SSN Card or Birth Certificate

Applying and receiving a Social Security Card.

1. FC EW
   1. Completes “Application for a Social Security Card” form SS5, but does not sign.
   2. Attaches Court Petition.
      1. If No Court Petition Voluntary Placement, Then Attach “Voluntary Placement Agreement-Placement Request” form SOC 155.
      2. If No Court Petition Legal Guardian, then attach Original Birth Certificate and Letter of Guardianship.
   3. Forwards packet to SSN Application Basket.
2. Designated FC Clerical
   1. Receives request.
   2. Signs the SS5.
   3. Mails the packet to Social Security Administration including the following:
      1. Completed SS5,
      2. Copy of Designated FC Clerical’s badge,
      3. Court Petition or SOC 155 or Letter of Guardianship,
      4. Temporary Medi-Cal Card, and
      5. Original Birth Certificate.
   4. When SSN Card is received by FCE:
   5. Completes ID.
   6. Makes a copy of the SSN Card.
      1. IF FCE request, then
         1. Adds CalWIN case number to the copied document.
         2. Creates a TMT and forwards copy to assigned FC EW.
      2. If not FCE request,
         1. Forwards copy to assigned Social Worker

Applying for a Birth Certificate

1. FC EW
   1. Completes request “Verification of Birth, Death, Marriage, Divorce” form SCD 109.
   2. Forwards SCD 109 to Birth Certificate basket.
2. Designated FC Clerical
3. Receives request,
   1. Completes “Application for Verification of Birth, Death, Marriage, Divorce” form SCD 58 including the date and initials,
   2. Completes and forwards request to Accounts Payable.
   3. Forwards a copy of the completed SOC 109 to requesting FC EW,
      1. Files SCD 109 in “Birth Certificate Binder.”
   4. When Birth Certificate is received:
      1. Completes ID,
      2. Copies the original birth certificate,
      3. Forwards the original and a copy of the birth certificate to the assigned FC EW.
      4. If the request is for out-of-state, follow the policy outline in the Common Place Handbook 21.5.

         1. Note: The original birth certificate is needed by the FC EW to apply for a SSN Card.

Related Topics

Clerical Processing