TN 3 (11-94)
An employer-prepared wage statement is considered secondary evidence if used for a prelag period.
NOTE: This is a statement prepared in lieu of a lost or destroyed Form W-2 and is not
to be confused with Form SSA-7011-F4.
For secondary evidence, see the evaluation guidelines in RS 01403.050 ff.
Obtain corroborating documentation and a statement from the individual. See RS 01403.055.