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Department of the Treasury -
Internal Revenue Service

Form 15101
(October 2017)
Provide a Social Security Number (SSN) for Adoptive Child

Complete this form, and fax or mail it to us at: 

Standard:
Internal Revenue Service
Stop 6182
Austin, TX 73301-0066
Overnight:
Internal Revenue Service
3651 S. Interregional Hwy 35
Stop 6182
Austin, TX 78741
Fax number: (855) 250-1731

If you have any questions contact us at (737) 800-5511 (not toll free)

Contact Information

Name ----
Taxpayer Identification Number ----
Name ----
Taxpayer Identification Number ----

If you changed your address, write your new address below.

Address ----
City ----
State ----
ZIP code ----
Primary telephone number ----
Best time to call ----
-- a.m.
-- p.m.
Secondary telephone number ----
Best time to call
-- a.m.
-- p.m.
I received social security number ----
Name of adoptee ----
I was assigned the following ATIN ----

Original signatures of adoptive parents

Name (print/type) ----
Signature
Date
Name (print/type) ----
Signature
Date
Catalog Number 69796Z
www.irs.gov
Form 15101 (Rev. 10-2017)

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Instructions for Form 15101, Provide a Social Security Number (SSN) for Adoptive Child

General Instructions

Future Developments

For the latest information about developments related to Form 15101 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/w7a.

Purpose of Form

Use Form 15101, Provide a Social Security Number (SSN) for Adoptive Child, ONLY to inform the Internal Revenue Service (IRS) of the social security number (SSN) for your adoptive child if the IRS provided an ATIN for your adoptive child.

Caution: Don't file Form 15100 with the IRS to obtain a social security number (SSN) for your child or adoptive child. Only the Social Security Administration (SSA) can assign a SSN.

After the adoption is final

Apply for an SSN for the child, fill in Form SS-5, Application for a Social Security Card, and return it, with the appropriate evidence documents, to the Social Security Administration (SSA). You can get Form SS-5 online at 
www.socialsecurity.gov, from your local SSA office, or by calling the SSA at 1-800-772-1213. It usually takes about 2 weeks to get an SSN once the SSA has all the evidence and information it needs.

Application for SSN denied. If the SSA denies your application for an SSN, contact the IRS to request an extension or reactivation of the ATIN. When you request the extension or reactivation of the ATIN, include the SSA's denial letter or an explanation with your correspondence.

How Long Can You Use an ATIN

After the adoption is final, don't continue using the ATIN. Instead use the Form 15101, Provide a Social Security Number (SSN) for Adoptive Child, to provide the SSN received for the adoptive child. 

Where To File

Department of the Treasury
Internal Revenue Service
Austin, TX 73301-0066

Catalog Number 69796Z
www.irs.gov
Form 15101 (Rev. 10-2017)
