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<ssa-header class="print-dn"><noscript><header class="bg-logo white" id="banner" role="banner" style="background-color: #0b4778;"><div class="fx fx-jc-sb px2 py0 wrapper"><div class="fs2 fw4 ma0 l-fs3"><a class="fx fx-ai-c hover-yellow py3 white m-py2" href="/"><img alt="" class="svg3 m-svg5" src="/framework/images/logo.svg" height="64" width="64"> <span class="pl1 m-pl2">Social Security</span></a></div><nav class="fs1 fx print-dn"><a class="fx fx-ai-c hover-yellow px2 white" href="https://search.ssa.gov/search?affiliate=ssa" id="ssa-search" title="Search" target="_blank"><svg class="svg1" focusable="false" viewbox="0 0 24 24"><path d="M14.182.0q-1.994.0-3.814.78t-3.132 2.092-2.092 3.132-.78 3.814q0 1.713.558 3.281t1.59 2.847l-6.196 6.187q-.315.315-.315.776.0.469.311.78t.78.311q.46.0.776-.315l6.187-6.196q1.278 1.031 2.847 1.59t3.281.558q1.994.0 3.814-.78t3.132-2.092 2.092-3.132.78-3.814-.78-3.814-2.092-3.132-3.132-2.092-3.814-.78zm0 2.182q1.551.0 2.966.605t2.438 1.628 1.628 2.438.605 2.966-.605 2.966-1.628 2.438-2.438 1.628-2.966.605-2.966-.605-2.438-1.628-1.628-2.438-.605-2.966.605-2.966 1.628-2.438 2.438-1.628 2.966-.605z" vector-effect="non-scaling-stroke"></path></svg> <span class="dn m-dib m-pl1">Search</span> </a><a class="fx fx-ai-c hover-yellow px2 white" href="/menu" id="ssa-menu" title="Menu"><svg class="svg1" focusable="false" viewbox="0 0 24 24"><path d="M3 5h18q.414.0.707.293T22 6t-.293.707T21 7H3q-.414.0-.707-.293T2 6t.293-.707T3 5zm0 12h18q.414.0.707.293T22 18t-.293.707T21 19H3q-.414.0-.707-.293T2 18t.293-.707T3 17zm0-6h18q.414.0.707.293T22 12t-.293.707T21 13H3q-.414.0-.707-.293T2 12t.293-.707T3 11z" vector-effect="non-scaling-stroke"></path></svg> <span class="dn m-dib m-pl1">Menu</span> </a><a class="fx fx-ai-c hover-yellow px2 white" hreflang="es" href="/es" id="ssa-languages" title="Español"><svg class="svg1" focusable="false" viewbox="0 0 14 16"><path fill-rule="evenodd" d="M7 1C3.14 1 0 4.14.0 8s3.14 7 7 7c.48.0.94-.05 1.38-.14-.17-.08-.2-.73-.02-1.09.19-.41.81-1.45.2-1.8-.61-.35-.44-.5-.81-.91-.37-.41-.22-.47-.25-.58-.08-.34.36-.89.39-.94.02-.06.02-.27.0-.33.0-.08-.27-.22-.34-.23-.06.0-.11.11-.2.13-.09.02-.5-.25-.59-.33-.09-.08-.14-.23-.27-.34-.13-.13-.14-.03-.33-.11s-.8-.31-1.28-.48c-.48-.19-.52-.47-.52-.66-.02-.2-.3-.47-.42-.67-.14-.2-.16-.47-.2-.41-.04.06.25.78.2.81-.05.02-.16-.2-.3-.38-.14-.19.14-.09-.3-.95s.14-1.3.17-1.75c.03-.45.38.17.19-.13-.19-.3.0-.89-.14-1.11-.13-.22-.88.25-.88.25.02-.22.69-.58 1.16-.92.47-.34.78-.06 1.16.05.39.13.41.09.28-.05-.13-.13.06-.17.36-.13.28.05.38.41.83.36.47-.03.05.09.11.22s-.06.11-.38.3c-.3.2.02.22.55.61s.38-.25.31-.55c-.07-.3.39-.06.39-.06.33.22.27.02.5.08.23.06.91.64.91.64-.83.44-.31.48-.17.59.14.11-.28.3-.28.3-.17-.17-.19.02-.3.08-.11.06-.02.22-.02.22-.56.09-.44.69-.42.83.0.14-.38.36-.47.58-.09.2.25.64.06.66-.19.03-.34-.66-1.31-.41-.3.08-.94.41-.59 1.08.36.69.92-.19 1.11-.09.19.1-.06.53-.02.55.04.02.53.02.56.61.03.59.77.53.92.55.17.0.7-.44.77-.45.06-.03.38-.28 1.03.09.66.36.98.31 1.2.47.22.16.08.47.28.58.2.11 1.06-.03 1.28.31.22.34-.88 2.09-1.22 2.28-.34.19-.48.64-.84.92s-.81.64-1.27.91c-.41.23-.47.66-.66.8 3.14-.7 5.48-3.5 5.48-6.84.0-3.86-3.14-7-7-7L7 1zm1.64 6.56c-.09.03-.28.22-.78-.08-.48-.3-.81-.23-.86-.28.0.0-.05-.11.17-.14.44-.05.98.41 1.11.41.13.0.19-.13.41-.05.22.08.05.13-.05.14zM6.34 1.7c-.05-.03.03-.08.09-.14.03-.03.02-.11.05-.14.11-.11.61-.25.52.03-.11.27-.58.3-.66.25zm1.23.89c-.19-.02-.58-.05-.52-.14.3-.28-.09-.38-.34-.38-.25-.02-.34-.16-.22-.19.12-.03.61.02.7.08.08.06.52.25.55.38.02.13.0.25-.17.25zm1.47-.05c-.14.09-.83-.41-.95-.52-.56-.48-.89-.31-1-.41-.11-.1-.08-.19.11-.34.19-.15.69.06 1 .09.3.03.66.27.66.55.02.25.33.5.19.63h-.01z" vector-effect="non-scaling-stroke"></path></svg> <span class="dn m-dib m-pl1">Español</span> </a><a class="fx fx-ai-c hover-yellow px2 white" href="https://secure.ssa.gov/RIL/SiView.action" id="ssa-signin" title="Sign in" target="_blank"><svg class="svg1" focusable="false" viewbox="0 0 24 24"><path d="M12 17.016q-.797.0-1.406-.61t-.61-1.405.61-1.405 1.406-.61 1.406.61.61 1.406-.61 1.407-1.406.61zm6 3V9.986H6v10.03h12zm-6-17.11q-1.266.0-2.18.914T8.906 6H9v2.016h6.094V6q0-1.266-.914-2.18T12 2.906zm6 5.11q.797.0 1.406.586t.61 1.383v10.03q0 .798-.61 1.384T18 21.984H6q-.797.0-1.406-.586t-.61-1.384V9.986q0-.798.61-1.384T6 8.016h.984V6q0-2.063 1.477-3.54T12 .985t3.54 1.477T17.015 6v2.016H18z" vector-effect="non-scaling-stroke"></path></svg> <span class="dn m-dib m-pl1">Sign in</span></a></nav></div></header></noscript></ssa-header><script src="https://www.ssa.gov/legacy/components/dist/ssa-header.js"></script>
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<h2 class="fw4 ma0">Third Party Organizations Who Want to Reproduce Social Security Forms</h2>
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</section>
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<article class="m-cell m-w-70">
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<section>
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<p>If a third party organization outside of the Social Security Administration (SSA) would like to reproduce a form or publication and charge a fee to customers for the reproduction, the organization must receive prior written approval from us.</p>
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<p><strong>Section 1140(a)(2) of the Social Security Act provides as follows:</strong></p>
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<p>"No person may, for a fee, reproduce, reprint, or distribute any item consisting of a form, application, or other publication of the Social Security Administration unless such person has obtained specific, written authorization for such activity in accordance with regulations which the Commissioner of Social Security shall prescribe."</p>
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<p><strong>Furthermore, SSA's regulation at 20 CFR 422.527 also requires prior approval:</strong></p>
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||
<p>"Any person, institution, or organization wishing to reproduce, reprint, or distribute any application, form, or publication prescribed by the Administration must obtain prior approval if he or she intends to charge a fee. Requests for approval must be in writing and include the reason or need for the reproduction, reprinting, or distribution; the intended users of the application, form, or publication; the fee to be charged; any proposed modification; the proposed format; the type of machinery (e.g., printer, burster, mail handling), if any, for which the application, form, or publication is being designed; estimated printing quantity; estimated printing cost per thousand; estimated annual usage; and any other pertinent information required by the Administration. Forward all requests for prior approval to: Office of Publications Management, 6401 Security Boulevard, Baltimore, MD 21235-6401." </p><h3>
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How to request approval</h3>
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<p>To receive approval, the third party organization must first submit the following information to us on company letterhead: </p>
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<ul>
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<li>The title and form number to be reproduced;</li>
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<li>A summary of how the reproduced form will be used by the requesting organization; </li>
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<li>The services that the customer is receiving from the organization; </li>
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<li>The requesting organization's name and corporate address; </li>
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<li>The requesting individual's name and address; </li>
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<li>The requesting individual's area code and telephone number; </li>
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<li>A draft of the form to be reviewed; and</li>
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<li>A description of how the organization intends to provide only the most up-to-date edition of the forms. </li>
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</ul>
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<p>Requests should be forwarded to:</p>
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<p class="bg-gray-100 pa3">Social Security Administration
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<br/> Office of Media and Logistics Management
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<br/> Forms Policy and Design Team
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<br/> 1330 Annex Building
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<br/> 6401 Security Boulevard
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<br/> Baltimore, Maryland 21235</p>
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<p>Or can be emailed to: <a href="mailto:OMLM.CPM.Third.Party.Approval@ssa.gov">OMLM.CPM.Third.Party.Approval@ssa.gov</a></p>
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<p>Upon consideration and review, requests to reproduce Social Security forms may be approved on a case by case basis. At such time, the organization will be issued a unique, identifying company code which must be printed on each page of the form in the lower left corner. If the approval process is not completed, we may not accept the organization's reproductions when submitted to SSA by the organization’s customers. </p>
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||
<p>In addition, we require third parties wishing to sell reproduced Social Security forms to provide a prominent, legible notice on each reproduced form that the public may obtain Social Security forms as well as assistance completing them free of charge from us. We also require this notice on all websites that sell Social Security forms. Section 1140(a)(4)(A) of the Social Security Act establishes the Administration's authority to require and prescribe the standards for this notice. </p>
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<p>Accordingly, you must include the following statement prominently in 14-point font or larger in the bottom margin of all reproduced forms: "Free of charge, any person may obtain all Social Security forms and assistance to complete the forms directly from the Social Security Administration." You also must display this statement prominently on all websites that sell Social Security forms. Failure to comply with these requirements could lead to civil money penalties. </p>
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<p>Once approved, the third party organization is responsible for resubmitting reproductions when the forms are updated. Only current forms may be reproduced. SSA provides a report, linked in the disclaimer below, of all companies currently approved to reproduce SSA forms and the specific forms each company is authorized to reproduce. You will find the company name, SSA assigned company code, and forms approved for use.</p>
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||
<div class="alert-red">
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||
The Social Security Administration (SSA) is not liable to any party for any damages or loss resulting from the omission of any form(s) or information, or inclusion of incorrect information, nor is SSA liable to any party for any damages or loss resulting from any error, omission or inclusion of incorrect information in any of the forms <a href="third-party-report.pdf" title="Third Party Report Listing">listed here</a>.
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||
</div>
|
||
<!-- END WARNING BOX -->
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||
<p>Do you suspect someone is selling SSA forms without SSA's authorization or fraudulently misrepresenting a connection with SSA, or otherwise committing Social Security-related Fraud? The SSA-OIG Fraud Hotline takes reports of alleged fraud, waste, and abuse.</p>
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||
<p>Reporting is easy, safe, and secure. You can reach the SSA-OIG online, by phone, mail, or fax.</p>
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||
<p><a class="btn" href="https://oig.ssa.gov/report/">Submit a Report Online</a></p>
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||
<p><strong>U.S. Mail</strong>:
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||
<br/> Social Security Fraud Hotline
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||
<br> P.O. Box 17785
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||
<br> Baltimore, Maryland 21235</p>
|
||
<p><strong>FAX</strong>:
|
||
<br/>410-597-0118</p>
|
||
<p><strong>Telephone</strong>:
|
||
<br/>1-800-269-0271 (10 a.m. - 4 p.m.
|
||
<abbr title="Eastern Standard Time">E.S.T.</abbr>)</p>
|
||
<p><strong><abbr title="Text Telephone">TTY</strong>:
|
||
<br/>1-866-501-2101
|
||
<br/>
|
||
</p>
|
||
<!-- NOTE BOX -->
|
||
<div class="alert-blue">
|
||
<p><strong>NOTE</strong></p>
|
||
<p>If you cannot reach a representative on the Fraud Hotline between 10:00 a.m. to 4:00 p.m. Eastern Standard Time, you can report Social Security related fraud directly to any Social Security office, including representatives at the SSA's toll-free number, 1-800-772-1213, from 7:00 a.m. to 7:00 p.m. SSA employees will take your information and send it directly to the SSA-OIG.</p>
|
||
</div>
|
||
<!-- END NOTE BOX -->
|
||
</section>
|
||
</article>
|
||
|
||
<!-- CELL -->
|
||
<aside class="m-cell m-w-30">
|
||
<h3 class="by">Related Information</h3>
|
||
<ul>
|
||
<li><a href="/forms/">More forms</a></li>
|
||
</ul>
|
||
</aside>
|
||
|
||
</div>
|
||
|
||
</section>
|
||
</main>
|
||
<!-- FOOTER -->
|
||
<ssa-footer class="print-dn"><noscript><footer class="fs1 print-dn" id="footer" role="contentinfo"><div class="wrapper"><a class="db" href="/menu#footer">Footer menu</a></div></footer></noscript></ssa-footer><script src="https://www.ssa.gov/legacy/components/dist/ssa-footer.js"></script>
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<!-- SCRIPTS -->
|
||
<script src="/framework/js/ssa.firefly.body.js"></script>
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</body>
|
||
|
||
</html> |