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SSA-1945 Form

Federal regulations require employers to submit a Statement Concerning Your Employment in a Job Not Covered by Social Security Form (SSA-1945). The form explains how public employment may affect Social Security benefits. You must submit a copy to SERS once it has been signed by the employee.

The SSA-1945 Form can be faxed to SERS at 614-340-1195, or it can be mailed to SERS at 300 E. Broad St., Suite 100, Employer Services, Columbus, Ohio, 43215.