Missing and Discrepant Wage Reports Letter and Questionnaire

Social Security Administration
Retirement, Survivors and Disability Insurance

SECOND REQUEST
Date: MM/DD/YY
EIN: 99-9999999
Tax Year: 9999

COMPANY NAME
ADDRESS 1
ADDRESS 2
CITY, ST 99999-9999

Important Information, Immediate Reply Requested
Each year we check our wage totals for the Forms W-2 you send us against the Forms 941, 943, 944 or
Schedule H (Household Employment Taxes) employment tax returns you filed with the Internal Revenue
Service (IRS). These totals must equal. We recently found that wage reports you submitted for your
employees may not be correct. We need your help to correct them.
What You Should Do
Please check your records and make sure you have correctly reported your employees’ wages.
 Check your report for wages below the household limit, if you are a household employer.
 Check your report for third party sick pay.
 Check for corrected reports and see if there is any reason for the different wage totals.
 Fill out the enclosed questionnaire and return it within 45 days.
Note: We encourage you to file your original and corrected wage reports electronically, using Business
Services Online (BSO). You can find more information on wage report filing by going to our employer
reporting website at: www.socialsecurity.gov/employer.

Enclosure(s):
Return Envelope

See Next Page

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About the Questionnaire
If the questionnaire shows only the IRS wage totals, it means we do not have copies of any Form W-2
wage reports for your employees for that tax year. Or, it may show that the Form W-2 wage totals we
have in our records are less than those that are on the Forms 941, 943, 944 or Schedule H returns you
filed with the IRS.
We have enclosed a pamphlet entitled “Don’t Let Your Employees Down” with information to help you
complete the questionnaire. Or, you can go to www.socialsecurity.gov/employer and click on
“Reconciliation” for more information.
For your convenience, we have also enclosed a self-addressed envelope. If you cannot use the envelope,
please mail the completed questionnaire and requested information to:
Social Security Administration
P.O. Box 33021
Baltimore, Maryland 21290-3021
If We Do Not Receive This Information
We cannot correct your employees' wage records unless you give us the information that we requested.
This information is important. It could affect your employees' rights to future Social Security benefits
and the amount of those benefits. Please make sure that the information you provide to us will resolve the
problem. Always keep your wage records for four (4) years to back up your wage and tax reports, in case
SSA or the IRS have questions about them later. If you do not send the information we need, we will
refer this matter to the IRS. If the IRS finds that you made a reporting error, or fail to respond to our
request, they may charge you a penalty.
Suspect Social Security Fraud?
Please visit http://oig.ssa.gov/r or call the Inspector General’s Fraud Hotline at 1-800-269-0271 (TTY 1866-501-2101).

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If You Have Any Questions
If you have any questions not answered by the enclosed pamphlet or the website, please write to us at the
above address or call us at 1-800-772-6270 Monday through Friday, 7:00 a.m. to 7:00 p.m., Eastern Time.

Social Security Administration

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SSA-L-94-SM (03-17)