If You Hire New Employees Not Covered by Social Security

When you hire a new employee after January 1, 2005:

• Give Form SSA-1945, Statement Concerning Your Employment in a Job Not Covered by Social Security, to the new employee before employment begins.

• Have the employee sign the form.

• Submit a copy of the signed form to the pension-paying agency.
  

• You may obtain electronic copies of Form SSA-1945 and instructions for its use at www.socialsecurity.gov/form1945/SSA-1945.pdf .

  • También puede obtener el formulario SSA-1945 en español aquí.

• Paper copies may be ordered via email at oplm.oswm.rqct.orders@ssa.gov or by fax at 410-965-2037. (Form SSA-1945 comes in packages of 25.)
  • You must include the employer name, complete address and telephone number. (We can not send forms to a post office box.)
  • If appropriate, include the name of the person who will take delivery.
  • Ask for Inventory Control Number (ICN) 276950.

• Form SSA-1945 explains to your new employee the potential effects of two provisions in the Social Security law on workers who also receive a pension based on their work in a job not covered by Social Security:

  • The Windfall Elimination Provision affects the amount of Social Security retirement or disability benefits, and

  • The Government Pension Offset Provision affects the amount of Social Security benefits received as a spouse or an ex-spouse.

• Social Security will not be setting any additional guidelines for the use of this form.