Social Security Form SSA-1945
Statement Concerning your Employment in a Job Not Covered by Social Security (Form SSA-1945)
New legislation requires state and local government employers to provide a statement to employees hired on or after January 1, 2005 in a job not covered under Social Security. The statement explains how a pension from that job could affect future Social Security benefits to which they may become entitled.
Form SSA-1945, Statement Concerning your Employment in a Job Not Covered by Social Security, is the document that employers should use for this purpose. Employers must give the statement to the employee prior to the start of employment; obtain the employee’s signature on the form; and submit a copy of the signed form to the Teachers’ Retirement Board, the pension paying agency.
The form and instructions are available at the U.S. Social Security Administration website: www.socialsecurity.gov/form1945.