Agreement Between The U.S. and Switzerland

1

Agreement Between The U.S. and Switzerland

Contents

Contacting Social Security. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

For more information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Coverage and social security taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Certificate of coverage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Monthly benefits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

A Swiss pension may affect your U.S. benefit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

What you need to know about Medicare. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Claims for benefits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Authority to collect information for a certificate of coverage (see pages 4-5). . . . . . . 8

Contacting Social Security

Visit our website

At our website, www.socialsecurity.gov, you can:

• Create a my Social Security account to 

review your Social Security Statement, verify your 

earnings, print a benefit verification letter, change 

your direct deposit information, and more.

• Apply for Extra Help with Medicare prescription

drug plan costs;

• Apply for retirement, disability and Medicare benefits;

• Get the address of your local Social Security office;

• Request a replacement Medicare card;

• Find copies of our publications; and

• Get answers to frequently asked questions.

Call us

Call us toll-free at 1-800-772-1213 or at our TTY 

number, 1-800-325-0778, if you are deaf or hard 

of hearing.

We provide general information by automated phone 

service 24 hours a day. You can also use this automated 

response system to tell us a new address or request a 

replacement Medicare card.

We can answer your case-specific questions from 7 

a.m. to 7 p.m., Monday through Friday. You’ll generally 

have a shorter wait time if you call after Tuesday.

We treat all calls confidentially, and a second Social 

Security representative monitors some telephone calls, 

because we want to make sure you receive accurate and 

courteous service.

For more information

To file a claim for U.S. or Swiss benefits under the 

agreement, follow the instructions in the section titled 

“Claims for benefits.”

If you live outside the United States, write to:

Social Security Administration

OIO—Totalization

P.O. Box 17769

Baltimore, MD 21235-7769

USA
Agreement Between The U.S. and Switzerland

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For more information about Swiss social security 

programs, write to the compensation fund in the canton 

where you live or one of its local branch offices. If you 

do not live in Switzerland, write to:

Swiss Compensation Office

P.O. Box 3100

18 Avenue Ed. Vaucher

CH-1211, Geneva 28

SWITZERLAND

If you do not wish to file a claim for benefits but 

would like more information about the agreement, 

write to:

Social Security Administration

Office of International Programs

Box 17741

Baltimore, MD 21235-7741

USA

For more information visit our website: 

www.socialsecurity.gov/international

Introduction

A new agreement effective August 1, 2014, between 

the United States and Switzerland improves social 

security protection for people who work or have 

worked in both countries. The agreement helps many 

people who, without it, would not be eligible for 

monthly retirement, disability, or survivors benefits 

under the social security system of one or both 

countries. The agreement also helps people who would 

otherwise have to pay social security taxes to both 

countries on the same earnings.

This new agreement replaces the old Agreement 

between the United States of America and the Swiss 

Confederation on Social Security signed July 18, 1979, 

and the Supplementary Agreement signed June 1, 1988.

For the United States, the agreement covers 

Social Security taxes (including the U.S. Medicare 

portion) and Social Security retirement, disability, and 

survivors benefits. It does not cover benefits under the 

U.S. Medicare program or the Supplemental Security 

Income (SSI) program.

For Switzerland, the agreement covers old-age, 

retirement, survivors, and disability benefits.

This booklet covers highlights of the agreement 

and explains how it may help you while you work and 

when you apply for benefits.

The agreement may help you, your family, and 

your employer:

• While you work. Before the agreement, if both 

the U.S. and Swiss social security systems covered 

your work, you and your employer had to pay 

social security taxes to both countries for the same 

earnings. However, the agreement eliminates 

this double coverage so you pay taxes to only 

one country. The section titled “Eliminating dual 

coverage for employment” explains these rules. 

If you are self-employed, see the section titled 

“Eliminating dual coverage for self-employment.”

• When you apply for benefits. You may have 

some social security credits in both the U.S. and 

Switzerland, but not have enough to qualify for 

benefits in one country or the other. The agreement 

makes it easier to qualify for benefits by letting 

you combine your social security credits in both 

countries. For more details, see the section on 

“Monthly benefits.”

Coverage and social security taxes

Eliminating dual coverage for employment

Before the agreement, both the United States and 

Switzerland, under certain circumstances, could 

require employees, employers, and self-employed 

people to pay social security taxes to both countries on 

the same earnings.

Under the agreement, if you work as an employee in 

the United States, normally you and your employer will 

pay only U.S. Social Security taxes. If you work as an 

employee in Switzerland, you normally will pay only 

Swiss social security taxes, and neither you nor your 

employer will pay U.S. Social Security taxes.

On the other hand, if your employer sends you from 

one country to work for that employer or an affiliate 

in the other country for five years or less, you will pay 

social security taxes only in the country from which 

your employer sent you. And, you won’t pay taxes 

in the other country. For example, if a U.S. employer 

sends an employee to work for that employer or an 

affiliate in Switzerland for no more than five years, the 

employer and the employee will continue to pay only 

U.S. Social Security taxes. They will not have to pay 

social security taxes in Switzerland.
Agreement Between The U.S. and Switzerland

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Eliminating dual coverage for self-employment

Under U.S. law, U.S. Social Security covers selfemployed workers if they are U.S. citizens or U.S. 

resident aliens. The agreement says if you are selfemployed and live in the United States or Switzerland, 

the country where you live will generally cover and tax 

you. As a result, if you are self-employed and live in 

the United States, you will pay U.S. self-employment 

taxes and won’t need to pay Swiss social security taxes 

on your self-employment income.

Summary of agreement rules

The following table shows whether the U.S. or Swiss 

social security systems cover your work as an employee 

and a self-employed worker. If U.S. Social Security 

covers your work, you and your employer must pay 

U.S. Social Security taxes. If the Swiss system covers 

your work, you and your employer must comply with 

the Swiss contribution requirements. The next section 

explains how to get a form from one country to prove 

you are exempt in the other country.

Your work status Coverage and taxes

You are working in Switzerland:

For a U.S. employer who:

• Sent you to work in Switzerland for five years or less United States

• Sent you to work in Switzerland for more than five years Switzerland

• Hired you in Switzerland Switzerland

For a non-U.S. employer Switzerland

For the U.S. Government and you are a:

• U.S. national United States (either Social Security or federal 

retirement program)

• Swiss national Switzerland

You are working in the United States:

For an employer in Switzerland who:

• Sent you to work in the United States for five years or less Switzerland

• Sent you to work in the United States for more than 

five years

United States

• Hired you in the United States United States

For a non-Swiss employer United States

For the Swiss government and you are a:

• Swiss national Switzerland

• U.S. national United States

You are self-employed and you:

• Live in the United States United States

• Live in Switzerland Switzerland

If this table doesn’t seem to describe your situation and you are:

• Working in the United States Write to the U.S. address. 

• Working in Switzerland Write to the Swiss address. 

NOTE: As the table shows, the agreement can assign U.S. coverage to a U.S. worker temporarily working in 

Switzerland only if he or she works for a U.S. employer. A U.S. employer includes a corporation organized under 

the laws of the United States or any state. Also, a U.S. employer includes:

• a partnership if at least two thirds of the partners are U.S. residents;

• an individual who is a U.S. resident; or,

• a trust if all the trustees are U.S. residents.

The term also includes a foreign affiliate of a U.S. employer when the U.S. employer has an agreement with the 

Internal Revenue Service (IRS) under section 3121(l) of the Internal Revenue Code (IRC) to pay social security 

taxes for U.S. citizens and residents the affiliate employs.
Agreement Between The U.S. and Switzerland

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Certificate of coverage

A certificate of coverage issued by one country 

serves as proof of exemption from social security 

contributions on the same earnings in the other country.

U.S. Certificates for employees

To establish an exemption from compulsory 

coverage and taxes under the Swiss system, your 

employer must request a U.S. certificate of coverage 

(form USA/CH 10) from this address:

Social Security Administration

Office of International Programs

P.O. Box 17741

Baltimore, MD 21235-7741

USA

If you prefer, you can send the request by fax to 

410-966-1861. Please note, use this fax number only to 

request a U.S. certificate of coverage.

No special form is required to request a certificate, 

but the request must be in writing and provide the 

following information:

• Full name of worker;

• Date and place of birth;

• Citizenship;

• Country of worker’s permanent residence;

• U.S. Social Security number;

• Date of hire;

• Country of hire;

• Name and address of the employer in the U.S. and 

Switzerland; and

• Date of transfer and anticipated date of return.

In addition, your employer must indicate if you 

remain an employee of the U.S. company while 

working in Switzerland, or if you become an employee 

of the U.S. company’s affiliate in Switzerland. If you 

become an affiliate’s employee, your employer must 

indicate if the U.S. company has an agreement with the 

IRS under section 3121(l) of the Internal Revenue Code 

to pay U.S. Social Security taxes for U.S. citizens and 

residents the affiliate employs and, if yes, the effective 

date of the agreement.

Your employer can also request a certificate of U.S. 

coverage for you over the Internet using a special online 

request form available at www.socialsecurity.gov/coc. 

Only an employer can use the online form to request a 

certificate of coverage. A self-employed person must 

submit a request by mail or fax.

When issuing a certificate of U.S. coverage, the 

Social Security Administration mails two copies 

(one for the employer and one for the employee) to 

the requesting employer. The employer is responsible 

for presenting the certificate to the Swiss authorities 

when asked.

Swiss Certificates for employees

To establish your exemption from U.S. Social 

Security taxes during temporary assignments in the 

United States, your employer in Switzerland must ask 

for a certificate of coverage (form CH/USA 10) from 

the compensation fund in Switzerland that collects your 

social security taxes in Switzerland.

To get a Swiss certificate, include the same 

information listed for a U.S. certificate of coverage, 

and provide your Swiss social security number rather 

than your U.S. Social Security number. The employer 

in the United States should retain a copy of the Swiss 

certificate of coverage, in case of an audit by the 

IRS. Do not send a copy to the IRS. The IRS will 

specifically ask for a copy if it needs one.

Certificates for self-employed people

If you are self-employed, and would normally be 

required to pay social security taxes to both the U.S. 

and Swiss systems, under the agreement, you can 

establish your exemption from one of the taxes.

• If you live in the United States, the U.S. system will 

cover your self-employment activity, therefore, write 

to the Social Security Administration at the U.S. 

address or fax to 410-966-1861.

• If you live in Switzerland, write to the Swiss 

compensation fund of the canton in which you live. 

In your letter, include your:

—Full name;

—Date and place of birth;

—Citizenship;

—Country of permanent residence;

—U.S. and/or Swiss social security number;

—Nature of self-employment activity;

—Dates the activity was or will be performed; and

—Name and address of your trade or business in 

both countries.

Effective date of coverage exemption

The certificate of coverage you get from one country 

will show the effective date of your exemption from 

paying social security taxes in the other country. 
Agreement Between The U.S. and Switzerland

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Generally, this will be the beginning date of your 

temporary assignment in the other country or the 

beginning date of your self-employment activity there. 

To avoid difficulties, your employer (or you if selfemployed) should ask for a certificate of coverage as 

early as possible, preferably before your work in the 

other country begins.

If you or your employer asks for a certificate 

of coverage, you should read the Privacy Act and 

Paperwork Reduction Act statements.

Your U.S. employer should keep certificates of 

coverage issued by Switzerland in case of an IRS 

audit. Don’t send a copy to the IRS unless the agency 

asks for it. However, if you are self-employed, attach a 

photocopy of the certificate to your income tax return 

each year as proof of your U.S. exemption.

We’ll send you and your employer copies of 

certificates of coverage issued by the United States. 

You will be responsible for presenting the certificate to 

the Swiss authorities when asked.

Monthly benefits

The following table shows the various types of 

social security benefits payable under the U.S. and 

Swiss social security systems and briefly describes 

the eligibility requirements that normally apply for 

each type of benefit. If you don’t meet the normal 

requirements for these benefits, the agreement may 

help you to qualify (see section Survivor Benefits).

This table is only a guide. You can get more

information about U.S. benefits by visiting Social 

Security’s website at www.socialsecurity.gov. You 

can also visit any U.S. Social Security office, or call

our toll-free number at 1-800-772-1213. You can get

more information about the Swiss system by writing

to the Swiss compensation fund in the canton that

collects your social security taxes in Switzerland or by

visiting the Swiss Social Security system’s website at

www.avs-ai.ch.

Under U.S. Social Security, you may earn up to four 

credits each year depending on the amount of your 

covered earnings. The amount needed to earn a work 

credit goes up slightly each year. For more information, 

call our toll-free number, 1-800-772-1213, or visit our 

website, www.socialsecurity.gov, and get a copy of 

our publication How You Earn Credits (Publication 

No. 05-10072). The Swiss system measures credits in 

months. The table below shows requirements in years 

of credits to simplify the information.

Retirement or old-age benefits

United States Switzerland

Worker. Full benefit at full retirement age.*

 Reduced benefit 

as early as age 62. Required work credits range from 6 to 

40 (40 credits if age 62 in 1991 or later).

Worker. Full benefit at age 65 for men or age 64 for women 

with contributions made in each year since age 21. Early 

retirement possible as early as one or two years prior to 

retirement age. One year of coverage required.

*

Full retirement age for people born in 1938 is age 65 and 2 months. The full retirement age increases gradually until it reaches

age 67 for people born in 1960 or later.

Disability benefits

United States Switzerland

Worker. Under full retirement age* can get benefit if unable 

to do any substantial gainful work for at least a year. 6 to 

40 credits needed, depending on age at date of onset. Some 

recent work credits also needed unless worker is blind.

Worker. Must be at least 18 years of age and under 

retirement age; have at least 3 years of Swiss contributions; 

and at least 40 percent disabled. 

*

Full retirement age for people born in 1938 is age 65 and 2 months. The full retirement age increases gradually until it reaches

age 67 for people born in 1960 or later.
Agreement Between The U.S. and Switzerland

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Family benefits to dependents of retired or disabled people

United States Switzerland

Spouse. Full benefit at full retirement age* or at any age 

if caring for the worker’s entitled child under age 16 (or 

disabled before age 22). Reduced benefit as early as age 62 if 

not caring for a child.

Spouse. Benefit possible if both the worker and spouse 

entitled to a pension.

Divorced spouse. Full benefit at full retirement age.*

Reduced benefit as early as age 62. Must be unmarried and 

have been married to worker for at least 10 years.

Divorced spouse. Same as spouse.

Children. If unmarried, up to age 18 (age 19 if in an 

elementary or secondary school full time) or any age if 

disabled before age 22.

Children. Additional pension paid to worker if child is 

under age 18 (age 25 if in school).

*

Full retirement age for people born in 1943-1954 is age 66. The full retirement age increases gradually until it reaches age 67 for 

people born in 1960 or later.

** Same sex partners are treated the same as surviving spouses.

Survivors benefits

United States Switzerland

Widow. Full benefit at full retirement age* or at any age 

if caring for the deceased’s entitled child under age 16 (or 

disabled before age 22). Reduced benefit as early as age 60 

(or age 50 if disabled) if not caring for child. Benefits may 

be continued if remarriage occurs after age 60 (or age 50 

if disabled).

Monthly benefits possible if deceased worker made 

contributions in each year since age 21 and the survivor 

meets the following conditions:

Widow has one or more dependent child; or is at least age 

45 and marriage lasted at least five years. 

Widower. Same as widow. Widower has one or more dependent children under age 18.

Divorced widow(er). Same as widow(er) if marriage lasted 

at least 10 years.

Divorced spouse has one or more dependent children under 

age 18) and marriage lasted at least 10 years. In some cases, 

other age and duration of marriage conditions apply. 

Children. Same as for children of retired or disabled 

worker.

Children. Under age 18 (age 25 if a student). 

Lump-sum death benefit. A one-time payment not to 

exceed $255 payable on the death of an insured worker.

Lump-sum death benefit. No provision.

*

Full retirement age for people born in 1943-1954 is age 66. The full retirement age increases gradually until it reaches age 67 for 

people born in 1960 or later.

** Same sex partners are treated the same as surviving spouses.

How each country pays benefits

If you have social security credits in both the United 

States and Switzerland, you may be eligible for benefits 

from one or both countries. If you meet all the basic 

requirements under one country’s system, you will get 

a regular benefit from that country. If you do not meet 

the basic requirements, here is how the agreement may 

help you qualify for a benefit.

Benefits from the U.S.—If you don’t have enough 

U.S. work credits to qualify for regular benefits, 

you may be able to qualify for a partial benefit from 

the United States with both U.S. and Swiss credits. 

However, for us to count your Swiss credits, you must 

have earned at least six credits (generally one and 

one-half years of work) under the U.S. system. If you 

already have enough credits under the U.S. system to 

qualify for a benefit, the United States cannot count 

your Swiss credits.

Benefits from Switzerland—Under the agreement, 

if you are a U.S. citizen, you can qualify for Swiss 

retirement and survivors benefits with just one year of 

Swiss coverage. (Before the agreement, U.S. citizens 

needed at least five years of Swiss coverage to qualify.) 

Therefore, Switzerland will not count credits under 

the U.S. system to determine eligibility for Swiss 

retirement and survivors benefits.

To qualify for Swiss disability benefits, you 

normally need three years of Swiss coverage before 

the onset of the disability and must be a resident in 

Switzerland. However, under the agreement, anyone 
Agreement Between The U.S. and Switzerland

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with at least one year of Swiss coverage who also has 

coverage in the United States may be eligible to receive 

a Swiss disability benefit.

How each country counts credits

You don’t have to do anything for one country to 

count your credits in the other country. If we need to 

count your credits under the Swiss system to help you 

qualify for a U.S. benefit, we will get a copy of your 

Swiss record directly from Switzerland when you 

apply for benefits. If Swiss officials need to count your 

U.S. credits to help you qualify for a Swiss benefit, 

they will get a copy of your U.S. record directly from 

the Social Security Administration when you apply 

for the Swiss benefit.

Although each country may count your credits in the 

other country, your credits do not actually transfer from 

one country to the other. They remain on your record in 

the country where you earned them. You can use those 

credits to qualify for benefits there.

Computation of U.S. benefit 

under the agreement

When a U.S. benefit becomes payable as a result of 

counting both U.S. and Swiss social security credits, 

SSA determines an initial benefit based on your U.S. 

earnings as if you completed your entire career under 

the U.S. system. Then, we reduce the initial benefit to 

reflect that Swiss credits helped to make the benefit 

payable. The amount of the reduction will depend on 

the number of U.S. credits you have. The more U.S. 

credits, the smaller the reduction; and the fewer U.S. 

credits, the larger the reduction.

A Swiss pension may affect 

your U.S. benefit

If you qualify for Social Security benefits from 

the United States and a pension from Switzerland, 

and you did not need the agreement to qualify for 

either benefit, U.S. law may reduce the amount 

of your U.S. benefit. For more information, call 

our toll-free number, 1-800-772-1213, or visit our 

website, www.socialsecurity.gov to get a copy of 

our publication, Windfall Elimination Provision

(Publication No. 05-10045). If you’re outside the United 

States, you may write to us at the U.S. address on the 

inside cover of this booklet.

What you need to know about Medicare

Medicare is the U.S. national health insurance 

program for people age 65 or older, or who are 

disabled. Medicare has four parts:

• Part A: Hospital insurance, which helps pay for 

inpatient hospital care and certain follow-up 

services.

• Part B: Medical insurance, which helps pay for 

doctors’ services.

• Part C: Medicare Advantage plans are available in 

many areas. People with Medicare Parts A and B 

can receive all of their health care services through a 

provider organization under Part C.

• Part D: Prescription drug coverage, which 

helps pay for medications doctors prescribe for 

medical treatment.

You are eligible for free hospital insurance at age 

65 if you’ve worked long enough under the U.S. Social 

Security to qualify for a retirement benefits. People 

born in 1929 or later need 40 credits (about 10 years of 

covered work) to qualify for retirement benefits.

Although the agreement between the United 

States and Switzerland allows the Social Security 

Administration to count your Swiss credits to help 

you qualify for U.S. retirement, disability, or survivor 

benefits, the agreement does not cover Medicare 

benefits. As a result, we can’t count your credits in 

Switzerland to establish entitlement to free Medicare 

hospital insurance.

For more information about Medicare, call our 

toll-free number, 1-800-772-1213, or visit Medicare’s 

website at www.medicare.com. You can also visit 

our website at www.socialsecurity.gov and get our 

publication, Medicare (Publication No. 05-10043).

Claims for benefits

If you live in the United States and wish to apply for 

U.S. or Swiss benefits:

• Visit or write any U.S. Social Security office; or

• Phone our toll-free number, 1-800-772-1213, 7 a.m. 

to 7 p.m. any business day. People who are deaf or 

hard of hearing may call our toll-free TTY number, 

1-800-325-0778.

You can apply for Swiss benefits at any U.S. Social 

Security office by completing an application form 

SSA-2490 (Application for Benefits under a U.S. 

International Social Security Agreement).
Agreement Between The U.S. and Switzerland

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If you live in Switzerland and wish to apply for U.S. 

or Swiss benefits, contact:

• The Federal Benefits Unit at the American Consulate 

in Frankfurt, Germany (phone 49-69-90555-1100), 

to file for U.S. benefits; or

• The compensation fund in the canton where you 

live (or one of its local branch offices) to file for 

Swiss benefits.

You can apply in one country and ask that country 

to also consider your application as a claim for 

benefits from the other country. Each country will 

process the claim under its own laws, count credits 

from the other country as the agreement requires, and 

notify you of its decision.

If you have not applied for benefits before, you may 

need to provide certain information and documents 

when you apply. This may include:

• The worker’s U.S. and Swiss social security numbers;

• Proof of age for all claimants;

• Evidence of the worker’s U.S. earnings in the past 24 

months and;

• Information about the worker’s coverage under the 

Swiss system.

You may wish to call the social security office before 

you go there to see if you need to provide any other 

information.

Payment of benefits

Each country pays its own benefit. The U.S. 

Department of Treasury makes U.S. payments each 

month covering benefits for the preceding month. 

Under the Swiss system, the Swiss make payments 

each month and cover benefits for that month.

Absence from U.S. territory

Generally, people who aren’t U.S. citizens may 

receive U.S. Social Security benefits while outside the 

U.S. only if they meet certain requirements. Under the 

agreement, however, if you’re a U.S. or Swiss citizen, a 

refugee, a stateless person, or a person who is eligible 

for dependents or survivors benefits based on the 

Social Security record of one of these people, you may 

receive benefits as long as you reside in Switzerland. If 

you aren’t a U.S. or Swiss citizen, and live in another 

country, you may not be able to receive benefits. The 

publication, Your Payments While You Are Outside 

The United States (Publication No. 05-10137) explains 

the restrictions on U.S. benefits.

Appeals

If you disagree with the decision made on your 

claim for benefits under the agreement, contact any 

U.S. or Swiss Social Security office. They can tell you 

what you need to do to appeal the decision.

The Swiss social security authorities will review 

your appeal if it affects your rights under the Swiss 

system. U.S. Social Security authorities will review 

your appeal if it affects your rights under the U.S. 

system. Since each country makes its own decisions 

independently of the other, a decision by one country 

on a particular issue may not always agree with to the 

decision made by the other country on the same issue.

Authority to collect information for a 

certificate of coverage (see pages 4-5)

Privacy Act

Section 233 of the Social Security Act. As amended, 

[42 U.S.C. 433] authorizes us to collect information 

for a certificate of coverage. We’ll use the information 

you provide to determine if the U.S. Social System, in 

accordance with a social security agreement, covers 

your current work. The information you provide on 

this form is voluntary. Failure to provide all or part 

of the requested information, however, may prevent 

us from making an accurate and timely decision on 

your request for a certificate of coverage. Without the 

certificate, both the U.S. and the foreign social security 

systems may cover and tax your earnings.

We rarely use the information you provide on 

this form for any purpose other than for the reasons 

explained above. We may use it, however, for the 

administration and integrity of Social Security 

programs. We may also disclose information to another 

person, or to another agency, in accordance with 

approved routine uses that include, but are not limited 

to, the following:

1. To enable a third party or an agency to assist Social 

Security in establishing rights to Social Security 

benefits or coverage;

2. To comply with federal laws requiring the release 

of information from Social Security records (e.g., 

to the Government Accountability Office, General 

Services Administration, National Archives and 

Records Administration, and the Department of 

Veterans Affairs);

3. To make determinations for eligibility in similar 

health and income maintenance programs at the 

federal, state and local level; and
Agreement Between The U.S. and Switzerland

9

4. To facilitate statistical research, audit, or investigate

activities necessary to assure the integrity of Social

Security programs.

We may also use the information you provide in

computer matching programs. Matching programs 

compare our records with records kept by other federal, 

government agencies. We can use information from 

these matching programs to establish or verify a 

person’s eligibility for federally funded or administered 

benefit programs and for overpayments or delinquent 

debts under these programs.

A complete list of routine uses for this information

is available in our System of Records Notice entitled

Earnings Records and Self-Employment Income System, 

60-0059. This notice, additional information regarding

this form, and information regarding our programs and 

systems are available online at www.socialsecurity.gov

or at any Social Security office.

Paperwork Reduction Act Notice

This information collection meets the clearance 

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Social Security Administration

SSA Publication No. 05-10190

ICN 480196

Unit of Issue - Package of 25

OMB Approval Number: 0960-0554

April 2015 (Recycle prior editions)