The information from Forms SSA-1002-F3 and SSA-1003-F3 is used by SSA to resolve discrepancies when farm workers allege their employers did not report their wages, or reported the wages incorrectly. If an agricultural employer has incorrectly reported wages, or failed to report any wages for an employee, SSA must attempt to correct its records by contacting the employer to obtain convincing evidence of the wages paid. The respondents are agricultural employers having knowledge of wages paid to agricultural employees.
The latest form for Statement of Agricultural Employer (Year Prior to 1988; 1988 and Later) expires 2021-01-31 and can be found here.
Document Name |
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Form |
Form |
Justification for No Material/Nonsubstantive Change |
Supporting Statement A |
Supplementary Document |
Federal Enterprise Architecture: Income Security - General Retirement and Disability
Form SSA-1002-F3 | Statement of Agricultural Employer (Years Prior to 1988) | Fillable Printable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.