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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.