Employee Non-Covered Service Pension Questionnaire

Under Section 3 of the Railroad Retirement Act, the Tier I portion of an employee annuity may be subjected to a reduction for benefits received based on work not covered under the Social Security Act or Railroad Retirement Act. The questionnaire obtains the information needed to determine if the reduction applies and the amount of such reduction.

The latest form for Employee Non-Covered Service Pension Questionnaire expires 2021-01-31 and can be found here.