FORM BA-6 (6-23) 

U.S. RAILROAD RETIREMENT BOARD 

CERTIFIED 

 2022 CERTIFICATE OF SERVICE 

MONTHS AND COMPENSATION 

 SERVICE AND COMPENSATION REPORTED 

 FOR PERIOD ENDING DECEMBER 31, 2022 

BIRTH DATE SEX 

SERVICE AND COMPENSATION ON RECORD FOR REVIEW PERIOD 

YEAR CREDITABLE 

COMPENSATION

SEPARATION ALLOWANCE/

SEVERANCE PAYMENT 

SERVICE MONTHS 

PROFILE* 

TAXABLE AMOUNT COMPENSATION 

AMOUNT J F M A M J J A S O N D TOTAL 

2022 

2021 

2020 

2019 

* 1 - A reported month; 0 - A month not reported; D - A "deemed" month

CAREER TOTAL RETIREMENT RECORD 

CREDITABLE 

COMPENSATION 

SEPARATION ALLOWANCE/ 

SEVERANCE PAYMENT SERVICE MONTHS EMPLOYEE 

TAXABLE CONTRIBUTIONS 

AMOUNT 

COMPENSATION 

AMOUNT REPORTED DEEMED MILITARY TOTAL 

YOUR 2022 REPORTING EMPLOYER(S)

The service and compensation shown on this form for 2022 were gathered from a report(s) received from the following 

employer(s): 

RRB OFFICE SERVING YOUR AREA RUIA EARNINGS 

QUALIFIED QUALIFYING

EARNINGS 

2022

EXAMPLE ONLY
Always notify the Railroad Retirement Board if your address changes during the year.

Form BA-6, Certificate of Service Months and Compensation, is a statement of your service and compensation record at the Railroad 

Retirement Board (RRB). We sent you this form because you performed railroad service and/or received railroad compensation in 2022. 

This certificate shows you your service under the Railroad Unemployment Insurance Act and the Railroad Retirement Act (RRA) and 

your compensation under the RRA. We use this information shown to determine whether you qualify for benefits and the amount of 

those benefits. It does not show taxes deducted from your earnings under the Railroad Retirement Tax Act (RRTA).

NOTE: Compensation amounts on this certificate, which were reported to the RRB by your employer(s), may be less than amounts on 

your year-end payroll stub and Internal Revenue Service (IRS) Form W-2. 

You can request a history statement online by clicking on the button labeled Request Documents at RRB.gov/myRRB. 

For detailed information about how to review your Form BA-6, go to RRB.gov/BA6.

HOW TO FILE A PROTEST – If you believe your 2019-2022 service and/or compensation information is incorrect, you may file a 

formal protest with the RRB in writing or complete Form G-70, Protest Record of Service Months and Compensation. Get the form 

from our website or any RRB office. YOU MUST FILE A PROTEST WITHIN FOUR YEARS OF THE DATE THE SERVICE 

AND/OR COMPENSATION WAS TO BE REPORTED. When filing a protest, always include:

• Your social security number • A clear description of the error you believe has occurred

• The employer’s name • Your duty station, department and occupation

You must submit evidence with your protest. Without evidence, we have no basis on which to request a correction if your employer 

does not agree with you. Check stubs are the best evidence to submit; your IRS Forms W-2 are useful but not as detailed as check 

stubs.

Send your protest to Protest Unit-CESC, U.S. Railroad Retirement Board, 844 N. Rush Street, Chicago, IL 60611-1275.

If you protest the information in our records after the four-year period, we will not correct that information unless exceptional 

circumstances exist. The following dates apply to the information on this certificate: 

Earnings Year 2022 2021 2020 2019

Last Date to File a Protest February 28, 2027 February 28, 2026 February 28, 2025 February 29, 2024

NOTE: Before filing a formal protest with the RRB, you may find it helpful to ask your employer about the reported amounts that you

think are incorrect. However, keep in mind that discussing your earnings with your employer is not the same as filing a formal protest 

with the RRB and does not extend the time for filing a formal protest.

NEWS YOU CAN USE

• File Form SI-1a/b, Application for Sickness Benefits and Statement of Sickness, within 10 days of the first claimed day of 

sickness. You may lose benefits if your application is filed late.

• Submit proof of your age and military service as permanent records for RRB files. If you performed active military service in a 

branch of the Armed Forces, that service may increase or provide eligibility for benefits. Submit a copy of your latest DD-214 (or 

other service evidence) to your nearest RRB office for a determination of creditability. Your local RRB office will explain how to 

obtain acceptable evidence for proof of military service and age.

• Create a myRRB account at RRB.gov/myRRB to get annuity estimates, apply for or claim unemployment benefits, claim 

sickness benefits, view RUIA account statement, and review service and compensation history.

• RRB publications covering benefits and other related topics are available at RRB.gov under the Benefits tab of the main menu. In 

addition, frequently asked questions are answered online at RRB.gov/FAQ. 

• Call us toll-free (877-772-5772) and use the automated menu for unemployment and sickness claim information.

• Visit your local RRB office to speak with an RRB representative or pick up informational pamphlets. See the “RRB Office 

Serving Your Area” section on the front of this form for the phone number or address. Although most items can be handled by 

telephone, our field staff will be glad to help you with any railroad retirement matter. Please phone ahead to arrange a convenient 

time to speak with a representative.

RRB Representatives Available

EXAMPLE 

: Monday - Friday 9:00 a.m. to 3:00 p.m.; Closed Federal Holidays

ONLY