Best Offer Letter Format
OFFER LETTER FOR NINE MONTH CLASSIFIED TEMPORARY
USE DEPT/UCD LETTERHEAD
City State Zip
Dear Ms/Mr. Name:
I ampleasedtoofferyouthe positionofa TemporaryAide(youmay use theworkingtitle,if appropriate
here insteadofthe state classifiedtitle)with theUniversityofColorado, DEPT/UNIT,fora periodnotto
Overtime must be pre-approved, and any overtime worked will be paid on the next payroll cycle.
place of Social Security.Your salary is not covered by Social Security and there could be implications on
any Social Security Benefits you may receive in thefuture. We are required to notify you of this, and ask
Social Security form and return it and a copy of this offer letter to Human Resources.
(Optional:IncludeforPERA Retireesonly) AsaPERA retiree,youwillberesponsibleformonitoring
retireesworking afterretirementmustpay an8percentworkingretireecontribution. Theworkingretiree
should be listed here.
below and return theletter to me. Wewill return toyoua copy of thisletter in a fewdays(or onthe first
day of employment).
I accept this position as described above.
Signature: ______________________________________ Date: ________________
Statement Concerning Your Employment in a Job
Not Covered by Social Security
Employee NameEmployee ID#
Employer Name University of ColoradoEmployer ID# 84-6000555
Your earnings from this job are not covered under Social Security. When youretire, or if you become disabled, you
may receive a pension based on earnings from this job. If you do, and you are also entitled to a benefit from Social
pension may affect the amount of the Social Security benefit you receive. Your Medicare benefits, however, will not
be affected. Under the Social Security law, there are two ways your Social Security benefit amount may be affected.
Windfall Elimination Provision
modified formula when you are also entitled to a pension from a job where you did not pay Social Security tax. As
a result, you will receive a lower Social Security benefit than if you were not entitled to a pension from this job. For
thisprovisionis$313.50. Thisamountisupdatedannually. Thisprovisionreduces,butdoesnottotallyeliminate,
Government Pension Offset Provision
become entitled will be offset if you also receive a Federal, State or local government pension based on work where
benefit by two-thirds of the amount of your pension.
eligiblefora$500widow(er)benefit,youwillreceive $100permonthfrom SocialSecurity($500-$400=$100).
Even if your pension is high enough to totally offset your spouse or widow(er) Social Security benefit, youare still
“Government Pension Offset’
For More Information
hearing call the TTY number 1-800-325-0778, or contact your local Social Security office.
Windfall EliminationProvision andtheGovernmentPensionOffset Provisiononmy potentialfuture Social
Signature of Employee Date
Form SSA-1945 (12-2004)
Information about Social Security Form SSA-1945
Statement Concerning Your Employment in a Job Not Covered by Social Security
New legislation[Section419(c) ofPublicLaw 108-203, theSocialSecurity Protection Act of2004]requires State
Security benefits to which they may become entitled.
effects of two provisions in the Social Security law for workers who also receive a pension based on their work in a
job notcovered by Social Security. The WindfallEliminationProvision can affectthe amount ofa worker’sSocial
benefit received as a spouse or an ex-spouse.
Give the statement to the employee prior to the start of employment;
Get the employee’s signature on the form; and
Submit a copy of the signed form to the pension paying agency.
Social Security will not be setting any additional guidelines for the use of this form.
Copies of the SSA-1945 are available online at the Social Security website, www.socialsecurity.gov/form1945/.
Paper copies can be requested by email at email@example.com or by fax at 410-965-2037. The request
must include the name, complete address and telephone number of the employer. Forms will not be sent to a post
office box. Also, if appropriate, include the name of the person to whom the forms are to be delivered. The forms
are available in packages of 25. Please refer to Inventory Control Number (ICN) 276950 when ordering.
Form SSA-1945 (12-2004)