Persons who know about your employment and wages should make their statements on a Form SSA-795 (Statement of Claimant or Other Person), available at all Social Security offices. The statements must:
Set out the facts on which the person bases his or her conclusions about the wages paid to you; and
Show the periods for which the wages were paid.
Sources for statements include your:
Supervisors;
Fellow employees;
Banks, or others who regularly cashed you pay checks;
Employment agencies; and
Union officials.
Last Revised: March, 2001
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