[Code of Federal Regulations]
[Title 20, Volume 2]
[Revised as of April 1, 2004]
From the U.S. Government Printing Office via GPO Access
[CITE: 20CFR422.520]

[Page 1093-1094]
 
                      TITLE 20--EMPLOYEES' BENEFITS
 
               CHAPTER III--SOCIAL SECURITY ADMINISTRATION
 
PART 422_ORGANIZATION AND PROCEDURES--Table of Contents
 
                Subpart F_Applications and Related Forms
 
Sec. 422.520  Forms related to maintenance of earnings records.

    The following forms are used by the Social Security Administration 
and by the public in connection with the maintenance of earnings records 
of wage-earners and self-employed persons:

SS-4--Application for Employer Identification Number.
SS-4A--Agricultural Employer's Application. (For use by employers of 
agricultural workers to request an employer identification number under 
the FICA.)
SS-5--Application for a Social Security Number (or Replacement of Lost 
Card).
SS-15--Certificate Waiving Exemption From Taxes Under the FICA. (For use 
by certain nonprofit organizations requesting coverage of its 
employees.)
SS-15a--List of Concurring Employees. (To be signed by each employee who 
concurs in the filing of the Certificate Waiving Exemption From Taxes 
Under the FICA, Form SS-15.)
SSI-21--Social Security and Your Household Employee. (For use by 
employers of household workers to request information from the Internal 
Revenue Service Center regarding filing employee tax returns.)
OA-702--Social Security Number Card.

[[Page 1094]]

Form 2031--Waiver Certificate To Elect Social Security Coverage for Use 
by Ministers, Certain Members of Religious Orders, and Christian Science 
Practitioners.
Form 4029--Application for Exemption from Tax on Self-Employment Income 
and Waiver of Benefits. (To be completed by self-employed individuals 
who are members of certain recognized religious sects (or division 
thereof) and do not wish to pay FICA taxes or participate in the 
programs provided under titles II and XVIII.)
Form 4361--Application for Exemption From Self-Employment Tax for Use by 
Ministers, Members of Religious Orders, and Christian Science 
Practitioners.
Form 4415--Election To Exempt From Self-Employment Coverage Fees 
Received by Certain Public Officers and Employees of a State or 
Political Subdivision Thereof.
OAAN-5028--Evidence of Application for Social Security Number Card.
OAAN-7003--Request for Change in Social Security Records. (For use by an 
individual to change information given on original application for a 
social security number.)
OAR-7004--Request for Statement of Earnings. (For use by worker to 
obtain a statement of earnings recorded in his earnings record.)
OAR-7008--Request for Correction of Earnings Record. (For use by an 
individual who wishes to have his earnings record revised.)
SSA-7011--Statement of Employer. (For use by an employer to provide 
evidence of wage payments in cases of a wage discrepancy in an 
individual's earnings record.)

[38 FR 11452, May 8, 1973]