Pay Rate Change Form For Social Security

State:
California
Control #:
CA-JM-0054
Format:
Word
Instant download

Description

Employers use this form to record a change in the employee’s rate of pay.

How to fill out California Pay Rate Change Form?

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FAQ

To correct a Form W-2 you have already submitted, file a Form W-2c with a separate Form W-3c for each year needing correction. File a Form W-3c whenever you file a Form W-2c, even if you are only filing a Form W-2c to correct an employee's name or Social Security number (SSN).

You can report your change online, or by calling toll free at 1-800-772-1213. If you're deaf or hearing-impaired call TTY 1-800-325-0778. Mail the information to your local Social Security office or in person if you prefer.

The form itself is fairly short, taking up just one page. You'll need to provide your name, date of birth and Social Security number. You'll also need to list the reason you're seeking verification, as well as information (including name and address) about the third party who will receive it.

A representative payee applicant may not serve if he/she: (a) Has been convicted of a violation under section 208, 811 or 1632 of the Social Security Act. (b) Has been convicted of an offense resulting in imprisonment for more than 1 year.

SSA-4164 (Advance Notification of Representative Payment) The SSA-4164 provides the beneficiary (or legal guardian/representative who can act for the beneficiary) with advance notification of representative payment.

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Pay Rate Change Form For Social Security