Form SSA-1945, Statement Concerning Your Employment in a Job Not Covered by Social Security , is a form used for providing an explanation of how the present employment can affect future Social Security benefits of the employee. It is required to fill out and submit this form when you take any job for which you do not pay Social Security tax.
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The form was issued by the U.S. Social Security Administration (SSA) on January 1, 2013 , with all previous editions obsolete. An SSA-1945 fillable form is available for download and digital filing below.
If you are an employer and need paper copies of the document, you can request them from the SSA by email or fax. Indicate your full name, address, and telephone number. You may also provide the name of the person these documents will be delivered to. The forms are sent in packages of 25. The documents will not be delivered to a post office box.
Employers are obliged to use the Social Security Form SSA-1945 to fulfill the requirements of U.S. law. The document states that the employee's earnings from this job are not covered under Social Security. Besides, it contains an explanation of provisions in the Social Security law for the employees who receive a pension based on a job not covered under Social Security. There are two such provisions:
The first one affects the calculations of your retirement or disability benefits. If your employer does not withhold from your salary Social Security taxes, any retirement or disability pension based on this job can reduce the amount of Social Security benefits you may be entitled to.
According to the second, if you are entitled to receive a federal, state, or local government pension based on the job you did not pay Social Security taxes for, any Social Security spouse or widow(er) benefits you become entitled will be offset. Thus, the amount of your Social Security payments will be reduced by two-thirds of the amount of your pension.
An SS employer has to provide you with an SSA-1945 for reading and signing, to make sure you are fully aware of the potential effect of these provisions on your future Social Security benefits. The document also contains examples of possible monthly reductions of the Social Security benefits, formulas, according to which you can calculate the potential reductions, and toll-free phone numbers you can call for any additional information.
The employer will submit a copy of the signed form to the pension paying agency.