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BEM 223 9 of 12 SOCIAL SECURITY NUMBERS BPB 2023-006 4-1-2023

BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

• A FDSH (federal data source) validation. All Programs The following sources in the SSN Application Verification field in Bridges are valid verification of an SSN application. • SS-5, Application for a Social Security Card. • SSA-5028, Receipt for Application for a Social Security number (allowed only for refugees for FIP, SDA, RAP, or MA; allowed for all individuals for FAP). • DHS-4557, Information About Your Baby's Social Security Card. • SSA-2853, Enumeration at Birth (EAB) Receipt. • Michigan birth certificate with box 10b marked that an SSN and card were requested. • Modified birth document that includes the minimum required information. The minimum required information on a modified birth document is: • Child's name. • Child's date of birth. • Parent(s) name(s). • Name of hospital where child was born. • Signature of hospital representative. • Dated and check-marked annotation that SSN was requested.

EXHIBIT - MULTIPLE SSNS FOR THE SAME CLIENT Use this letter as a guide when drafting a letter to the Social Security Administration to resolve multiple SSNs for a client.

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Official source

BEM 223 9 of 12 SOCIAL SECURITY NUMBERS BPB 2023-006 4-1-2023

BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

• A FDSH (federal data source) validation. All Programs The following sources in the SSN Application Verification field in Bridges are valid verification of an SSN application. • SS-5, Application for a Social Security Card. • SSA-5028, Receipt for Application for a Social Security number (allowed only for refugees for FIP, SDA, RAP, or MA; allowed for all individuals for FAP). • DHS-4557, Information About Your Baby's Social Security Card. • SSA-2853, Enumeration at Birth (EAB) Receipt. • Michigan birth certificate with box 10b marked that an SSN and card were requested. • Modified birth document that includes the minimum required information. The minimum required information on a modified birth document is: • Child's name. • Child's date of birth. • Parent(s) name(s). • Name of hospital where child was born. • Signature of hospital representative. • Dated and check-marked annotation that SSN was requested.

EXHIBIT - MULTIPLE SSNS FOR THE SAME CLIENT Use this letter as a guide when drafting a letter to the Social Security Administration to resolve multiple SSNs for a client.