TN 15 (02-95)
RS 02001.640 Certificates of Coverage - U.S. Dutch Agreement
A. Policy - General
Certificates of coverage are the forms that SSA and the Dutch authorities issue to workers who would otherwise have to pay Social Security taxes to both countries on the same earnings. A certificate of coverage issued by one country serves as proof that the worker named on the certificate is:
B. Policy - Issuing Agency
The following agencies are responsible for issuing certificates of coverage.
1. U.S. CoverageSSA's Office of International Programs (OIP)
P.O. Box 17741
Baltimore, Maryland 21235-7741
issues the certificates of U.S. coverage.
2. Dutch Coverage
The Sociale Verzekeringsbank (Social Insurance Bank) Kantoor Verzekeringen
Van Heuven Goedhartlaan 1
P.O. Box 357
1180 KJ Amstelveen
issues the certificates of Dutch coverage.