1. SEIE - Student Earned Income Exclusion To apply for the SEIE: Send letter on school letterhead to SSA: Name of student, Social Security number, Date of check and The amount of time that you are in school. Including dates that you started school and if you are attending summer school. Must be done every year ( up to age 22)

2. Example of SEIE letter to SSA School Of Hard Knocks 34 Main Street Date To whom it may concern: This is to verify that Teri No Name ( SSA# 122-22-2222) is enrolled in School of Hard Knocks Transition Program. Teri attends the program 5 days a week from 8:45-2:30 since September 2, 2009. I an sending this letter to request that she be given the Student Earned Income Exclusion. (Page 34 in the 2012 SSA REDBOOK) If you have any additional questions, please call me at (562) phone number. Thank you Responsible School Personnel

3. Take letter to SSA office Have parents take the letter to SSA office. Be sure that SSA date stamps the letter and ask for a stamped copy to keep for their files. * Notify SSA when you stop working or you are NO longer eligible for the SEIE exclusion to avoid an over payment.

4. Social Security Wage Reporting Form ( Form that you send to SSA with your pay stubs ) Name____________SS#_________________ Date of Check______Today’s Date_________ Benefit type: SSI SSDI Survivors Attention: ( name of your claim ’ s representative) Work Incentive: SEIE PASS  IRWE ____________ Please send me a receipt for this pay stub. Thank you