This form contains 272 fields organized into 61 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Box 12a Code and Amount
Box 12a Code Text
Enter the letter code for the type of benefit, deferral, or other item reported in Box 12a.
Max length: 2 characters
Box 12a Amount Number
Enter the dollar amount associated with the Box 12a code. Fill only if 'Box 12a Code' is filled.
Depends on: Box 12a Code
Box 12b Code and Amount
Box 12b Code Text
Enter the letter/number code that identifies the type of amount being reported in Box 12b.
Max length: 2 characters
Box 12b Amount Number
Enter the dollar amount that corresponds to the Box 12b code. Fill only if 'Box 12b Code' is filled.
Depends on: Box 12b Code
Box 12c Code and Amount
Box 12c Code Text
Enter the letter code for the Box 12c item as shown in your W-2 (for example, D, DD, etc.).
Max length: 2 characters
Box 12c Amount Number
Enter the dollar amount associated with the Box 12c code. Fill only if 'Box 12c Code' is filled.
Depends on: Box 12c Code
Box 12d Code and Amount
Box 12d Code Text
Enter the letter code that identifies the type of compensation, benefit, or other item reported in Box 12d.
Max length: 2 characters
Box 12d Amount Number
Enter the dollar amount associated with the Box 12d code. Fill only if 'Box 12d Code' is filled.
Depends on: Box 12d Code
Box 13 Checkboxes
Statutory employee Checkbox
Check this box if the employee is treated as a statutory employee for federal tax purposes (as indicated on the employee’s Form W-2, box 13).
Retirement plan Checkbox
Check this box if the employee was an active participant in an employer-sponsored retirement plan during the year (as indicated on the employee’s Form W-2, box 13).
Third-party sick pay Checkbox
Check this box if the wages include sick pay paid by a third party (such as an insurance company) and it is reported on the employee’s Form W-2, box 13.
Box 14 Other
Box 14 Other Text
Enter the additional information reported by the employer in W-2 Box 14 (for example, a label and/or amount) exactly as shown on the form.
Control Number
Control Number Text
Enter the employer-assigned control number used to identify this employee’s Form W-2.
Copy 1 - Box 12 Codes and Amounts
Box 12a Code Text
Enter the letter code for Box 12a as shown on the W-2.
Max length: 2 characters
Box 12a Amount Number
Enter the dollar amount that corresponds to the Box 12a code.
Box 12b Code Text
Enter the letter code for Box 12b as shown on the W-2.
Max length: 2 characters
Box 12b Amount Number
Enter the dollar amount that corresponds to the Box 12b code.
Box 12c Code Text
Enter the letter code for Box 12c as shown on the W-2.
Max length: 2 characters
Box 12c Amount Number
Enter the dollar amount that corresponds to the Box 12c code.
Box 12d Code Text
Enter the letter code for Box 12d as shown on the W-2.
Max length: 2 characters
Box 12d Amount Number
Enter the dollar amount that corresponds to the Box 12d code.
Copy 1 - Box 13 Checkboxes
Statutory employee Checkbox
Check this box if the employee is treated as a statutory employee for tax reporting purposes.
Retirement plan Checkbox
Check this box if the employee was an active participant in a retirement plan during the year.
Third-party sick pay Checkbox
Check this box if the employee received sick pay from a third-party (such as an insurance company) during the year.
Copy 1 - Box 14 Other
Box 14 (Copy 1) - Other Text
Enter any other information the employer reports in Box 14 on Copy 1 (such as a description and any related amount or code).
Copy 1 - Control Number
Control Number Text
Enter the employer-assigned control number used to identify this employee’s Form W-2.
Copy 1 - Employee Information
Employee Social Security Number Text
Enter the employee’s Social Security number.
Max length: 11 characters
Employee First Name and Initial Text
Enter the employee’s first name and middle initial (if any).
Employee Last Name Text
Enter the employee’s last name.
Employee Name Suffix Text
Enter the employee’s name suffix, if applicable (for example, Jr., Sr., III).
Employee Address and ZIP Code Text
Enter the employee’s mailing address, including street address, apartment/unit number (if any), city, state, and ZIP code.
Copy 1 - Employer Information
Employer identification number (EIN) Text
Enter the employer's federal Employer Identification Number (EIN).
Max length: 10 characters
Employer name, address, and ZIP code Text
Enter the employer’s full name and mailing address, including city, state, and ZIP code.
Copy 1 - State and Local Tax (Boxes 15-20)
State (Line 1) Text
Enter the two-letter state abbreviation for the first state tax entry in Box 15.
Employer's State ID Number (Line 1) Text
Enter the employer's state identification number for the first state tax entry.
State (Line 2) Text
Enter the two-letter state abbreviation for the second state tax entry in Box 15.
Employer's State ID Number (Line 2) Text
Enter the employer's state identification number for the second state tax entry.
State Wages, Tips, Etc. (Line 1) Number
Enter the amount of state wages, tips, and other compensation for the first state tax entry in Box 16.
State Wages, Tips, Etc. (Line 2) Number
Enter the amount of state wages, tips, and other compensation for the second state tax entry in Box 16.
State Income Tax (Line 1) Number
Enter the amount of state income tax withheld for the first state tax entry in Box 17.
State Income Tax (Line 2) Number
Enter the amount of state income tax withheld for the second state tax entry in Box 17.
Local Wages, Tips, Etc. (Line 1) Number
Enter the amount of local wages, tips, and other compensation for the first local tax entry in Box 18.
Local Wages, Tips, Etc. (Line 2) Number
Enter the amount of local wages, tips, and other compensation for the second local tax entry in Box 18.
Local Income Tax (Line 1) Number
Enter the amount of local income tax withheld for the first local tax entry in Box 19.
Local Income Tax (Line 2) Number
Enter the amount of local income tax withheld for the second local tax entry in Box 19.
Locality Name (Line 1) Text
Enter the name of the city, locality, or jurisdiction for the first local tax entry in Box 20.
Locality Name (Line 2) Text
Enter the name of the city, locality, or jurisdiction for the second local tax entry in Box 20.
Copy 1 - Wages and Withholding (Boxes 1-11)
Box 1 Wages, Tips, Other Compensation Number
Enter the total wages, tips, and other taxable compensation paid to the employee.
Box 2 Federal Income Tax Withheld Number
Enter the total federal income tax withheld from the employee's pay.
Box 3 Social Security Wages Number
Enter the amount of wages subject to Social Security tax.
Box 4 Social Security Tax Withheld Number
Enter the total Social Security tax withheld from the employee's wages.
Box 5 Medicare Wages and Tips Number
Enter the amount of wages and tips subject to Medicare tax.
Box 6 Medicare Tax Withheld Number
Enter the total Medicare tax withheld from the employee's wages and tips.
Box 7 Social Security Tips Number
Enter the tips reported by the employee that are subject to Social Security tax.
Box 8 Allocated Tips Number
Enter the amount of tips allocated to the employee by the employer, if any.
Box 9 (Unused) Number
Enter the value shown in Box 9 on the employee's W-2, if any.
Box 10 Dependent Care Benefits Number
Enter the total dependent care benefits provided to the employee.
Box 11 Nonqualified Plans Number
Enter the total distributions to the employee from nonqualified deferred compensation plans.
Copy 2 - Box 12 codes
Box 12a Code Text
Enter the letter code for the first Box 12 item shown on Copy 2 (Box 12a).
Max length: 2 characters
Box 12a Amount Number
Enter the amount associated with the Box 12a code on Copy 2. Fill only if 'Box 12a Code' is filled.
Depends on: Box 12a Code
Box 12b Code Text
Enter the letter code for the second Box 12 item shown on Copy 2 (Box 12b).
Max length: 2 characters
Box 12b Amount Number
Enter the amount associated with the Box 12b code on Copy 2. Fill only if 'Box 12b Code' is filled.
Depends on: Box 12b Code
Box 12c Code Text
Enter the letter code for the third Box 12 item shown on Copy 2 (Box 12c).
Max length: 2 characters
Box 12c Amount Number
Enter the amount associated with the Box 12c code on Copy 2. Fill only if 'Box 12c Code' is filled.
Depends on: Box 12c Code
Box 12d Code Text
Enter the letter code for the fourth Box 12 item shown on Copy 2 (Box 12d).
Max length: 2 characters
Box 12d Amount Number
Enter the amount associated with the Box 12d code on Copy 2. Fill only if 'Box 12d Code' is filled.
Depends on: Box 12d Code
Copy 2 - Box 13 checkboxes
Statutory employee Checkbox
Check this box if the employee is treated as a statutory employee for tax reporting purposes.
Retirement plan Checkbox
Check this box if the employee was an active participant in an employer-sponsored retirement plan during the year.
Third-party sick pay Checkbox
Check this box if sick pay was paid to the employee by a third party (such as an insurance company) and is being reported on this form.
Copy 2 - Box 14 other
Box 14 - Other (Copy 2) Text
Enter any additional information your employer reports in Box 14 (such as codes and related amounts or notes) for this W-2 Copy 2.
Copy 2 - Control number
Control number Text
Enter the employer-assigned control number used to identify this employee’s Form W-2.
Copy 2 - Employee address
Employee address and ZIP code Text
Enter the employee’s complete mailing address, including street address, apartment/unit (if any), city, state, and ZIP code.
Copy 2 - Employee name
Employee first name and middle initial Text
Enter the employee’s first name and middle initial (if any) as it should appear on the form.
Employee last name Text
Enter the employee’s last name (surname).
Suffix Text
Enter the employee’s name suffix, if applicable (for example, Jr., Sr., II, or III).
Copy 2 - Employee SSN
Employee Social Security Number (SSN) Text
Enter the employee’s Social Security number.
Max length: 11 characters
Copy 2 - Employer identifiers and address
Employer identification number (EIN) Text
Enter the employer's federal Employer Identification Number (EIN) as shown on the employer's records.
Max length: 10 characters
Employer name and address Text
Enter the employer’s full name and mailing address, including street address, city, state, and ZIP code.
Copy 2 - First state/local row
State (Box 15) Text
Enter the two-letter abbreviation for the state associated with this state/local wage and tax line.
Employer's State ID Number (Box 15) Text
Enter the employer's state identification number for the state listed on this line.
State Wages, Tips, Etc. (Box 16) Number
Enter the amount of wages, tips, and other compensation subject to state tax for this line.
State Income Tax (Box 17) Number
Enter the amount of state income tax withheld for this line.
Local Wages, Tips, Etc. (Box 18) Number
Enter the amount of wages, tips, and other compensation subject to local tax for this line.
Local Income Tax (Box 19) Number
Enter the amount of local income tax withheld for this line.
Locality Name (Box 20) Text
Enter the name of the city, county, or other locality for which the local tax was withheld.
Copy 2 - Second state/local row
State (second row) Text
Enter the state abbreviation for the second state/local entry on Copy 2.
Employer's state ID number (second row) Text
Enter the employer's state identification number associated with the second state/local entry.
State wages, tips, etc. (second row) Number
Enter the amount of wages, tips, and other compensation subject to state tax for the second state/local entry.
State income tax (second row) Number
Enter the amount of state income tax withheld for the second state/local entry.
Local wages, tips, etc. (second row) Number
Enter the amount of wages, tips, and other compensation subject to local tax for the second state/local entry.
Local income tax (second row) Number
Enter the amount of local income tax withheld for the second state/local entry.
Locality name (second row) Text
Enter the name of the city, county, or other locality for the second state/local entry.
Copy 2 - Wage and tax boxes (1-11)
Box 1 Wages, tips, other compensation Number
Enter the employee’s total taxable wages, tips, and other compensation reported in Box 1.
Box 2 Federal income tax withheld Number
Enter the total federal income tax withheld from the employee’s pay as shown in Box 2.
Box 3 Social security wages Number
Enter the wages subject to Social Security tax as reported in Box 3.
Box 4 Social security tax withheld Number
Enter the amount of Social Security tax withheld as shown in Box 4.
Box 5 Medicare wages and tips Number
Enter the wages and tips subject to Medicare tax as reported in Box 5.
Box 6 Medicare tax withheld Number
Enter the amount of Medicare tax withheld as shown in Box 6.
Box 7 Social security tips Number
Enter the tips reported to the employer that are subject to Social Security tax as shown in Box 7.
Box 8 Allocated tips Number
Enter the allocated tips amount reported in Box 8, if any.
Box 9 (unused) Number
Enter the value shown in Box 9 if the form includes one; otherwise leave this field blank.
Box 10 Dependent care benefits Number
Enter the total dependent care benefits provided under a dependent care assistance program as shown in Box 10.
Box 11 Nonqualified plans Number
Enter the amount of distributions from nonqualified deferred compensation plans shown in Box 11.
Copy A - Box 12 Codes and Amounts
Box 12a Code Text
Enter the IRS Box 12 code for item 12a (for example, D, DD, or other applicable code).
Max length: 2 characters
Box 12a Amount Number
Enter the amount associated with the Box 12a code.
Box 12b Code Text
Enter the IRS Box 12 code for item 12b (for example, D, DD, or other applicable code).
Max length: 2 characters
Box 12b Amount Number
Enter the amount associated with the Box 12b code.
Box 12c Code Text
Enter the IRS Box 12 code for item 12c (for example, D, DD, or other applicable code).
Max length: 2 characters
Box 12c Amount Number
Enter the amount associated with the Box 12c code.
Box 12d Code Text
Enter the IRS Box 12 code for item 12d (for example, D, DD, or other applicable code).
Max length: 2 characters
Box 12d Amount Number
Enter the amount associated with the Box 12d code.
Copy A - Box 13 Checkboxes
Statutory employee Checkbox
Check this box if the employee is a statutory employee as defined by the IRS (and their earnings should be treated accordingly).
Retirement plan Checkbox
Check this box if the employee was an active participant in a qualified retirement plan during the year.
Third-party sick pay Checkbox
Check this box if you are reporting sick pay paid by a third party (such as an insurance company) to the employee.
Copy A - Box 14 Other
Box 14 Other Text
Enter any additional information your employer reports in Box 14 (such as descriptions and related amounts or codes) exactly as shown on the W-2.
Copy A - Control Number
Control number Text
Enter the employer-assigned control number used to identify this employee’s Form W-2 (Copy A).
Copy A - Employee Information
Employee Social Security Number Text
Enter the employee's Social Security number.
Max length: 11 characters
Employee First Name and Initial Text
Enter the employee's first name and middle initial (if applicable).
Employee Last Name Text
Enter the employee's last name.
Suffix Text
Enter the employee's name suffix, if any (for example, Jr., Sr., III).
Employee Address and ZIP Code Text
Enter the employee's mailing address, including street address, city, state, and ZIP code.
Copy A - Employer Information
Employer identification number (EIN) Text
Enter the employer's Employer Identification Number (EIN) as it appears in the employer’s records.
Max length: 10 characters
Employer name, address, and ZIP code Text
Enter the employer’s full legal name along with their complete mailing address and ZIP code.
Copy A - State and Local Tax (Boxes 15-20)
State (Line 1) Text
Enter the two-letter abbreviation for the state for the first state/local tax line.
Employer State ID Number (Line 1) Text
Enter the employer’s state identification number for the first state/local tax line.
State (Line 2) Text
Enter the two-letter abbreviation for the state for the second state/local tax line.
Employer State ID Number (Line 2) Text
Enter the employer’s state identification number for the second state/local tax line.
State Wages, Tips, etc. (Line 1) Number
Enter the amount of wages, tips, and other compensation subject to state tax for the first line.
State Wages, Tips, etc. (Line 2) Number
Enter the amount of wages, tips, and other compensation subject to state tax for the second line.
State Income Tax (Line 1) Number
Enter the amount of state income tax withheld for the first line.
State Income Tax (Line 2) Number
Enter the amount of state income tax withheld for the second line.
Local Wages, Tips, etc. (Line 1) Number
Enter the amount of wages, tips, and other compensation subject to local tax for the first line.
Local Wages, Tips, etc. (Line 2) Number
Enter the amount of wages, tips, and other compensation subject to local tax for the second line.
Local Income Tax (Line 1) Number
Enter the amount of local income tax withheld for the first line.
Local Income Tax (Line 2) Number
Enter the amount of local income tax withheld for the second line.
Locality Name (Line 1) Text
Enter the name of the locality (city, county, or municipality) for the first line.
Locality Name (Line 2) Text
Enter the name of the locality (city, county, or municipality) for the second line.
Copy A - Void Indicator
VOID Checkbox
Check this box if this Copy A form is void and should be treated as invalid/not filed.
Copy A - Wages and Withholding (Boxes 1-11)
Box 1 - Wages, tips, other compensation Number
Enter the employee's total taxable wages, tips, and other compensation for the year.
Box 2 - Federal income tax withheld Number
Enter the total federal income tax withheld from the employee's pay during the year.
Box 3 - Social security wages Number
Enter the employee's wages subject to Social Security tax.
Box 4 - Social security tax withheld Number
Enter the total Social Security tax withheld from the employee's wages.
Box 5 - Medicare wages and tips Number
Enter the employee's wages and tips subject to Medicare tax.
Box 6 - Medicare tax withheld Number
Enter the total Medicare tax withheld from the employee's pay.
Box 7 - Social security tips Number
Enter the tips reported by the employee that are subject to Social Security tax.
Box 8 - Allocated tips Number
Enter any allocated tips assigned to the employee by the employer.
Box 9 - Advance EIC payment Number
Enter the total advance earned income credit (EIC) payments made to the employee, if any.
Box 10 - Dependent care benefits Number
Enter the total dependent care benefits provided to the employee.
Box 11 - Nonqualified plans Number
Enter the amount of nonqualified deferred compensation or similar payments reported for the employee.
Copy B - Box 12 Codes and Amounts
Box 12a Code Text
Enter the Box 12a code shown on Copy B of the W-2 (such as D, DD, or other applicable code).
Max length: 2 characters
Box 12a Amount Number
Enter the amount associated with the Box 12a code on Copy B of the W-2.
Box 12b Code Text
Enter the Box 12b code shown on Copy B of the W-2 (such as D, DD, or other applicable code).
Max length: 2 characters
Box 12b Amount Number
Enter the amount associated with the Box 12b code on Copy B of the W-2.
Box 12c Code Text
Enter the Box 12c code shown on Copy B of the W-2 (such as D, DD, or other applicable code).
Max length: 2 characters
Box 12c Amount Number
Enter the amount associated with the Box 12c code on Copy B of the W-2.
Box 12d Code Text
Enter the Box 12d code shown on Copy B of the W-2 (such as D, DD, or other applicable code).
Max length: 2 characters
Box 12d Amount Number
Enter the amount associated with the Box 12d code on Copy B of the W-2.
Copy B - Box 13 Checkboxes
Statutory employee Checkbox
Check this box if the employee is treated as a statutory employee for federal tax purposes (as indicated by the employer on Form W-2).
Retirement plan Checkbox
Check this box if the employee was an active participant in an employer-sponsored retirement plan during the year (as reported on Form W-2).
Third-party sick pay Checkbox
Check this box if some or all sick pay was paid by a third party (such as an insurance company) rather than directly by the employer.
Copy B - Box 14 Other
Box 14 Other Text
Enter any additional information your employer is reporting in W-2 Box 14 (such as union dues, health insurance premiums, or other labeled amounts/codes).
Copy B - Control Number
Control number (Copy B) Text
Enter the employer-assigned control number shown in Box d on Copy B.
Copy B - Employee Information
Employee Social Security Number Text
Enter the employee’s Social Security number.
Max length: 11 characters
Employee First Name and Initial Text
Enter the employee’s first name and middle initial (if any).
Employee Last Name Text
Enter the employee’s last name.
Employee Suffix Text
Enter the employee’s name suffix, if applicable (e.g., Jr., Sr., III).
Employee Address and ZIP Code Text
Enter the employee’s mailing address including street address, apartment or unit number (if any), city, state, and ZIP code.
Copy B - Employer Information
Employer identification number (EIN) Text
Enter the employer's federal Employer Identification Number (EIN).
Max length: 10 characters
Employer name, address, and ZIP code Text
Enter the employer’s legal name and complete mailing address, including ZIP code.
Copy B - State and Local Tax (Boxes 15-20)
State (Line 1) Text
Enter the state abbreviation for the first state/local tax line (Box 15).
Employer State ID Number (Line 1) Text
Enter the employer’s state identification number for the first line (Box 15).
State (Line 2) Text
Enter the state abbreviation for the second state/local tax line (Box 15).
Employer State ID Number (Line 2) Text
Enter the employer’s state identification number for the second line (Box 15).
State Wages, Tips, etc. (Line 1) Number
Enter the state wages, tips, and other compensation amount for the first line (Box 16).
State Wages, Tips, etc. (Line 2) Number
Enter the state wages, tips, and other compensation amount for the second line (Box 16).
State Income Tax (Line 1) Number
Enter the state income tax withheld amount for the first line (Box 17).
State Income Tax (Line 2) Number
Enter the state income tax withheld amount for the second line (Box 17).
Local Wages, Tips, etc. (Line 1) Number
Enter the local wages, tips, and other compensation amount for the first line (Box 18).
Local Wages, Tips, etc. (Line 2) Number
Enter the local wages, tips, and other compensation amount for the second line (Box 18).
Local Income Tax (Line 1) Number
Enter the local income tax withheld amount for the first line (Box 19).
Local Income Tax (Line 2) Number
Enter the local income tax withheld amount for the second line (Box 19).
Locality Name (Line 1) Text
Enter the name of the locality (city/county/etc.) for the first line (Box 20).
Locality Name (Line 2) Text
Enter the name of the locality (city/county/etc.) for the second line (Box 20).
Copy B - Wages and Withholding (Boxes 1-11)
Box 1 Wages, tips, other compensation Number
Enter the total wages, tips, and other compensation paid to the employee as reported in Box 1.
Box 2 Federal income tax withheld Number
Enter the total federal income tax withheld from the employee’s pay as reported in Box 2.
Box 3 Social security wages Number
Enter the employee’s total wages subject to Social Security tax as reported in Box 3.
Box 4 Social security tax withheld Number
Enter the total Social Security tax withheld from the employee’s wages as reported in Box 4.
Box 5 Medicare wages and tips Number
Enter the employee’s total wages and tips subject to Medicare tax as reported in Box 5.
Box 6 Medicare tax withheld Number
Enter the total Medicare tax withheld from the employee’s pay as reported in Box 6.
Box 7 Social security tips Number
Enter the tips reported by the employee that are subject to Social Security tax as reported in Box 7.
Box 8 Allocated tips Number
Enter the amount of tips allocated by the employer to the employee as reported in Box 8.
Box 9 (Unused) Number
Enter the value shown in Box 9, if any, from the form.
Box 10 Dependent care benefits Number
Enter the total dependent care benefits provided to the employee as reported in Box 10.
Box 11 Nonqualified plans Number
Enter the amount of nonqualified deferred compensation or distributions reported in Box 11.
Copy C - Box 12 codes
Box 12a Code Text
Enter the Box 12 code for item 12a as shown on the W-2 (for example, D, DD, or other IRS code).
Max length: 2 characters
Box 12a Amount Number
Enter the amount associated with the Box 12a code. Fill only if 'Box 12a Code' is filled.
Depends on: Box 12a Code
Box 12b Code Text
Enter the Box 12 code for item 12b as shown on the W-2.
Max length: 2 characters
Box 12b Amount Number
Enter the amount associated with the Box 12b code. Fill only if 'Box 12b Code' is filled.
Depends on: Box 12b Code
Box 12c Code Text
Enter the Box 12 code for item 12c as shown on the W-2.
Max length: 2 characters
Box 12c Amount Number
Enter the amount associated with the Box 12c code. Fill only if 'Box 12c Code' is filled.
Depends on: Box 12c Code
Box 12d Code Text
Enter the Box 12 code for item 12d as shown on the W-2.
Max length: 2 characters
Box 12d Amount Number
Enter the amount associated with the Box 12d code. Fill only if 'Box 12d Code' is filled.
Depends on: Box 12d Code
Copy C - Box 13 checkboxes
Statutory employee Checkbox
Check this box if the employee is a statutory employee as defined by IRS rules and this status applies for the year.
Retirement plan Checkbox
Check this box if the employee was an active participant in an employer-sponsored retirement plan during the year.
Third-party sick pay Checkbox
Check this box if third-party sick pay (paid by a third party such as an insurer) was provided to the employee.
Copy C - Box 14 other
Box 14 Other (Copy C) Text
Enter any additional information the employer reports in Box 14 (Other) on Copy C, such as a label and the related amount or code.
Copy C - Control number
Control number Text
Enter the employer-assigned control number for this W-2 (if provided).
Copy C - Employee address
Employee address and ZIP code Text
Enter the employee’s complete mailing address, including street address (and apartment/suite number if applicable), city, state, and ZIP code.
Copy C - Employee name
Employee first name and middle initial Text
Enter the employee's first name and middle initial as it should appear on Copy C.
Employee last name Text
Enter the employee's last name as it should appear on Copy C.
Employee name suffix Text
Enter the employee's name suffix, if applicable (for example, Jr., Sr., III).
Copy C - Employee SSN
Employee Social Security Number (SSN) Text
Enter the employee's Social Security Number.
Max length: 11 characters
Copy C - Employer identifiers and address
Employer identification number (EIN) Text
Enter the employer's federal Employer Identification Number (EIN) as shown on the form.
Max length: 10 characters
Employer name and address Text
Enter the employer's full name and mailing address, including ZIP code.
Copy C - First state/local row
State Text
Enter the two-letter abbreviation for the state associated with this wage and tax information.
Employer's State ID Number Text
Enter the employer’s state identification number assigned by the state tax agency.
State Wages, Tips, etc. Number
Enter the total amount of wages, tips, and other compensation subject to state tax.
State Income Tax Number
Enter the total state income tax withheld.
Local Wages, Tips, etc. Number
Enter the total amount of wages, tips, and other compensation subject to local tax.
Local Income Tax Number
Enter the total local income tax withheld.
Locality Name Text
Enter the name of the city, county, school district, or other locality for which local tax was withheld.
Copy C - Second state/local row
State (Row 2) Text
Enter the two-letter state abbreviation for the second state/local tax row.
Employer State ID Number (Row 2) Text
Enter the employer's state identification number for the second state/local tax row.
State Wages, Tips, Etc. (Row 2) Number
Enter the amount of wages, tips, and other compensation subject to state tax for the second state/local tax row.
State Income Tax (Row 2) Number
Enter the amount of state income tax withheld for the second state/local tax row.
Local Wages, Tips, Etc. (Row 2) Number
Enter the amount of wages, tips, and other compensation subject to local tax for the second state/local tax row.
Local Income Tax (Row 2) Number
Enter the amount of local income tax withheld for the second state/local tax row.
Locality Name (Row 2) Text
Enter the name of the city, county, or other locality for the second state/local tax row.
Copy C - Wage and tax boxes (1-11)
Box 1 Wages, tips, other compensation Number
Enter the total taxable wages, tips, and other compensation paid to the employee for the year (W-2 box 1).
Box 2 Federal income tax withheld Number
Enter the total federal income tax withheld from the employee’s pay (W-2 box 2).
Box 3 Social security wages Number
Enter the amount of wages subject to Social Security tax (W-2 box 3).
Box 4 Social security tax withheld Number
Enter the total Social Security tax withheld from the employee’s wages (W-2 box 4).
Box 5 Medicare wages and tips Number
Enter the amount of wages and tips subject to Medicare tax (W-2 box 5).
Box 6 Medicare tax withheld Number
Enter the total Medicare tax withheld from the employee’s wages and tips (W-2 box 6).
Box 7 Social security tips Number
Enter the tips reported by the employee that are subject to Social Security tax (W-2 box 7).
Box 8 Allocated tips Number
Enter the amount of allocated tips assigned to the employee by the employer (W-2 box 8).
Box 9 Advance EIC payment Number
Enter the amount of any advance earned income credit (EIC) payments made to the employee (W-2 box 9).
Box 10 Dependent care benefits Number
Enter the total dependent care benefits provided to the employee, including amounts under a dependent care assistance program (W-2 box 10).
Box 11 Nonqualified plans Number
Enter the amount of distributions from nonqualified deferred compensation plans or nongovernmental section 457(b) plans (W-2 box 11).
Employee Name and Address
Employee First Name and Initial Text
Enter the employee’s first name and middle initial (if applicable).
Employee Last Name Text
Enter the employee’s legal last name (surname).
Employee Suffix Text
Enter the employee’s name suffix, if any (such as Jr., Sr., II, or III).
Employee Address and ZIP Code Text
Enter the employee’s complete mailing address, including street address (and apartment/unit if applicable), city, state, and ZIP code.
Employee Social Security Number
Employee Social Security Number (SSN) Text
Enter the employee’s Social Security number.
Max length: 11 characters
Employer Identification
Employer identification number (EIN) Text
Enter the employer’s federal Employer Identification Number (EIN) as shown on tax records.
Max length: 10 characters
Employer name, address, and ZIP code Text
Enter the employer’s legal name and complete mailing address, including ZIP code.
Federal Wage and Tax Amounts (Boxes 1-11)
Box 1 Wages, Tips, Other Compensation Number
Enter the total wages, tips, and other compensation amount reported in Box 1.
Box 2 Federal Income Tax Withheld Number
Enter the federal income tax withheld amount reported in Box 2.
Box 3 Social Security Wages Number
Enter the total Social Security wages amount reported in Box 3.
Box 4 Social Security Tax Withheld Number
Enter the Social Security tax withheld amount reported in Box 4.
Box 5 Medicare Wages and Tips Number
Enter the Medicare wages and tips amount reported in Box 5.
Box 6 Medicare Tax Withheld Number
Enter the Medicare tax withheld amount reported in Box 6.
Box 7 Social Security Tips Number
Enter the Social Security tips amount reported in Box 7.
Box 8 Allocated Tips Number
Enter the allocated tips amount reported in Box 8.
Box 9 (Reserved/Unused) Number
Enter the amount reported in Box 9, if any.
Box 10 Dependent Care Benefits Number
Enter the dependent care benefits amount reported in Box 10.
Box 11 Nonqualified Plans Number
Enter the nonqualified plans amount reported in Box 11.
Form Status (Void)
VOID Checkbox
Check this box if this form is being voided/cancelled and should not be processed as a valid filing.
State/Local Tax Info (First Row)
State Text
Enter the state abbreviation for the state tax information being reported.
Employer's State ID Number Text
Enter the employer's state identification number assigned by the state tax agency.
State Wages, Tips, etc. Number
Enter the wages, tips, and other compensation subject to state tax.
State Income Tax Number
Enter the amount of state income tax withheld.
Local Wages, Tips, etc. Number
Enter the wages, tips, and other compensation subject to local tax.
Local Income Tax Number
Enter the amount of local income tax withheld.
Locality Name Text
Enter the name of the city, county, or other locality for the local tax information.
State/Local Tax Info (Second Row)
State (Line 2) Text
Enter the state abbreviation for the second state/local tax entry on this W-2.
Employer's State ID Number (Line 2) Text
Enter the employer’s state identification number for the second state/local tax entry.
State Wages, Tips, etc. (Line 2) Number
Enter the amount of wages, tips, and other compensation subject to state tax for the second entry.
State Income Tax (Line 2) Number
Enter the amount of state income tax withheld for the second entry.
Local Wages, Tips, etc. (Line 2) Number
Enter the amount of wages, tips, and other compensation subject to local tax for the second entry.
Local Income Tax (Line 2) Number
Enter the amount of local income tax withheld for the second entry.
Locality Name (Line 2) Text
Enter the name of the city, county, or other locality for the second local tax entry.