GN 00301: General Evidentiary Standards
TN 22 (08-06)
A. Policy
Only authorized SSA translators can prepare extract translations.
1. Prescribed Forms
The prescribed forms are as follows:
Form SSA-533 (Translation Request). Translate all required information on the reverse (translation) side.
Form SSA-704 (Certification of Contents of Documents or Records).
SSA-4385 (Certification of Contents of Court Records) in accordance with instructions in GN 00301.115E.
The EVID screen, the “RPOC” screen in MCS, or the “DROC” screen for MSSICS claims in PE situations. (See GN 00301.286, GN 00301.287, and GN 00301.288)
2. “Translation Stamp”
A “translation stamp” can be used as an alternative method of documenting a translation. Translate pertinent data from commonly presented proofs (e.g., birth and baptismal certificates, death and marriage certificates) on reverse side of SSA's retained photocopy of the foreign- language document. The format may be stamped or handwritten. See the exhibit in GN 00301.400B.
B. Exhibit - Extract Translation Stamp Format
EXTRACT TRANSLATION STAMP
CLAIM NO. _________________________________________
THIS IS A B/C ___ BAPT/C ____ D/C ____ M/C _____ OTHER ______
DOCUMENT RELATES TO:
BIC ______ NAME ____________ SSN:_____________ AGE ___________
(IF MARRIAGE CERTIFICATE) SPOUSE'S NAME: ___________________ AGE ________
(IF POA) FATHER: ________________________ MOTHER: ____________________________
DATE OF EVENT/BIRTH ______________________________
PLACE OF EVENT/BIRTH __________________________________________
NAME OF OFFICIATING PRIEST (IF MEXICAN BAPTISMAL CERTIFICATE)
_______________________________________________________________________
DATE OF RECORDATION _______________________________
ISSUING AGENCY ________________________________________________
DATE ISSUED ________________________________________________
THE ORIGINAL, OF WHICH THIS IS A PHOTOCOPY, APPEARS TO BE GENUINE, UNALTERED, AND TO HAVE BEEN MADE AT THE TIME PURPORTED.
TRANSLATOR'S SIGNATURE: ________________________________ TITLE _________
DATE DOCUMENT TRANSLATED _____________________________________