
01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.

The Form SSA-222 Addendum is a supplementary document associated with the Social Security Administration (SSA). This addendum is specifically designed for Employment Networks (ENs) to list all employees who have completed and understood the Security Awareness Certification requirements. The primary function of this addendum is to ensure compliance with security protocols and confirm that each listed employee is aware of the necessary security measures.
Employee List: The addendum requires ENs to provide a comprehensive list of employees who have completed the Security Awareness Certification. This list is vital for tracking compliance and ensuring that all individuals have met the necessary requirements.
Signatures: A crucial component of this form is obtaining signatures from a designated Signatory Authority or Suitability Contact. This ensures that the information provided is accurate and that the organization adheres to established security protocols.
Compliance Verification: By listing employees, the addendum serves as a verification tool, confirming that all parties fulfill the SSA's security requirements.
Employment Networks must use the Form SSA-222 Addendum to certify that their staff members have completed the Security Awareness Certification. Here’s how an EN should proceed:
Gather Employee Information: Start by compiling a list of all employees who have completed the necessary certification.
Complete the Addendum: Accurately fill out the form with the names and details of these employees.
Obtain Required Signatures: Ensure that a Signatory Authority or Suitability Contact reviews the document and provides their signature.
Submit the Addendum: File the completed document according to SSA guidelines.
Download the Form: The addendum can be downloaded from the SSA's official website or requested via mail.
Fill in Employee Details: Enter the names and certification status of each employee in the provided fields.
Review and Verify Information: Double-check the accuracy of the entered information to avoid discrepancies.
Sign the Document: Have the appropriate authority sign the form to confirm the accuracy and compliance.
Submit the Addendum: Once signed, submit the addendum to the SSA as directed.
Ensuring that all employees are certified in security awareness is essential in maintaining adherence to SSA requirements. This addendum provides a structured way to document compliance and protect sensitive data managed by the organization. It also acts as a safeguard against potential security breaches by ensuring all personnel are informed and prepared.
This form is primarily utilized by Employment Networks, which are organizations or agencies that connect job seekers with the Social Security Administration's Ticket to Work program. These entities must regularly certify that their employees have completed security awareness training to maintain compliance and continue their collaboration with the SSA.


The use of this form is legally mandated for Employment Networks engaging with the SSA. By certifying that staff members are trained in security protocols, the form helps uphold the legal requirements associated with handling sensitive information related to the SSA’s operations.
Failure to properly submit the Form SSA-222 Addendum can result in administrative penalties. These may include fines or restrictions from participating in the Ticket to Work program. Compliance is critical to maintaining good standing with the SSA and ensuring continued operational ability.
To be eligible for submitting the Form SSA-222 Addendum, organizations must have a formal agreement with the SSA and participate in the Ticket to Work program. Only designated Employment Networks are mandated to submit this documentation to verify their employees' security awareness compliance.

We've got more versions of the FormSSA222Addendum An addendum to Form SSA-222 which an EN should use to list all employees with a s form. Select the right FormSSA222Addendum An addendum to Form SSA-222 which an EN should use to list all employees with a s version from the list and start editing it straight away!
At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.