This form contains 46 fields organized into 4 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Checkboxes
W-2G 32 CheckBox
Check this box to indicate the type of form being filed
1097-BTC 50 Checkbox
Check this box to indicate the type of form being filed
1098 81 Checkbox
Check this box to indicate the type of form being filed
1098-C 78 Checkbox
Check this box to indicate the type of form being filed
1098-E 84 Checkbox
Check this box to indicate the type of form being filed
1098-F 03 Checkbox
Check this box to indicate the type of form being filed
1098-T 83 Checkbox
Check this box to indicate the type of form being filed
1098-Q 74 Checkbox
Check this box to indicate the type of form being filed
1099-A 80 Checkbox
Check this box to indicate the type of form being filed
1099-B 79 Checkbox
Check this box to indicate the type of form being filed
1099-C 85 Checkbox
Check this box to indicate the type of form being filed
1099-CAP 73 Checkbox
Check this box to indicate the type of form being filed
1099-DIV 91 Checkbox
Check this box to indicate the type of form being filed
1099-G 86 Checkbox
Check this box to indicate the type of form being filed
1099-INT 92 Checkbox
Check this box to indicate the type of form being filed
1099-K 10 Checkbox
Check this box to indicate the type of form being filed
1099-LS 16 Checkbox
Check this box to indicate the type of form being filed
1099-LTC 93 Checkbox
Check this box to indicate the type of form being filed
1099-NEC 71 Checkbox
Check this box to indicate the type of form being filed
1099-MISC 95 Checkbox
Check this box to indicate the type of form being filed
1099-OID 96 Checkbox
Check this box to indicate the type of form being filed
1099-PATR 97 Checkbox
Check this box to indicate the type of form being filed
1099-Q 31 Checkbox
Check this box to indicate the type of form being filed
1099-QA 1A Checkbox
Check this box to indicate the type of form being filed
1099-R 98 Checkbox
Check this box to indicate the type of form being filed
1099-S 75 Checkbox
Check this box to indicate the type of form being filed
1099-SA 94 Checkbox
Check this box to indicate the type of form being filed
1099-SB 43 Checkbox
Check this box to indicate the type of form being filed
3921 25 Checkbox
Check this box to indicate the type of form being filed
3922 26 Checkbox
Check this box to indicate the type of form being filed
5498 28 Checkbox
Check this box to indicate the type of form being filed
5498-ESA 72 CheckBox
Check this box to indicate the type of form being filed
5498-QA 2A Checkbox
Check this box to indicate the type of form being filed
5498-SA 27 Text
Check this box to indicate the type of form being filed
Contact Information
Name of person to contact Text
Enter the name of the person to contact regarding this form. This should be someone who can answer questions about the information provided.
Telephone number Text
Enter the telephone number of the contact person. This should be a number where the contact person can be reached during business hours.
Fax number Text
Enter the fax number of the contact person. This should be a number where the contact person can receive faxes.
Filer Information
FILER'S name Text
Enter the name of the filer. This is the entity or individual responsible for submitting the form.
Street address (including room or suite number) Text
Enter the Street address (including room or suite number)
City or town, state or province, country, and ZIP or foreign postal code Text
Enter the City or town, state or province, country, and ZIP or foreign postal code
Email address Text
Enter the Email address of the filer. This should be the mailing address where the filer can receive correspondence.
1 Employer identification number Text
Enter the Employer Identification Number (EIN) of the filer. This is a unique number assigned to the filer by the IRS.
Max length: 10 characters
2 Social security number Text
Enter the Social Security Number (SSN) of the filer. This is a unique number assigned to the filer by the Social Security Administration.
Max length: 11 characters
Form Details
3 Total number of forms Text
Enter the total number of forms being transmitted with this Form 1096. This includes all the forms listed in the description.
4 Federal income tax withheld Text
Enter the total amount of federal income tax withheld as reported on the forms being transmitted with this Form 1096.
5 Total amount reported with this Form 1096 Text
Enter the total amount reported with this Form 1096. This is the sum of all amounts reported on the forms being transmitted.