TN 37 (04-20)

RS 02001.640 Certificates of Coverage - U.S.-Dutch Agreement

A. Purpose of certificate of coverage

The U.S.-Dutch agreement requires each country to issue certificate of coverage forms for workers who, without the agreement, would have to pay social security taxes to both countries on the same earnings. The certificate 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 social security coverage and contributions on the same earnings in the other country.

B. Issuing agency

1. United States Coverage

The Social Security Administration (SSA) issues the certificates of U.S. coverage. Our contact information is below:

Social Security Administration
Office of Earnings and International Operations (OEIO)
P.O. Box 17741
Baltimore, Maryland 21235-7741

2. Dutch Coverage

The Sociale Verzekeringsbank (Social Insurance Bank) issues the certificates of Dutch coverage. Their contact information is below:

Sociale Verzekeringsbank
Kantoor Verzekeringen
Van Heuven Goedhartlaan 1
Postbus 357
1180 KJ Amstelveen
THE NETHERLANDS

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0302001640
RS 02001.640 - Certificates of Coverage - U.S.-Dutch Agreement - 04/27/2020
Batch run: 04/27/2020
Rev:04/27/2020