Not Submitting the Form SSA-89?

There are no specific penalties for not submitting Form SSA-89, but the third party likely won’t be able to proceed with the action that required your SSN verification. In other words, you might not get a loan, a mortgage, or a job position without this document.

### Where Do I File the Form SSA-89?

You submit Form SSA-89 to the third party, which then files it with the Social Security Administration on your behalf. When it checks the submitted information against its records, the SSA sends the response to the third-party entity.

## Related forms

- [ Form SS-5](https://pdf.net/pdf-forms/legal-forms/ss-5-form)
- [Form W-9](https://pdf.net/pdf-forms/tax-forms/form-w-9)
- [W2 Form](https://pdf.net/pdf-forms/tax-forms/w2-form)
- [VA Form OF-306](https://pdf.net/pdf-forms/employment-forms/va-form-of-306)
- [Form 1099](https://pdf.net/pdf-forms/tax-forms/1099-form)