Form SSA-89 is a one-page consent document from the Social Security Administration that allows a third party such as a mortgage lender, bank, or employer to verify if your name, date of birth, and Social Security number match government records

To use the Upload PDF endpoint for this document, you must use SOCIAL_SECURITY_ADMINISTRATION_AUTHORIZATION in the form_type parameter.

Field descriptions

The following fields are available on this document type:

JSON Attribute	Data Type	Description
`social_security_administration_authorization:general:printed_name`	Text	Printed Name
`social_security_administration_authorization:general:date_of_birth`	Date	Date of Birth
`social_security_administration_authorization:general:social_security_number`	Social Security Number	Social Security Number
`social_security_administration_authorization:general:signature`	`SIGNED`, `NOT SIGNED`	Signature
`social_security_administration_authorization:general:date_of_signed`	Date	Date of Sign

Sample document

Sample JSON result

{
  "pk": 78320574,
  "uuid": "94ccafa4-e67a-452a-b2d0-114973a2e08e",
  "name": "SOCIAL_SECURITY_ADMINISTRATION_AUTHORIZATION",
  "created": "2026-09-08T17:29:06Z",
  "created_ts": "2026-09-08T17:29:06Z",
  "verified_pages_count": 1,
  "book_status": "ACTIVE",
  "id": 78320574,
  "forms": [
    {
      "pk": 116641801,
      "uuid": "e2881853-2300-417d-abd2-cc77509f3475",
      "uploaded_doc_pk": 162592927,
      "form_type": "SOCIAL_SECURITY_ADMINISTRATION_AUTHORIZATION",
      "form_config_pk": 3513802,
      "tables": [],
      "attribute_data": null,
      "raw_fields": {
        "social_security_administration_authorization:general:signature": {
          "value": "SIGNED",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "SOCIAL_SECURITY_ADMINISTRATION_AUTHORIZATION.pdf",
          "confidence": 1.0
        },
        "social_security_administration_authorization:general:printed_name": {
          "value": "JOHN FAKE SAMPLE",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "SOCIAL_SECURITY_ADMINISTRATION_AUTHORIZATION.pdf",
          "confidence": 1.0
        },
        "social_security_administration_authorization:general:date_of_birth": {
          "value": "01/01/1996",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "SOCIAL_SECURITY_ADMINISTRATION_AUTHORIZATION.pdf",
          "confidence": 1.0
        },
        "social_security_administration_authorization:general:date_of_signed": {
          "value": "01/01/2026",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "SOCIAL_SECURITY_ADMINISTRATION_AUTHORIZATION.pdf",
          "confidence": 1.0
        },
        "social_security_administration_authorization:general:social_security_number": {
          "value": "123-45-6789",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "SOCIAL_SECURITY_ADMINISTRATION_AUTHORIZATION.pdf",
          "confidence": 1.0
        }
      }
    }
  ],
  "book_is_complete": true
}