Form 8919, Uncollected Social Security and Medicare Tax Instructions
This form contains 40 fields organized into 9 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Firm Information | ||
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row1[0].f1_3[0 | Text |
Enter the name of the firm you worked for where you believe you were misclassified as an independent contractor.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row1[0].f1_4[0 | Text |
Enter the Employer Identification Number (EIN) of the firm you worked for. This should be an 11-digit number.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row2[0].f1_8[0 | Text |
Enter the name of another firm you worked for where you believe you were misclassified as an independent contractor, if applicable.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row2[0].f1_9[0 | Text |
Enter the Employer Identification Number (EIN) of the second firm you worked for, if applicable. This should be an 11-digit number.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row3[0].f1_17[0 | Text |
Enter the name of the firm you worked for.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row4[0].f1_18[0 | Text |
Enter the address of the firm you worked for.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row4[0].f1_19[0 | Text |
Enter the Employer Identification Number (EIN) of the firm. This should be a 9-digit number.
|
| General Information | ||
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row5[0].f1_25[0 | Text |
This field is likely a checkbox or a small text field. Please refer to the form instructions to determine the specific value required.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row5[0].f1_26[0 | Text |
Enter the specific information requested in this field. The maximum length is 10 characters.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row5[0].c1_5[0 | CheckBox |
Check this box if the condition specified in the form applies to you.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row5[0].f1_27[0 | Text |
Enter the specific information requested in this field.
|
| topmostSubform[0].Page1[0].f1_28[0 | Text |
Enter the specific information requested in this field.
|
| topmostSubform[0].Page1[0].f1_29[0 | Text |
Enter the specific information requested in this field.
|
| 8 | Text |
Enter the specific information requested in this field.
|
| 9 | Text |
Enter the specific information requested in this field.
|
| 10 | Text |
Enter the specific information requested in this field.
|
| topmostSubform[0].Page1[0].f1_33[0 | Text |
Enter the specific information requested in this field.
|
| topmostSubform[0].Page1[0].f1_34[0 | Text |
Enter the specific information requested in this field.
|
| Personal Information | ||
| topmostSubform[0].Page1[0].f1_1[0 | Text |
Enter your full name as it appears on your Social Security card.
|
| Social security number | Text |
Enter your Social Security number. This should be a 9-digit number.
|
| Reason for Filing | ||
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row4[0].f1_20[0 | Text |
Enter the reason code for filing Form 8919. This should be a single character code.
|
| Supporting Documentation | ||
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row1[0].c1_1[0 | CheckBox |
Check this box if you have attached a statement explaining why you believe you were misclassified as an independent contractor.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row4[0].c1_4[0 | CheckBox |
Check this box if you have attached a statement explaining why you believe you were misclassified as an independent contractor.
|
| Tax Calculation | ||
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row1[0].f1_7[0 | Text |
Enter the amount of Social Security tax that should have been withheld from your wages.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row4[0].f1_22[0 | Text |
Enter the Social Security tax amount that should have been withheld.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row5[0].f1_23[0 | Text |
Enter the Medicare tax amount that should have been withheld.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row5[0].f1_24[0 | Text |
Enter the total amount of uncollected Social Security and Medicare taxes.
|
| Add lines 11 and 12. Enter here. Include as tax on your annual tax return (Schedule 2 (Form 1040), line 6; 13 13 | Text |
Add the amounts from lines 11 and 12 and enter the total here. This amount should be included as tax on your annual tax return (Schedule 2 (Form 1040), line 6).
|
| Tax Calculations | ||
| 9 Subtract line 8 from line 7. If line 8 is more than line 7, enter -0- here and on line 10 | Text |
Enter the result of subtracting the value in line 8 from the value in line 7. If the value in line 8 is greater than the value in line 7, enter 0 here and on line 10.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row2[0].f1_11[0 | Text |
Enter the appropriate value as indicated in the form instructions. This field is part of the tax calculation section.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row2[0].c1_2[0 | CheckBox |
Check this box if the condition specified in the form instructions applies to you.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row2[0].f1_12[0 | Text |
Enter the appropriate value as indicated in the form instructions. This field is part of the tax calculation section.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row3[0].f1_13[0 | Text |
Enter the appropriate value as indicated in the form instructions. This field is part of the tax calculation section.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row3[0].f1_14[0 | Text |
Enter the appropriate value as indicated in the form instructions. This field is part of the tax calculation section.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row3[0].f1_15[0 | Text |
Enter the appropriate value as indicated in the form instructions. This field is part of the tax calculation section.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row3[0].f1_16[0 | Text |
Enter the appropriate value as indicated in the form instructions. This field is part of the tax calculation section.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row3[0].c1_3[0 | CheckBox |
Check this box if the condition specified in the form instructions applies to you.
|
| Tax Information | ||
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row1[0].f1_5[0 | Text |
Enter the tax year for which you are filing this form. This should be a 4-digit year.
|
| Wage Information | ||
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row1[0].f1_6[0 | Text |
Enter the total amount of wages you received from the firm during the tax year.
|
| topmostSubform[0].Page1[0].Table_Lines1-5[0].Row4[0].f1_21[0 | Text |
Enter the total amount of wages paid to you by the firm.
|