SSA-88 Current Version

Form Approved
OMB No. 0960-0760

Social Security Administration

Pre-Approval Form For Consent Based Social Security Number Verification
(CBSV)
COMPANY REGISTRATION

1. Name of the Company:
2. Company Address (P.O. Box alone is not acceptable)
Address Line 1:
Address Line 2:
City:

State:

Zip Code:

3. EIN (Employer Identification Number):

(Provide primary EIN if your company uses more than one.)

4. Designated email mailbox for receipt of technical bulletins from SSA:
Please note, the SSA will only send technical bulletins to one email address per company. You may provide this information later if you
do not have one now.

EMPLOYEE(S) AUTHORIZED TO USE CBSV

List the names of all employees unless your company will access CBSV solely through a web service platform.
Note: If your company will access CBSV solely through a web service platform, please provide corresponding
information of the Responsible Company Official as the employee authorized to use CBSV.
5. Name of Employee(s) Authorized to use CBSV:

6. Telephone Number of Employee(s) Authorized to use CBSV (include area code):

7. E-mail Address of Employee(s) Authorized to use CBSV:

AUTHORIZED SIGNATURE OF RESPONSIBLE COMPANY OFFICIAL
8.
Name of Responsible Company Official (print or type)

Title

Signature of Responsible Company Official

Date

Telephone Number (include area code):
E-mail Address:
See SSA’s CBSV User Guide for information regarding the extent and nature of employee’s authority to use
CBSV. Notify us if your authorized employee leaves your company or if you choose to revoke any or all of your
employee's authorization to use SSA's Business Services Online (BSO).
Form SSA-88 (06-2013)
Destroy Prior Editions

Privacy Act Notice
The Social Security Administration (SSA) is allowed to collect the information on this form under Sections 205 and
1106 of the Social Security Act and the Privacy Act of 1974 (5 U.S.C. § 552a). We need this information to register
your company and your authorized employee(s) to use our system for verifying Social Security Numbers and to
contact you, if necessary. Giving us this information is voluntary. However, without the information we will not be able
to provide this service to your company. SSA may also use the information we collect on this form for such purposes
authorized by law, including to ensure the appropriate use of the service.

Paperwork Reduction Act Notice
This information collection meets the clearance requirements of 44 U.S.C. 3507, as amended by section 2 of the
Paperwork Reduction Act of 1995. You are not required to answer these questions unless we display a valid Office of
Management and Budget control number. We estimate that it will take you about 5 minutes to complete this form. You
may send comments on our time estimate above to: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401. Send
only comments relating to our time estimate to this address, not the completed form.

Form SSA-88 (06-2013)