This form is used for those applying for a Limited Purpose Driver License or a Limited Purpose Identification Card. Attachment(s): Social Security Number Declaration Form (English) Social Security Number Declaration Form (Spanish - Español) Social Security Number Declaration Form (Amharic - አማርኛ) Social Security Number Declaration Form (Chinese - 中文) Social Security Number Declaration Form (French - Français) Social Security Number Declaration Form (Vietnamese - Tiếng Việt) Social Security Number Declaration Form (Korean - 한국어)Related Content: Obtain a Limited Purpose Driver License