TN 16 (11-96)
RS 02001.325 Obtaining a Certificate of Coverage - U.S. Canadian Agreement
A. U.S. Canadian Agreement — General
A certificate of coverage serves as proof that the worker identified on the certificate is covered in the country which issued the certificate and is, therefore, exempt from social security taxes in the other country for the period noted on the certificate. To obtain a certificate of coverage, the employer, the employee or self-employed person must send a written request to the agency of the country which issues the certificate. If a certificate of coverage from the U.S. is desired, the request should be mailed to:Social Security Administration
Office of International Policy
P.O. Box 17741
Baltimore, Maryland 21235-7741
If a certificate of coverage from Canada is required and the person will be covered by the Canada Pension Plan, the request should be mailed to:Canada Revenue Agency
CPP/EI Rulings Section
333 Laurier Avenue West
Ottawa, Ontario K1A 0L9
If a certificate of coverage from Canada is required and the person will be covered by the Quebec Pension Plan, the request should be mailed to:Service des presatations 3
Bureau des ententes de securite sociale
Régie des rentes du Québec
1055, boulevard René-Lévesque Est 13e étage
Montréal, Québec H2L4S5
B. Information Required
Regardless of which country the certificate is being requested from, it must contain the following information.
Full name of worker
Date and place of birth of worker
Citizenship of worker
Country of residence of worker
U.S. Social Security number (for U.S. certificates)
Canadian social security number (for Canadian certificates)
Name and address of employer in both countries (if self-employed, address and nature of activity).
Beginning and ending date of employment/self-employment in the other country.
C. Disposition of Copies
When a U.S. certificate is issued, an employee and employer copy will be sent to the employer or self-employed person. It will be the responsibility of the employer or self-employed person to present the certificate to the Canadian authorities when necessary.
When a Canadian certificate is issued, the employer or self-employed person will be provided with a copy. It is the responsibility of the employer or self-employed person to retain the copy in their files and present it to IRS when requested to do so.