TN 7 (07-89)

RM 02270.025 How to Prepare Form SSA-4058, Wage Report Fact Sheet and Form SSA-4059, Wage Report Continuation Sheet

A. Introduction

Preparation of form SSA-4058 starts at beginning of investigation.

B. Exhibit

G-RM 02270.025B-1

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SSA-4059

G-RM 02270.025B-2

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C. Procedure

KEY: Field #is number of field in exhibits above. Complete by writing:

1. SSA-4058

  1. EIN

  2. current date

  3. employer's name

  4. periods involved

  5. stated problem

  6. your findings as a result of scouting

  7. resolution you reached

  8. status/follow-up report you furnished R/O

  9. your name.

2. SSA-4059

  1. date of your entry

  2. any information related to case.

NOTE: Date all pertinent information on either form.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0102270025
RM 02270.025 - How to Prepare Form SSA-4058, Wage Report Fact Sheet and Form SSA-4059, Wage Report Continuation Sheet - 09/28/1994
Batch run: 01/27/2009
Rev:09/28/1994