Advise the person to send the request for a U.S. certificate of coverage (form USA/PL
1- Certificate of Coverage Under Article 6 of the Agreement on Social Security Between
the United States of America and the Republic of Poland) to the following address:
Social Security Administration
Office of International Programs
P.O. Box 17741
Baltimore, Maryland 21235-7741
If preferred, send the request by fax to 410-966-1861. Please note this FAX number
is only for requesting U.S. certificates of coverage.
NOTE: Employers (or the representative of the U.S. company) who have access to the Internet
can request U.S. certificate(s) of coverage over the Internet. See www.socialsecurity.gov/international for more information about requesting U.S. certificates of coverage via the Internet.
Only an employer (or the representative of the U.S. company) can use the online form
to request a certificate of coverage. A self-employed person must submit a request
by mail or fax.