SSIMWR Training Current Version

Supplemental Security Income Mobile Wage Reporting Application – Instructions

Beneficiaries, deemors and representative payees reporting a change in wages can report their monthly wages via the SSI Mobile Wage Reporting Application available in the Google Play and Apple App Stores. These instructions explain what beneficiaries, deemors, and representative payees need to do in order to use the smartphone applications to report monthly wages. Using the following charts to help you calculate your monthly wages is voluntary. Beneficiaries, deemors and representative payees who would rather not report wages by smartphone application can use traditional reporting methods such as mailing or bringing paystubs into their local Social Security office. Monthly reporters who experience technical difficulties should contact their local field office for assistance.

When you should report wages

Report wages during the first 6 days of the month. You can choose which of the 6 days to report. However, you will not be able to report wages using your smartphone application after the sixth day of the month. If you miss reporting wages during the first 6 days of the month, report the wages to your local Social Security office.

Things you need to report wages using your smartphone application

• The Social Security number of the person who is reporting wages (the reporter)

• The Social Security number of the wage earner

• The TOTAL amount of gross wages received by the wage earner (Gross wages are the amount of pay before taxes and other deductions)

• The reporter’s name as it appears on their Social Security card

How to figure the total wages for each month

Fill in the blanks on the attached worksheets. Use your worksheet to report wages when you use your smartphone application.

Who is the Wage Earner?

A wage earner is the person who is working and receiving wages or payment for working. You are the wage earner if you are working and you are reporting your own wages. If you are reporting someone else’s wages, then the wage earner is the person whose wages you are reporting.

How to Download the SSI Mobile Wage Reporting App to Your Device

Android

On your mobile device (from the Google Play Store)

1. Click the "Google Play" icon. Click the "Search icon" on your screen and type “SSI Mobile Wage Reporting” into the search bar that appears.

2. Navigate to the SSI Mobile Wage Reporting application and tap to select it - the details screen will appear, and you can read more about the app, its features and the developer.

3. Tap the Download button.

4. Tap Accept & download to accept the permissions for the app - your item will start downloading immediately.

Apple/iTunes

On your mobile device (from the Apple App Store)

1. Click the "App Store" icon on the home screen of your iPhone. Click "Search" at the bottom of the screen and type “SSI Mobile Wage Reporting” into the search bar that appears.

2. Tap the icon that appears to reach additional information about the app, including developer notes, screen shots and user ratings.

3. To download the SSI Mobile Wage Reporting app tap the button that contains the word "Free." Once the download status bar under the new icon on your iPhone has completed, you can access and begin using the new app.

How to Fill-in the Worksheet

Date Paid

Use Box A to show the date paid (payday).

Date Paid is the date (Month, Day, Year) the wage earner is paid (pay day).

Gross Wages

Use Box B to show the gross amount of wages. Enter dollars and cents ($ X,XXX. cc).

Use the wage earners pay stub to find the gross wages. Gross wages are the amount of pay before taxes and other deductions. Do not enter net wages, the amount of take home pay on the paycheck, or the direct deposit amount to your bank. Do not enter the total wages for the year, also called the year-to-date (YTD) amount.

Use a Separate Line for Each Pay

You should fill-in a line for each pay date in a month.

If the wage earner is paid 2 times a month, you should fill-in Line 1 and Line 2. If the wage earner is paid 3 times a month, you should fill-in Line 1, Line 2 and

Line 3.

If the wage earner is paid 4 times a month, you should fill-in Line 1, Line 2, Line 3, and Line 4.

If the wage earner is paid 5 times a month, you should fill-in Line 1, Line 2, Line 3, Line 4 and Line 5.

If the wage earner gets an extra check for special pay such as an award, bonus, or unused vacation, or any other reason, use a separate line to enter the pay date and

_{gross wages.}

How Wage Earner Paid	Number of Pays a Month
Paid Weekly	4 Pays or 5 Pays
Paid Bi-Weekly (Every 2 Weeks)	2 or 3 Pays
Paid Bi-Monthly	2 Pays
Paid Monthly	1 Pay

Total Gross Wages

Use Box C to enter the total amount of gross wages.

Add together all gross wages in Box B for each line where you have wage amounts. This is your total. Put the total in Box C TOTAL.

Please double check that you only include dates and amounts that you received in

the month shown at the top of the page.

You are now ready to report total gross wages received.

Remember, consistent monthly wage reporting helps prevent SSI overpayments and underpayments.

SSI Mobile Wage Reporting Application Access Code

You will use your secure access code to enter the application. Only you or the person inputting your wages into the application should use this code. Please do not share your Access Code with anyone else.

Your access code is AETJRBJM.

P

OMB 0960-0715

aperwork Reduction Act Statement

This information collection meets the requirements of 44 U.S.C. §3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 5 minutes to read the instructions, gather the facts, and answer the questions.

You may send comments on our time estimate above to: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401. Send only comments relating to our time estimate to this address, not the completed report.

The OMB control number for the Supplemental Security Income Telephone Wage Reporting System and the associated instructions package is 0960-0715; expiration date 07/31/2013.

S

OMB 0960-0715

upplemental Security Income

Wages for November 2012

Wages for NOVEMBER Days to report in DECEMBER

Su	Mo	Tu	We	Th	Fr	Sa		Su	Mo	Tu	We	Th	Fr	Sa
				1	2	3								1
4	5	6	7	8	9	10		2	3	4	5	6
11	12	13	14	15	16	17
18	19	20	21	22	23	24
25	26	27	28	29	30

	BOX A				BOX B
Line 1	Date Paid:	November		___, 2012	Gross Wages:		$,.
Line 2	Date Paid:	November		___, 2012	Gross Wages:		$,.
Line 3	Date Paid:	November		___, 2012	Gross Wages:		$,.
Line 4	Date Paid:	November		___, 2012	Gross Wages:		$,.
Line 5	Date Paid:	November		___, 2012	Gross Wages:		$,.
Line 6	Date Paid:	November		___, 2012	Gross Wages:		$,.
	Box C		TOTAL Gross Wages			$,.

Use the TOTAL Gross Wages from BOX C when you report wages for

November 2012

KEEP PAY SLIPS AND THIS FORM FOR YOUR RECORDS

Supplemental Security Income

W

OMB 0960-0715

ages for December 2012

Wages for DECEMBER Days to report in JANUARY

Su	Mo	Tu	We	Th	Fr	Sa		Su	Mo	Tu	We	Th	Fr	Sa
						1				1	2	3	4	5
2	3	4	5	6	7	8		6
9	10	11	12	13	14	15
16	17	18	19	20	21	22
23	24	25	26	27	28	29
30	31

	BOX A				BOX B
Line 1	Date Paid:	December		___, 2012	Gross Wages:		$,.
Line 2	Date Paid:	December		___, 2012	Gross Wages:		$,.
Line 3	Date Paid:	December		___, 2012	Gross Wages:		$,.
Line 4	Date Paid:	December		___, 2012	Gross Wages:		$,.
Line 5	Date Paid:	December		___, 2012	Gross Wages:		$,.
Line 6	Date Paid:	December		___, 2012	Gross Wages:		$,.
	Box C		TOTAL Gross Wages			$,.

Use the TOTAL Gross Wages from BOX C when you report wages for

December 2012

KEEP PAY SLIPS AND THIS FORM FOR YOUR RECORDS

S

OMB 0960-0715

upplemental Security Income

Wages for January 2013

Wages for JANUARY Days to report in FEBRUARY

Su	Mo	Tu	We	Th	Fr	Sa		Su	Mo	Tu	We	Th	Fr	Sa
		1	2	3	4	5							1	2
6	7	8	9	10	11	12		3	4	5	6
13	14	15	16	17	18	19
20	21	22	23	24	25	26
27	28	29	30	31

	BOX A				BOX B
Line 1	Date Paid:	January		___, 2013	Gross Wages:		$,.
Line 2	Date Paid:	January		___, 2013	Gross Wages:		$,.
Line 3	Date Paid:	January		___, 2013	Gross Wages:		$,.
Line 4	Date Paid:	January		___, 2013	Gross Wages:		$,.
Line 5	Date Paid:	January		___, 2013	Gross Wages:		$,.
Line 6	Date Paid:	January		___, 2013	Gross Wages:		$,.
	Box C		TOTAL Gross Wages			$,.

Use the TOTAL Gross Wages from BOX C when you report wages for

January 2013

KEEP PAY SLIPS AND THIS FORM FOR YOUR RECORDS

Supplemental Security Income

W

OMB 0960-0715

ages for February 2013

Wages for FEBRUARY Days to report in MARCH

Su	Mo	Tu	We	Th	Fr	Sa		Su	Mo	Tu	We	Th	Fr	Sa
					1	2							1	2
3	4	5	6	7	8	9		3	4	5	6
10	11	12	13	14	15	16
17	18	19	20	21	22	23
24	25	26	27	28

	BOX A				BOX B
Line 1	Date Paid:	February		___, 2013	Gross Wages:		$,.
Line 2	Date Paid:	February		___, 2013	Gross Wages:		$,.
Line 3	Date Paid:	February		___, 2013	Gross Wages:		$,.
Line 4	Date Paid:	February		___, 2013	Gross Wages:		$,.
Line 5	Date Paid:	February		___, 2013	Gross Wages:		$,.
Line 6	Date Paid:	February		___, 2013	Gross Wages:		$,.
	Box C		TOTAL Gross Wages			$,.

Use the TOTAL Gross Wages from BOX C when you report wages for

February 2013

KEEP PAY SLIPS AND THIS FORM FOR YOUR RECORDS

Supplemental Security Income

W

OMB 0960-0715

ages for March 2013

Wages for MARCH Days to report in APRIL

Su	Mo	Tu	We	Th	Fr	Sa		Su	Mo	Tu	We	Th	Fr	Sa
					1	2			1	2	3	4	5	6
3	4	5	6	7	8	9
10	11	12	13	14	15	16
17	18	19	20	21	22	23
24	25	26	27	28	29	30
31

	BOX A				BOX B
Line 1	Date Paid:	March		___, 2013	Gross Wages:		$,.
Line 2	Date Paid:	March		___, 2013	Gross Wages:		$,.
Line 3	Date Paid:	March		___, 2013	Gross Wages:		$,.
Line 4	Date Paid:	March		___, 2013	Gross Wages:		$,.
Line 5	Date Paid:	March		___, 2013	Gross Wages:		$,.
Line 6	Date Paid:	March		___, 2013	Gross Wages:		$,.
	Box C		TOTAL Gross Wages			$,.

Use the TOTAL Gross Wages from BOX C when you report wages for

March 2013

KEEP PAY SLIPS AND THIS FORM FOR YOUR RECORDS

Supplemental Security Income

W

OMB 0960-0715

ages for April 2013

Wages for APRIL Days to report in MAY

Su	Mo	Tu	We	Th	Fr	Sa		Su	Mo	Tu	We	Th	Fr	Sa
	1	2	3	4	5	6					1	2	3	4
7	8	9	10	11	12	13		5	6
14	15	16	17	18	19	20
21	22	23	24	25	26	27
28	29	30

	BOX A				BOX B
Line 1	Date Paid:	April		___, 2013	Gross Wages:		$,.
Line 2	Date Paid:	April		___, 2013	Gross Wages:		$,.
Line 3	Date Paid:	April		___, 2013	Gross Wages:		$,.
Line 4	Date Paid:	April		___, 2013	Gross Wages:		$,.
Line 5	Date Paid:	April		___, 2013	Gross Wages:		$,.
Line 6	Date Paid:	April		___, 2013	Gross Wages:		$,.
	Box C		TOTAL Gross Wages			$,.

Use the TOTAL Gross Wages from BOX C when you report wages for

April 2013

KEEP PAY SLIPS AND THIS FORM FOR YOUR RECORDS

Supplemental Security Income

W

OMB 0960-0715

ages for May 2013

Wages for MAY Days to report in JUNE

Su	Mo	Tu	We	Th	Fr	Sa		Su	Mo	Tu	We	Th	Fr	Sa
			1	2	3	4								1
5	6	7	8	9	10	11		2	3	4	5	6
12	13	14	15	16	17	18
19	20	21	22	23	24	25
26	27	28	29	30	31

	BOX A				BOX B
Line 1	Date Paid:	May		___, 2013	Gross Wages:		$,.
Line 2	Date Paid:	May		___, 2013	Gross Wages:		$,.
Line 3	Date Paid:	May		___, 2013	Gross Wages:		$,.
Line 4	Date Paid:	May		___, 2013	Gross Wages:		$,.
Line 5	Date Paid:	May		___, 2013	Gross Wages:		$,.
Line 6	Date Paid:	May		___, 2013	Gross Wages:		$,.
	Box C		TOTAL Gross Wages			$,.

Use the TOTAL Gross Wages from BOX C when you report wages for

May 2013

KEEP PAY SLIPS AND THIS FORM FOR YOUR RECORDS