Please provide the information below. All information is required unless noted as optional. Upon submission, SSA will attempt to register your entity.
Once registered, you will be asked to read and sign your Permitted Entity Certification.
Under 26 U.S.C. § 6103(c), I give my permission and consent for the Social Security Administration (SSA) to access the Financial Institution’s Employer Identification Number (EIN) maintained in SSA records for purposes of verifying the EIN provided to use SSA’s Consent Based Social Security Number Verification (CBSV) services, including eCBSV, and for regular verifications of the EIN, which may occur throughout a two (2) year period from the date of my signature.
If I am using SSA’s CBSV services, including eCBSV, through another entity (e.g., a service provider), in the event of a discrepancy I also give my permission and consent for SSA to disclose to the service provider the fact that the EIN did not match the EIN maintained in SSA’s records in order to resolve it.
I certify that I am a current officer of a corporation, association, or other entity with the authority under state law to execute this consent with respect to the disclosure of the EIN identified above or that I am a current shareholder of an S corporation, or a current member or partner of a partnership to whom the EIN relates. I recognize that this consent is valid for two (2) years from the date of signature unless revoked.