TN 3 (03-09)
RS 02002.190 Certificates of Coverage under the Agreement with the Czech Republic
A. Purpose of a certificate of coverage
Certificates of coverage are the forms that SSA and the Czech authorities issue to workers who would otherwise have to pay social security taxes to both countries on the same earnings. A certificate issued by one country serves as proof that the worker named on the certificate is:
subject to the social security taxation and coverage laws of the country issuing the certificate, and
exempt from such laws on the same earnings in the other country.
B. Issuing agency
1. United States coverageSSA's Office of International Programs (OIP)
P.O. Box 17741
Baltimore, Maryland 21235-7741
issues the certificates of U.S. coverage.
2. Czech Republic coverageCeská správa sociálního zabezpeèení
(Czech Social Security Administration)
Referát vysilání praconvníkù
(Unit for Posting of Workers)
225 08 Praha 5
issues the certificates of Czech Republic coverage.