Select language

SSA-1945 Statement Concerning Employment Not Covered by Social Security

  1. Language English
  2. Country USA
  3. Activity Social Security
Fill out this form
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.

FAQ
  • Who must receive Form SSA-1945?

    Any employee hired on or after January 1 2005 for a job that does not pay Social Security taxes must be given this statement by their employer.

  • What is the Windfall Elimination Provision?

    WEP reduces Social Security retirement or disability benefits for individuals who also receive a pension from non‑covered employment.

  • How does the Government Pension Offset affect me?

    GPO reduces spousal or widow(er) Social Security benefits by two‑thirds of the amount of a government pension earned in non‑covered work.

  • Can I fill out SSA-1945 on a mobile device?

    Yes. The Formize PDF Filler works on all modern browsers, including mobile Safari and Chrome.

  • Do I need to print the form after filling it online?

    Printing is optional. An electronic signature is accepted by most agencies, but keep a printed copy for your records if you prefer.

  • What should I do if I make a mistake?

    Use the Formize editor’s "Undo" button or clear the field and re‑enter the correct information. Save a new version before submitting.

  • Is the PDF version on Formize the official government form?

    Yes. The download link points to the official SSA‑1945 PDF published by the Social Security Administration.

HOW TO

How to fill out SSA-1945 for free, online in 5 easy steps:

  1. 1
    Open the Fillable Form
    Click the "Fill out this form" button on the page. The Formize PDF Filler will open in your browser.
  2. 2
    Enter Your Information
    Type directly into each field (employee name, ID, employer details, etc.). The online editor saves your changes automatically.
  3. 3
    Review & Sign
    Check all entries for accuracy, then use the built‑in signature field to sign electronically.
  4. 4
    Save or Print
    When finished, click "Save PDF" to download a copy or "Print" to produce a hard copy for your records.
  5. 5
    Submit to Your Employer
    Provide the completed form to your HR department or the agency that requested it.
Formize PDF Filler app
ABOUT

Social Security Forms

SSA-1945 is one of Social Security forms that are documents used to apply for various benefits and services provided by the United States Social Security Administration (SSA). The SSA is a federal agency that administers programs designed to provide financial assistance to eligible individuals and families, including retirement benefits, disability benefits, survivor benefits, and supplemental security income (SSI).

Some common Social Security forms include:

Social Security Retirement Benefits Application: This form is used to apply for retirement benefits based on an individual's work history and earnings.

Social Security Disability Benefits Application: This form is used to apply for disability benefits if an individual has a physical or mental condition that prevents them from working.

Social Security Survivor Benefits Application: This form is used to apply for survivor benefits if an individual's spouse or parent has passed away and they are eligible for survivor benefits.

Medicare Enrollment Application: This form is used to enroll in Medicare, the federal health insurance program for individuals over 65 and those with certain disabilities or medical conditions.

Change of Address Form: This form is used to update an individual's address with the SSA.

Request for Earnings Record Form: This form is used to request a copy of an individual's earnings record, which is used to calculate Social Security benefits.

These forms can be completed online, by mail, or in person at a local Social Security office. It is important to carefully review and complete all necessary forms to ensure timely and accurate processing of Social Security benefits.

FEATURES

PDF Filler

The easiest way to fill SSA-1945 online

  • Quickly fill out SSA-1945
    Looking for a way to quickly fill SSA-1945 online? With our online free PDF form filler, you’ll know how to how to edit and fill this pdf document in less than a minute.
  • Easy to use online PDF editor
    Fed up with printing out PDF files so you can edit them, before rescanning and sending them back? Edit PDF documents for free online. Use our online pdf editor to save time and paper.
  • Great tools, all platforms
    Wondering how to fill in SSA-1945 on a Mac, or maybe how to use a PDF filler free? Our online PDF tools work on all platforms.
  • Secure file storage
    Completed "SSA-1945" files are stored in a secured database managed by Amazon Cloud hosting. You can delete your files from our system anytime. In any case, these files are automatically deleted after 24 hours.
  • Chat with SSA-1945
    Chat with "SSA-1945" on Chatize that is a free PDF reader assistant. Ask questions and get answers from "SSA-1945". Just click on Chat With Document button above.

Delete filling session

Delete the selected filling session? In this case, your progress in completing the form will be lost.

Delete editing session

Delete the selected editing session? In this case, your progress in creating and editing the form will be lost.