Social Security Letter Request

Department staff who want to hire a student assistant who does not already have a Social Security Number (SSN) submit this form to request employment documentation needed for a SSN application.

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Completing the PDF Form

  1. Read through all pages of the document to find specific instructions, if any
  2. Enter requested information into the form
  3. Print the form
  4. Get required signatures
  5. Scan a copy of the signed form for your records
  6. Send the original, completed, signed form to:         

Carlos Gallardo
Human Resources
120 Crofts Hall
North Campus

Need Help Completing the Form?

Carlos Gallardo.

Carlos Gallardo

Certifying Acceptance Agent

International HR Services

Phone: 716-645-4430


Amanda Brown.

Amanda Brown


International HR Services

Phone: 716-645-4429


Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: 08/2016

Owner:  Human Resources