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Statement Concerning Your Employment in a Job (Windfall Elimination Provision)
Section 419(c) of Public Law 108-203, the Social Security Protection Act of 2004, requires State and local government employers to disclose the effect of the Windfall Elimination Provision and the Government Pension Offset to employees hired on or after January 1, 2005, in jobs not covered by Social Security.
Click here for more a summary of the Windfall Elimination Provision
Click here to access SSA-1945 (01-2013)
Click here to access the Social Security Website for more information