TN 19 (09-01)

A. Process

The following steps describe the process for issuing a certificate of coverage.

• The employer, in the case of employment, or the worker, in the case of self-employment, writes to the appropriate authority requesting a certificate. NOTE: The employer's or worker's representative (e.g., attorney or accounting firm) may request the certificate on the employer's or worker's behalf.

• The Social Security Administration (in the case of U.S. certificates) or the Chilean authority (in the case of Chilean certificates) issues the certificate, if appropriate.

• The issuing agency sends the original to the requestor and a copy to the agency of the other country.

• The employer or worker presents the certificate to the tax authorities in the other country if requested to do so. If the worker is a self-employed U.S. citizen who is subject only to Chilean laws under the agreement, he/she must attach a photocopy of the Chilean certificate to the Schedule SE filed with his/her income tax return each year.

B. Procedure

1. Required Information

Advise the person to provide the following information when writing to obtain a certificate of coverage:

• Full name of worker (including paternal and maternal surnames for Chilean certificates)

• Social Security number when requesting a U.S. certificate or the Registration Number for Social Insurance and the National Identification Number (RUT) when requesting a Chilean certificate

• Country of citizenship

• Date and place of birth

• Country of permanent residence

• Name and address of employer in both countries if employed or address of trade or business in both countries if self-employed

• Date and place of hire by employer transferring the employee, if employed

• Beginning date and ending date of employment or self-employment in the other country

2. Where to Send Request for Certificate

Advise the person to send the request to the appropriate address below:

a. For U.S. Certificates

b. For Chilean Certificates Under the New System

c. For Chilean Certificates Under the Old System