SSA's Policy Information Site - POMS - Help - Social Security - secure ssa 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Eligible Individual's SSN and Employee Name if applicable. Ensure accuracy as this information is crucial for identification.
3. Fill in the Employer Name and the Pay Period Ending Date, along with the Date Wages Paid. This helps in tracking payment periods.
4. Calculate Gross Wages from your pay slip and input this value. Multiply it by the appropriate Social Security/Medicare Tax Rate (0.0765 or 0.0565 for specific years) to find the Expected Tax.
5. Enter the Actual Social Security/Medicare Tax from your pay slip. Compare this amount with your Expected Tax to determine if they align.
6. If there’s a discrepancy, compute Countable Wages using the provided multiplier based on your tax rate, ensuring you document any reasons for differences.

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