This section tells you what the Greek coverage record looks like and describes the
entries on the form.
Form GR/USA 5 is a certification which lists a person's Greek coverage beginning with
U.S. Social Security Number
Name of the number holder including surname at birth
Greek insurance number
Date of birth
First column - the year
Second and third columns - the month and day work began and ended during this year
Fourth, fifth and sixth columns - the total number of years, months, and days for
The last line is the sum total of years, months, and days worked in Greece.
The name, address, and stamp of the issuing Greek Agency, as well as the signature
of the person completing the form and the date it was completed.
Completing the U.S.A./Greece Transmittal/Request/Certification Form, GN 01738.220