Consent Based Social Security Verification SSA-89
This file contains essential instructions for completing the SSA-89 form for Consent Based Social Security Number verification. It outlines submission requirements and provides important details for compliance. Perfect for individuals and organizations needing to verify SSNs safely and legally.
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How do I fill this out?
To properly fill out the SSA-89 form, begin by carefully reviewing all required fields and ensuring they are complete and legible. Use the provided guidelines to accurately document the necessary information, avoiding any modifications or faded entries. Finally, ensure the form is physically signed and within the allowed date range for validity.

How to fill out the Consent Based Social Security Verification SSA-89?
1
Review the SSA-89 form requirements carefully.
2
Fill in all fields accurately and legibly.
3
Ensure signatures are physical and match the printed name.
4
Submit the completed form within the required timeframe.
5
Keep a copy of the submitted form for your records.
Who needs the Consent Based Social Security Verification SSA-89?
1
Job applicants needing employment verification.
2
Individuals applying for a mortgage loan requires SSN verification.
3
Credit agencies conducting fraud investigations.
4
Companies verifying identity for employee onboarding.
5
Parents seeking guardianship over a minor using SSN verification.
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What are the instructions for submitting this form?
To submit the SSA-89 form, completed copies should be emailed to CBSV@intellicorp.net or faxed to (216) 342-2473. Ensure that all required fields are accurately filled and that the form is signed physically. Retain a copy of the submitted form for your own records and follow up if needed.
What are the important dates for this form in 2024 and 2025?
Important dates for the SSA-89 form include the necessity for the form to be signed within 90 days of submission. Such timelines are crucial for maintaining compliance with Social Security guidelines. Always ensure that dates on all submitted forms match accordingly.

What is the purpose of this form?
The SSA-89 form serves as an authorization for the Social Security Administration to verify an individual's Social Security Number (SSN). It is used primarily by employers and financial institutions to confirm the identity of individuals during background checks. Proper completion and submission of this form ensure that the requesting entity complies with federal regulations regarding SSN verification.

Tell me about this form and its components and fields line-by-line.

- 1. Printed Name: Legible name as submitted for verification.
- 2. Date of Birth: Complete and in a consistent format.
- 3. SSN: Social Security Number to be verified.
- 4. Reason for Consent: Purpose of requesting the verification.
- 5. Company Name: Name of the requesting organization.
- 6. Company Address: Complete address of the company.
- 7. Agent's Name: Name of the company's authorized agent.
- 8. Agent's Address: Address of the authorized agent.
- 9. Signature: Physical signature of the individual or guardian.
- 10. Date Signed: Date when the SSA-89 form is signed.
What happens if I fail to submit this form?
Failure to submit a completed SSA-89 form can lead to delays in the verification process and potential rejection for services or employment. Incomplete or improperly signed forms will not be accepted.
- Rejection of Application: If the SSA-89 is not filled correctly, the application may be rejected.
- Delays in Processing: Incomplete submissions can cause delays in background checks or loan processing.
- Legal Consequences: Providing false information or failing to comply can have legal ramifications.
How do I know when to use this form?

- 1. Job Applications: Employers use this form to verify the SSN of job applicants.
- 2. Loan Processing: Financial institutions require this form for verifying applicants' identity.
- 3. Certification Requirements: Professional licensing bodies may need this form to confirm identity.
Frequently Asked Questions
How do I fill out the SSA-89 form?
To fill out the SSA-89 form, ensure that all required fields are completed accurately, using legible handwriting. Follow the provided guidelines to avoid modifications that might invalidate the form.
Can I edit the SSA-89 PDF after saving?
Yes, you can edit the SSA-89 PDF on PrintFriendly anytime before the final download.
Is electronic signing accepted on the SSA-89 form?
No, the SSA-89 form requires a physical or wet signature only.
What is the validity period for the SSA-89 form?
The SSA-89 form is valid for one-time use only and for a period of 90 days from the date it is signed.
How do I submit the SSA-89 form?
You can submit the completed SSA-89 form via email or fax to the designated addresses provided in the instructions.
Are there any specific formatting requirements?
All fields must be completed in the same date format, and the signatures must match the printed names.
Who can fill out the SSA-89 form?
The individual named on the form or a parent or legal guardian if it is for a minor.
What happens if I submit an incorrect form?
An incorrectly filled form may be rejected, causing delays in the verification process.
What information is required on the SSA-89?
Key information includes the printed name, date of birth, SSN, reason for authorizing consent, and complete company details.
Where can I find the SSA-89 form?
You can find the SSA-89 form on the Social Security Administration’s official website.
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