This form contains 54 fields organized into 10 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Account Information
Account number (see instructions) Text
Enter the account number associated with the distribution, if applicable. Refer to the instructions for more details.
Account number (see instructions) Text
Enter the account number associated with the distribution, as per the instructions provided.
Account number (see instructions) Text
Enter the account number associated with this distribution, as per the instructions.
Additional Information
Text
This field is for additional information related to the distribution. Please refer to the form instructions for specific details.
Text
This field is for additional information related to the distribution. Please refer to the form instructions for specific details.
topmostSubform[0].CopyA[0].RightColumn[0].f1_11[0 Text
This field is for additional information related to the distribution. Please refer to the form instructions for specific details.
topmostSubform[0].CopyA[0].RightColumn[0].c1_4[0]_1 CheckBox
Indicate any additional information related to the distribution by checking this box.
Distribution Details
Number
Enter the gross distribution amount. This is the total amount distributed from the qualified education program.
topmostSubform[0].CopyC[0].RightColumn[0].Box5[0].list_3[0].list_item_1[0].c1_3[1]_2 CheckBox
Check this box if the distribution includes earnings.
topmostSubform[0].CopyC[0].RightColumn[0].Box5[0].list_3[0].list_item_2[0].c1_3[0]_3 CheckBox
Check this box if the distribution includes basis.
Distribution Type
topmostSubform[0].CopyA[0].CopyAHeader[0].c1_1[0]_1 CheckBox
Check this box if the distribution is from a qualified tuition program.
topmostSubform[0].CopyA[0].CopyAHeader[0].c1_1[1]_2 CheckBox
Check this box if the distribution is from a Coverdell ESA.
topmostSubform[0].CopyA[0].RightColumn[0].c1_2[0]_1 CheckBox
Indicate whether the distribution is from a qualified tuition program or a Coverdell ESA by checking this box.
topmostSubform[0].CopyA[0].RightColumn[0].Box5[0].list_1[0].list_item_1[0].c1_3[0]_1 CheckBox
Check this box if the distribution is from a qualified tuition program.
topmostSubform[0].CopyA[0].RightColumn[0].Box5[0].list_1[0].list_item_1[0].c1_3[1]_2 CheckBox
Check this box if the distribution is from a Coverdell ESA.
topmostSubform[0].CopyA[0].RightColumn[0].Box5[0].list_1[0].list_item_2[0].c1_3[0]_3 CheckBox
Check this box if the distribution is from another specified source.
topmostSubform[0].CopyB[0].RghtCol[0].c1_2[0]_1 CheckBox
Check this box if the distribution is from a qualified tuition program.
topmostSubform[0].CopyB[0].RghtCol[0].Box5[0].list_2[0].list_item_1[0].c1_3[0]_1 CheckBox
Check this box if the distribution is from a Coverdell education savings account.
topmostSubform[0].CopyB[0].RghtCol[0].Box5[0].list_2[0].list_item_1[0].c1_3[1]_2 CheckBox
Check this box if the distribution is a trustee-to-trustee transfer.
topmostSubform[0].CopyB[0].RghtCol[0].Box5[0].list_2[0].list_item_2[0].c1_3[0]_3 CheckBox
Check this box if the distribution is a rollover.
topmostSubform[0].CopyB[0].RghtCol[0].c1_4[0]_1 CheckBox
Check this box if the distribution is from a qualified tuition program.
topmostSubform[0].CopyC[0].CopyCHeader[0].c1_1[0]_1 CheckBox
Check this box if the distribution is from a Coverdell ESA.
topmostSubform[0].CopyC[0].CopyCHeader[0].c1_1[1]_2 CheckBox
Check this box if applicable for additional distribution details.
topmostSubform[0].CopyC[0].RightColumn[0].c1_2[0]_1 CheckBox
Check this box if the distribution is from a qualified tuition program.
topmostSubform[0].CopyC[0].RightColumn[0].Box5[0].list_3[0].list_item_1[0].c1_3[0]_1 CheckBox
Check this box if the distribution is from a Coverdell Education Savings Account (ESA).
Earnings Information
If the fair market value (FMV) is shown below, see Pub. 970, Tax Benefits for Education, for how to figure earnings Number
Enter the fair market value (FMV) if applicable. Refer to Pub. 970 for guidance on calculating earnings.
Form Information
20 Text
Enter the last two digits of the year for which the Form 1099-Q is being filed.
Max length: 2 characters
20 Text
Enter the last two digits of the year for which the form is being filed.
Max length: 2 characters
(Rev. For Text
Enter the tax year for which this form is being filed.
20 Text
Enter the two-digit tax year for which this form is being filed.
Max length: 2 characters
General
topmostSubform[0].CopyB[0].CopyBHeader[0].c1_1[0]_2 CheckBox
Check this box if there are any special conditions or notes applicable to this form.
Payer Information
PAYER'S/TRUSTEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no Text
Enter the full name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number of the payer or trustee.
PAYER'S/TRUSTEE'S TIN Text
Enter the Taxpayer Identification Number (TIN) of the payer or trustee. This should be a 9-digit number.
Max length: 11 characters
PAYER'S/TRUSTEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no Text
Enter the payer's or trustee's full name, address, and contact information.
PAYER'S/TRUSTEE'S TIN Text
Enter the Taxpayer Identification Number (TIN) of the payer or trustee.
Max length: 11 characters
topmostSubform[0].CopyB[0].RghtCol[0].f1_11[0 Text
Enter the payer's name and address.
PAYER'S/TRUSTEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no Text
Enter the payer's or trustee's full name, address, and contact information.
PAYER'S/TRUSTEE'S TIN Text
Enter the payer's or trustee's Taxpayer Identification Number (TIN).
Max length: 11 characters
topmostSubform[0].CopyC[0].RightColumn[0].f1_9[0 Text
Enter the name of the payer. This is the entity or individual who made the distribution from the qualified education program.
Recipient Information
RECIPIENT'S TIN Text
Enter the Taxpayer Identification Number (TIN) of the recipient. This should be a 9-digit number.
Max length: 11 characters
RECIPIENT'S name Text
Enter the full name of the recipient.
Street address (including apt. no.) Text
Enter the street address of the recipient, including apartment number if applicable.
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 of the recipient.
RECIPIENT'S TIN Text
Enter the Taxpayer Identification Number (TIN) of the recipient.
Max length: 11 characters
RECIPIENT'S name Text
Enter the full name of the recipient of the distribution from the qualified education program.
Street address (including apt. no.) Text
Enter the street address of the recipient, including apartment number if applicable.
topmostSubform[0].CopyB[0].LeftColumn[0].f1_7[0 Text
Enter the city, state, and ZIP code of the recipient's address.
Text
Enter the recipient's taxpayer identification number (TIN).
RECIPIENT'S TIN Text
Enter the recipient's Taxpayer Identification Number (TIN).
Max length: 11 characters
RECIPIENT'S name Text
Enter the full name of the recipient.
topmostSubform[0].CopyC[0].LeftColumn[0].f1_6[0 Text
Enter additional recipient information if required.
topmostSubform[0].CopyC[0].LeftColumn[0].f1_7[0 Text
Enter additional recipient information if required.
Text
Enter the name of the recipient. This is the individual who received the distribution from the qualified education program.
Transfer Details
topmostSubform[0].CopyC[0].RightColumn[0].c1_4[0]_1 CheckBox
Check this box if the distribution is a trustee-to-trustee transfer.