Last four numbers of your Social Security Number; Date of Birth; Mailing Address. If you are unable to apply online, you can apply using the below application.Click on the links below to view and then print the forms. NOTE: Some of the application(s) require additional information. A notice of claim must be filed in writing. Se especificará para cada identificador el Régimen de Seguridad Social a que corresponda la deuda, la provincia, el número de trabajadores. This English-Spanish Wordbank of Social Security Terminology contains everyday words and expressions as well as technical Social Security terminology. How to fill out this form. ▫ Fill in all of the information about the claim as of the petition date. When you are finished, you can print your completed form.
