SSA-7050

Request For Social Security Earnings Information

Download and Print the SSA-7050

Request may not be processed if the form is incomplete or illegible.

*Use This Form If You Need
1. Certified/Non-Certified Detailed Earnings Information
Includes periods of employment or self-employment and the names and addresses of employers.
OR
2. Certified Yearly Totals of Earnings
Includes total earnings for each year but does not include the names and addresses of employers.

DO NOT USE THIS FORM FOR:
Non-certified yearly totals of earnings
This service is free to the public.
These totals can be obtained by calling 1-800-772-1213 to receive Form SSA-7004, Request for Social Security Statement

How Do I Get This Information?
You need to complete the attached form to tell us what information you want.
•
Can I Get This Information For Someone Else?
Yes, if you have their written permission. For more information, see page 3.
•
Who Can Sign On Behalf Of The Individual?
The parent of a minor child, or the legal guardian of an individual who has been declared legally incompetent, may sign if he/she is acting on behalf of the individual.
•
Is There A Fee For This Information?

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