TN 19 (09-01)
RS 02001.948 How a Certificate of Coverage is Issued under the Chilean Agreement
The following steps describe the process for issuing a certificate of coverage.
The employer, in the case of employment, or the worker, in the case of self-employment, writes to the appropriate authority requesting a certificate. NOTE: The employer's or worker's representative (e.g., attorney or accounting firm) may request the certificate on the employer's or worker's behalf.
The Social Security Administration (in the case of U.S. certificates) or the Chilean authority (in the case of Chilean certificates) issues the certificate, if appropriate.
The issuing agency sends the original to the requestor and a copy to the agency of the other country.
The employer or worker presents the certificate to the tax authorities in the other country if requested to do so. If the worker is a self-employed U.S. citizen who is subject only to Chilean laws under the agreement, he/she must attach a photocopy of the Chilean certificate to the Schedule SE filed with his/her income tax return each year.
1. Required Information
Advise the person to provide the following information when writing to obtain a certificate of coverage:
Full name of worker (including paternal and maternal surnames for Chilean certificates)
Social Security number when requesting a U.S. certificate or the Registration Number for Social Insurance and the National Identification Number (RUT) when requesting a Chilean certificate
Country of citizenship
Date and place of birth
Country of permanent residence
Name and address of employer in both countries if employed or address of trade or business in both countries if self-employed
Date and place of hire by employer transferring the employee, if employed
Beginning date and ending date of employment or self-employment in the other country
2. Where to Send Request for Certificate
Advise the person to send the request to the appropriate address below:
a. For U.S. CertificatesSocial Security Administration
Office of International Programs
P.O. Box 17741
Baltimore, Maryland 21235-7741
b. For Chilean Certificates Under the New SystemSuperintendencia de Administradora de Fondos de Pensiones
Primer piso, Oficina de Partes
c. For Chilean Certificates Under the Old SystemSuperintendencia de Seguridad Social
Huérfanos N° 1273, 5° Piso