Form SSA-1945 at a glance
What it is: Form SSA-1945, Statement Concerning Your Employment in a Job Not Covered by Social Security, is the document that employers must use to meet the requirements of the law.
Who signs: Employers must get the employee's signature on the form.
Where and when to file: Employers must submit a copy of the signed form to the pension paying agency.
Where to get it: A fillable, downloadable version of the SSA-1945 is available online at the Social Security website, www.ssa.gov/online/ssa-1945.pdf.
The Social Security Protection Act of 2004, Pub. L. No. 108-203, Section 419 requires State and local government employers to provide a statement to employees hired January 1, 2005, or later in a job not covered under Social Security.
A filled-in Form SSA-1945 example: an employee signs before a county job starts
How to fill out Form SSA-1945, box by box
Employee Name, Employee ID, Employer Name and Employer ID
Enter the Employee Name and the Employee ID#.
Enter the Employer Name and the Employer ID#.
Signature of Employee and Date
Sign on the Signature of Employee line and enter the Date.
You certify that you have received Form SSA-1945 and understand that your earnings from this job are not covered under Social Security and will not be used to determine eligibility to or the amount of your potential future Social Security Benefits.
Employers must
Give the signed statement and information page to the employee prior to the start of employment.
Employers must submit a copy of the signed form to the pension paying agency.
More rules for Form SSA-1945
This version of SSA-1945 explains to an employee that non-covered earnings will not be used to determine eligibility to or calculate the amount of potential future benefits.
If your situation is different
Common questions about Form SSA-1945
Is SSA-1945 still required?
While the earlier version of the SSA-1945 discussed the effect of the Windfall Elimination Provision and/or Government Pension Offset on an employee's potential future benefits, the Social Security Fairness Act (SSFA) of 2023 enacted on January 5, 2025, eliminated the reduction of Social Security benefits under the Windfall Elimination Provision and/or Government Pension Offset for individuals entitled to certain pensions from work not covered by Social Security, starting January 2024. However, this did not remove the requirement for State and local government employers to provide a statement to employees hired January 1, 2005, or later in jobs not covered under Social Security.
What is an SSA-1945 form?
Form SSA-1945, Statement Concerning Your Employment in a Job Not Covered by Social Security, is the document that employers must use to meet the requirements of the law. Social Security will not be setting any additional guidelines for the use of this form.
Where to get help with Form SSA-1945
For information on how you may qualify for Social Security benefits, visit www.ssa.gov.
Social Security publications and additional information are available at www.ssa.gov. You may also call toll free 1-800-772-1213, or for the deaf or hard of hearing call the TTY number 1-800-325-0778 or contact your local Social Security office.
Sources
[1] Form SSA-1945 (03-2025), Statement Concerning Your Employment in a Job Not Covered by Social Security, Social Security Administration (the Official source link on this page).
