Do I need a notary for the Redaction of Social Security Number Request Form?

No. The form is signed and dated without a notary. It says to present identification; if you mail it, include a photocopy of your driver’s license or state-issued identification card.

How do I submit the Social Security number redaction request?

Submit the completed form to the Chambers County District Clerk at 2128 SH 61, Anahuac, TX 77514. If mailing it, include a photocopy of the requestor’s driver’s license or state-issued identification card.

Can I request redaction of someone else’s Social Security number?

You may request redaction of your own number or your child’s or ward’s. Only a parent or legal guardian may request redaction of a child’s Social Security number.

What information does the form require?

Complete a separate form for each cause number and list the specific document title and page number where the Social Security number appears. The form also asks for the requestor’s name, signature, date, and daytime phone number.

Chambers County, TX · Chambers County

No notary required

Redaction of Social Security Number Request Form

Individuals or their parent or legal guardian use this form to request redaction of a Social Security number from a document in the District Clerk’s records.

At a glance

Issued by: City of Chambers County · Chambers County, Chambers County, Texas
Notarization: Not required: file this form without a notary.
Official source: chamberscountytx.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this form to request that the Chambers County District Clerk remove the first five digits of a Social Security number from a document in the clerk’s public records; the last four digits remain visible. Complete a separate form for each cause number and identify each document and page containing the number. The form also asks for the requestor’s contact details, signature, and date, and requires identification to be presented.

Who needs it

An individual requesting redaction of their own Social Security number, or a parent or legal guardian requesting redaction of a child’s or ward’s number, uses this form.

How to submit it

Submit it to the Chambers County District Clerk at 2128 SH 61, Anahuac, TX 77514. If mailing the form, include a photocopy of the requestor’s driver’s license or state-issued identification card.

About notarization

This document is signed and dated without a notary; the signer just signs and dates the request, with no notarized or sworn attachment mentioned.

How to submit this form

1
Download the Form
Download the Redaction of Social Security Number Request Form.
2
Complete the Request
Fill in the cause number, requestor information, and each document title and page number; sign and date the form legibly.
3
Gather Identification
Present a driver’s license or state-issued identification card. If mailing the form, include a photocopy.
4
Submit to the District Clerk
Submit the form to the Chambers County District Clerk at 2128 SH 61, Anahuac, TX 77514.

Frequently asked questions

Do I need a notary for the Redaction of Social Security Number Request Form?: No. The form is signed and dated without a notary. It says to present identification; if you mail it, include a photocopy of your driver’s license or state-issued identification card.
How do I submit the Social Security number redaction request?: Submit the completed form to the Chambers County District Clerk at 2128 SH 61, Anahuac, TX 77514. If mailing it, include a photocopy of the requestor’s driver’s license or state-issued identification card.
Can I request redaction of someone else’s Social Security number?: You may request redaction of your own number or your child’s or ward’s. Only a parent or legal guardian may request redaction of a child’s Social Security number.
What information does the form require?: Complete a separate form for each cause number and list the specific document title and page number where the Social Security number appears. The form also asks for the requestor’s name, signature, date, and daytime phone number.

Need something notarized?

This Redaction of Social Security Number Request Form doesn’t need a notary, but Texas residents can notarize other documents online with a commissioned online notary.