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This form is used to inform employees hired in positions not covered by Social Security of the implications regarding their benefits, per the Social Security Protection Act of 2004.
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How to fill out STATEMENT CONCERNING YOUR EMPLOYMENT IN A UNIVERSITY POSITION NOT COVERED BY SOCIAL SECURITY

01
Obtain the STATEMENT CONCERNING YOUR EMPLOYMENT IN A UNIVERSITY POSITION NOT COVERED BY SOCIAL SECURITY form from your university's HR department or website.
02
Fill out your personal information at the top of the form, including your name, address, and contact information.
03
Provide details about your employment position at the university, including the title, department, and date of employment.
04
Indicate your salary or compensation and any relevant information regarding your work hours or responsibilities.
05
Review the form for any required signatures, and make sure to sign and date it where indicated.
06
Submit the completed form to the appropriate department, such as HR or payroll, as instructed.

Who needs STATEMENT CONCERNING YOUR EMPLOYMENT IN A UNIVERSITY POSITION NOT COVERED BY SOCIAL SECURITY?

01
Individuals working in university positions that are not covered by Social Security, such as certain faculty or administrative roles.
02
International faculty or employees who may not be eligible for Social Security benefits due to their visa status.
03
Anyone who is receiving compensation from a university but does not have Social Security contributions taken from their salary.
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People Also Ask about

Most workers in the U.S. can receive Social Security in retirement. However, some people are ineligible for benefits, even if they have worked for some or all of their adult lives.
Indeed, here are three ways you can lose at least part of your Social Security benefit. No. 1: Keep working while taking benefits early. No. 2: Be a substantially lower-earning spouse. No. 3: Be alive in 2034. Social Security still provides an important foundation for retirement.
Although you need at least 10 years of work (40 credits) to qualify for Social Security retirement benefits, we base the amount of your benefit on your highest 35 years of earnings.
Social Security benefits are typically computed using "average indexed monthly earnings." This average summarizes up to 35 years of a worker's indexed earnings. We apply a formula to this average to compute the primary insurance amount (PIA). The PIA is the basis for the benefits that are paid to an individual.
The WEP may apply if you receive both a pension and Social Security benefits. In that case, the WEP can reduce your Social Security payments by up to 50% of your pension amount. This reduction is known as the WEP PIA.
Social Security replaces a percentage of a worker's pre-retirement income based on your lifetime earnings. The amount of your average earnings that Social Security retirement benefits replace depends on your earnings and when you choose to start benefits.

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The STATEMENT CONCERNING YOUR EMPLOYMENT IN A UNIVERSITY POSITION NOT COVERED BY SOCIAL SECURITY is a document used to declare employment in university positions that do not participate in the Social Security system.
Employees of universities who are engaged in positions that are not covered by Social Security are required to file this statement.
To fill out the statement, individuals must provide their personal information, details about their university employment, and confirm that their position is not covered by Social Security.
The purpose of the statement is to inform the relevant authorities about the employment status and coverage of the university position regarding Social Security benefits.
The statement must include the employee's name, position title, university name, dates of employment, and a declaration that the position is not eligible for Social Security coverage.
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