Form SSA-308 Modified Benefit Formula Questionnaire-Foreign Pension

Enter the date you first received (or expect to
receive) your pension and the date you stopped
receiving (or expect to stop receiving) your pension.
Leave the "To:" field blank if you do not expect your
pension to end.

Enter the period(s) of employment or selfemployment upon which your pension is
based. Provide specific dates. Enter a “?” if
some information is unknown.
Enter only the period(s) of employment or self-employment
from Item 3 above used to determine your pension which
was after 1956 and which was not covered by U.S. Social
Security. Provide specific dates. Enter a “?” if some
information is unknown.

Form SSA-308 (XX-XXXX) UF

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