Report Social Security Application or Receiving your card
You will only receive 1 paycheck from us without submitting this form telling us about your social security application. We can only give you 3 paychecks without having a copy of your social security card. We will not notify you of these deadlines. We will just stop issuing paychecks to you. IT IS YOUR RESPONSIBILITY TO PROVIDE US WITH THIS INFORMATION.
Student Last Name (must match travel documents)
*
Student First Name (must match travel documents)
*
Student Nickname
Student Email Address
*
example@example.com
Home Country
*
DS Start Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
DS End Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Work Location
*
Harborwalk Village, Destin Florida
Pier 39, San Francisco California
Broadway at the Beach, Myrtle Beach South Carolina
Barefoot Landing, North Myrtle Beach South Carolina
Tanger Outlets Highway 17, Myrtle Beach South Carolina
Timbuck II, Corolla North Carolina
Scarborough Lane, Duck North Carolina
Jockey's Ridge, Nags Head North Carolina
Foley Tanger Outlets
The Island, Pigeon Forge Tennessee
Riverwalk, New Orleans Louisiana
French Market, New Orleans Louisiana
Charleston Market, Charleston South Carolina
Waterside, Norfolk, VA
What are you reporting to us?
*
I have applied for my social security card
I have received my social security card
What is your social security number?
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You must upload a copy of your social security card.
*
Browse Files
Cancel
of
Date you applied for Social Security Number
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What is the address of the office where you applied for your social security card?
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What is the address where they will be mailing your social security card? (It is best to use the office address if possible 393 Green Street NW Gainesville, GA 30501)
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Please submit the form from the Social Security Office showing your applied
Browse Files
They will usually give you a form at the time of application or they will mail you a form after applying .
Cancel
of
Submit
Should be Empty: