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.
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.
Pressing the PRINT button will only print the current page. Download the document to your desktop, tablet or smartphone to be able to print it out in full.