HOW ANY BUSINESS CAN VERIFY NAMES TO SSN'S FREE BY CALLING A GOVERNMENT#800 HOT-LINE!!


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This kit contains instructions for employers and third-party submitters (accountants, service bureaus, etc.) to match your record of employee names and Social Security numbers (SSN) with Social Security's records before you prepare and submit Forms W-2 (Wage and Tax Statements). Making sure names and SSNs entered on the W-2 match Social Security's records is important because unmatched records can result in additional processing costs for you and uncredited earnings for your employees. Uncredited earnings can affect future eligibility to (and amounts paid under) Social Security's retirement, disability and survivors program. This kit can help eliminate this common reporting error.

Instructions on how to verify up to 5 names/SSNs FREEE!! calling a special toll free number!!

Instructions on how to verify up to 50 names /SSNs FREE!! via fax We will provide you.

Instructions on how to verify over 50 names/SSNs FREE!!

HOW TO VERIFY NAMES/SSNs

- EVS is easy to use and there are several methods you can choose from based on the number of employee names/SSNs you want to verify.


Registration Instructions for Employers and Third-Party Submitters

To register for EVS, both individual employers and third-party submitters should:

1. Complete the registration form below.The company address in block 2 should show a street address, city, state and zip code. A P.O. Box may be included in the address, but a P.O. Box alone will not be accepted. The registration form must be signed by a manager or authorized official of the company. The title of the signer MUST follow the signature.

2. There are two Federal privacy act statements included in this kit - one for individual employers and one for third-party submitters. Sign and date the appropriate form.

3. Mail or fax both the registration form and privacy act statement to:

MAIL TO: Social Security Administration OCO, DES, EVS 300 N. Greene Street, 5-E-10 North Building Baltimore, Maryland 21201

FAX TO : (410) 966-3366 or (410) 966-9439 Once Social Security has processed your registration request, you will receive by return mail a requester identification code. This code should be shown on your paper or magnetic media submission and on any EVS correspondence with SSA concerning a change in address, contact person or telephone number. EVS correspondence should be sent to the address or fax number shown above. Remember: Your requester identification code is permanent - it will not change from year to year. If you misplace it, simply call the EVS hotline at (410) 965-7140.

ENUMERATION VERIFICATION SERVICE REGISTRATION FORM FOR EMPLOYERS & THIRD-PARTY SUBMITTERS

1. Name of Company
2. Company Street Address, City, State, Zip Code (P.O. Box alone is not acceptable)
3. EIN (Employer Identification Number)
4. Contact Name and Telephone Number (include area code)
5. Fax number (if applicable)
6. How will you be submitting your data files for processing? __ 5 1/4" or 3 1/2" Diskette __ 3480 or 3490 Cartridge __ Paper __ Magnetic Tape (Standard density 6250 BPI. If 1600 BPI is needed, check here ___.)
7. How many Social Security numbers do you want to verify?
8. Are you a Third-Party submitter?
Yes ___ No ___
9. Authorized Signature (Company Manager or Authorized Representative) Signature ____________________________________________ ___________________ Title Date Mail this form and the privacy act statement to: SSA, OCO, DES, EVS, 300 N. Greene Street, 5-E-10 North Building, Baltimore, Maryland 21201.

Forms may also be faxed to: (410) 966-3366 or (410) 966-9439

FEDERAL PRIVACY ACT STATEMENT FOR USING THE ENUMERATION VERIFICATION SERVICE FOR INDIVIDUAL EMPLOYERS

EIN: __ __- __ __ __ __ __ __ __ I understand that the Social Security Administration will verify Social Security numbers solely to ensure that the records of my employees are correct for the purpose of my completing Internal Revenue Service Forms W-2 (Wage and Tax Statement). I also understand that any information which I receive from records maintained by the Social Security Administration is governed by 5 USC 552a(I) of the Federal Privacy Act. Under this Act, anyone who obtains this information under false pretenses, or uses it for a purpose other than that for which it was requested, may be punished by a fine or imprisonment or both.

Name (type or print) ______________________ Title (type or print) _______________________

Signature _____________________________ Date ______________________________

FEDERAL PRIVACY ACT STATEMENT FOR USING THE ENUMERATION VERIFICATION SERVICE FOR THIRD-PARTY SUBMITTERS

EIN: __ __- __ __ __ __ __ __ __

Company Name _________________________

Street Address _________________________ City, State, Zip Code

The _____________1 certifies that it is authorized, under valid contracts with all outside employers of any individual for whom it will request Social Security number (SSN) verification, to handle annual wage reporting responsibilities with the Social Security Administration (SSA). The ____________1 hereby acknowledges that it is authorized, under this agreement, to request SSN verification from SSA only for the purpose of handling annual wage reporting responsibilities for these employers. The _____________1 understands that SSA agrees to verify SSNs solely to help ensure the accuracy of wage reporting. The ______________1 also understands that information received from records maintained by SSA must be handled in accordance with the Privacy Act of 1974 (5 U.S.C.§552a). Under the terms of this Act, anyone who knowingly and willfully request or obtains from a Federal agency under false pretenses, any record concerning an individual or uses it for a purpose other than that for which it was requested, shall be subject to a criminal penalty (5 U.S.C.§552a(1)(3)). Misuse of a SSN also is a violation of the Social Security Act (42 U.S.C.§408). Signature __________________________________ Date___________

Name (Printed) _____________________________

Title _____________________________________ 1/ Enter Your Company's Name

Once Social Security has processed your registration request and you receive a four-digit requester identification code, you are now ready to submit your paper listing. Your listing should contain no more than 300 requests for verification. (Remember, your local Social Security office can verify paper listings containing up to 50 names and Social Security numbers.) Format your listing to include the following data: Social Security Number Last Name, First Name, Middle Initial Date of Birth (MMDDCCYY) Sex Code (M-Male; F-Female)

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