Fill Out SSA Form SSA-89 Online
Authorization for the Social Security Administration to Release Social Security Number Verification
Social Security Administration
Authorizes the SSA to verify your Social Security number for a third party such as a mortgage lender.
Reviewed July 2026
How it works
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Form SSA-89, Authorization for the Social Security Administration to Release Social Security Number Verification, is a consent form. By signing it, you allow the SSA to confirm to a specific company that your name, date of birth, and Social Security number match its records, through the Consent Based Social Security Number Verification service, known as CBSV.
You can fill out Form SSA-89 in the Universal PDF editor and download the completed PDF ready to sign. Because the form authorizes release of information tied to your Social Security number, review every field carefully before signing.
What is Form SSA-89 used for
Businesses cannot query the SSA about your Social Security number without your written consent. The SSA-89 provides that consent for one named company and one stated reason. The SSA then tells the company only whether the submitted name, date of birth, and number match its records; it does not share your earnings, benefits, or other personal data.
Verification results also indicate if records show the number holder as deceased. The match result is a yes-or-no answer, not proof of identity on its own.
Who files Form SSA-89
You complete the form when a company you are doing business with needs to verify your number. Typical requesters include mortgage lenders, banks, credit issuers, background screening companies, and other firms with a permissible business need. The company usually provides the form and submits it through CBSV or an enrolled agent.
A parent or legal guardian can sign for a minor, and a legal guardian can sign for an adult under guardianship.
How to fill out Form SSA-89
The form is short, but every field matters because the verification is an exact match against SSA records.
- Enter your full name exactly as it appears in SSA records, plus your date of birth and Social Security number
- State the reason for the verification, such as a mortgage application or background check
- Name the company requesting the verification and, if one is used, the agent acting on its behalf
- Sign and date the form; consent is generally valid for a limited period from the signature date, so do not sign far in advance
How to submit it
You normally return the signed SSA-89 to the company that requested it, not to the SSA directly. The company or its agent submits the consent through the CBSV system and receives the match result. Ask the requester how it protects the form, since it contains your full Social Security number.
Frequently asked questions
Lenders use it to confirm that the Social Security number on your application matches SSA records, which helps detect identity fraud. It is a routine part of many mortgage and credit files.
Only a match or no-match result for the name, date of birth, and Social Security number submitted, plus an indication if records show the person as deceased. No earnings, benefit, or address information is released.
Consent is valid for a limited window from the date you sign, typically around 90 days unless the form states otherwise. Check the current form instructions and avoid signing until the requester is ready to submit it.
No. You give the signed form to the requesting company, which submits it through the SSA's Consent Based Social Security Number Verification service or an enrolled agent.
Yes, consent is voluntary. However, the company may decline to complete your transaction, such as approving a loan, if it cannot verify your number.
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