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SSA-131

Employer Report Of Special Wage Payments

Download and Print the SSA-131

Request may not be processed if the form is incomplete or illegible.

PART I - TO BE COMPLETED BY SSA/EMPLOYER:
Tax Year - Employee Name - Employee's SSN - SSA Claim Number (To be completed by SSA)

Employer

Address

PART 2 - TO BE COMPLETED BY EMPLOYER:
Employees are sometime paid wages in a year subsequent to the year that the wages were earned.

The most common types of payments are accumulated (for prior years) vacation pay or sick pay paid after retirement; deferred compensation; severance pay (when paid on account of retirement) and bonuses--paid pursuant to a prior agreement or contract.

Wages which are earned in a year prior to the year they are paid usually do not affect benefits payable under the Social Security annual earnings test. However, for the Social Security

Administration to pay benefits accurately, these prior year amounts must be reported to us. The above named individual has filed for Social Security benefits.

To ensure that correct Social Security benefits are paid, please complete the information below and return this form to the Social Security Administration.

(Please see reverse side for instructions for the completion of this form.)

And much more...

 
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