If you are exempt from having a Social Security Number (SSN), you can use this affidavit as a verification document to prove that you are exempt from having an SSN because you are not eligible to apply for an SSN or you qualify for another type of exemption from having an SSN, such as a religious objection.
Once you complete your application through Maryland Health Connection, you will receive a verification notice in the mail requesting verification of your identity. This notice will include a cover letter.
In response to this request, complete the affidavit and mail it with the cover letter included to the following address:
Maryland Health Connection
P.O. Box 857
Lanham, MD 20703