CalWORKs Policy - Department of Public Social Services

How are non-citizens referred to the Social
Security Administration (SSA) office?
Staff must use the PA 4013, SSA Referral Letter,
when referring non-citizens to the SSA office to
request a non-work SSN. The PA 4013 does not
have to be in the applicant’s/participant’s primary
language. However, the applicant/participant
must be given verbal translation of the form and
informed in his/her primary language the purpose
of the PA 4013. As long as the applicant provides
documentation that he/she has filed an application
for an SSN, the applicant may be aided, as
appropriate.
When is the PA 4013 SSA Referral letter used?
The PA 4013 is used only when referring an
applicant who:
• Is lawfully admitted to the United States; or
• Is an immigrant eligible to receive
government benefits (i.e, VAWA petitioners
with prima facie notices, battered immigrants
with approved I-130s but no pending
applications for adjustment of status);
• Is not eligible to work in the United States;
and
• Has met all eligibility requirements with the
exception of providing an SSN.
What verification will the SSA office request
from the applicant/participant who is referred
with a PA 4013?
The SSA office will require original documents
showing age, identity and lawful immigration
status.
NOTE: The applicant must be made aware that if
the non-work SSN is used to work, SSA may
inform the United States Citizenship and
Immigration Services (USCIS).