SSA-1945 Statement Concerning Employment Not Covered by Social Security

The SSA-1945 is a mandatory statement for employees whose jobs are not covered by Social Security taxes. It explains how the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO) may affect future Social Security benefits.

What Is Form SSA-1945?

Form SSA-1945, titled “Statement Concerning Your Employment in a Job Not Covered by Social Security,” is required for state, local, or federal employees hired on or after January 1 2005 in positions that do not pay Social Security taxes. The form informs you about potential reductions to retirement, disability, or spousal benefits.

Why You Need This Form

• It provides legal notice of the WEP and GPO provisions.
• Employers must give it to you at the start of employment.
• Signing the form confirms you have received the information.

How to Fill SSA-1945 Online with Formize

Instead of downloading the PDF and editing it in a separate editor, simply click the "Fill out this form" button on this page. The Formize PDF Filler app will load automatically, allowing you to type directly into each field.

Common Mistakes to Avoid

• Leaving fields blank: Incomplete forms are rejected.
• Illegible handwriting: Online entry eliminates this risk.
• Signing the wrong version: Ensure you use the latest 2025‑04 PDF (linked below).

Download the Fillable PDF

If you prefer to work offline, you can download the official fillable PDF directly from the government source. The file is fully compatible with Formize’s online editor.