Attention:
You may file Forms W-2 and W-3 electronically on the SSA’s Employer W-2 Filing Instructions and Information web page, which is also accessible at www.socialsecurity.gov/employer. You can create fill-in versions of Forms W-2 and W-3 for filing with SSA. You may also print out copies for filing with state or local governments, distribution to your employees, and for your records.
Note: Copy A of this form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. The official printed version of this IRS form is scannable, but the online version of it, printed from this website, is not. Do not print and file Copy A downloaded from this website with the SSA; a penalty may be imposed for filing forms that can’t be scanned. See the penalties section in the current General Instructions for Forms W-2 and W-3, available at www.irs.gov/w2, for more information.
Please note that Copy B and other copies of this form, which appear in black, may be downloaded, filled in, and printed and used to satisfy the requirement to provide the information to the recipient.
To order official IRS information returns such as Forms W-2 and W-3, which include a scannable Copy A for filing, go to IRS’ Online Ordering for Information Returns and Employer Returns page, or visit www.irs.gov/orderforms and click on Employer and Information returns. We’ll mail you the scannable forms and any other products you order.
See IRS Publications 1141, 1167, and 1179 for more information about printing these tax forms.
DO NOT CUT, FOLD, OR STAPLE THIS FORM
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For Official Use Only |
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44444 |
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OMB No. 1545-0029 |
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a Employer’s name, address, and ZIP code |
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c Tax year/Form corrected |
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d Employee’s correct SSN |
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/ W-2 |
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e Corrected SSN and/or name. (Check this box and complete boxes f and/or |
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g if incorrect on form previously filed.) |
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Complete boxes f and/or g only if incorrect on form previously filed: |
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f Employee’s previously reported SSN |
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b Employer identification number (EIN) |
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g Employee’s previously reported name |
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h Employee’s first name and initial |
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Last name |
Suff. |
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Note: Only complete money fields that are being corrected. (Exception: for |
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corrections involving MQGE, see the General Instructions for Forms W-2 |
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and W-3, under Specific Instructions for Form W-2c, boxes 5 and 6.) |
i Employee’s address and ZIP code |
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Previously reported |
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Correct information |
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Previously reported |
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Correct information |
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1 Wages, tips, other compensation |
1 Wages, tips, other compensation |
2 Federal income tax withheld |
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2 Federal income tax withheld |
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3 |
Social security wages |
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3 |
Social security wages |
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4 Social security tax withheld |
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4 Social security tax withheld |
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5 Medicare wages and tips |
5 Medicare wages and tips |
6 |
Medicare tax withheld |
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6 |
Medicare tax withheld |
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7 |
Social security tips |
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7 |
Social security tips |
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8 |
Allocated tips |
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8 |
Allocated tips |
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9 |
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9 |
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10 |
Dependent care benefits |
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10 |
Dependent care benefits |
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11 |
Nonqualified plans |
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11 |
Nonqualified plans |
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12a See instructions for box 12 |
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12a See instructions for box 12 |
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C |
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C |
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o |
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o |
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d |
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d |
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e |
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13 |
Statutory |
Retirement |
Third-party |
13 |
Statutory |
Retirement |
Third-party |
12b |
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12b |
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employee |
plan |
sick pay |
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employee |
plan |
sick pay |
C |
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C |
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o |
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o |
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d |
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e |
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e |
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14 Other (see instructions) |
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14 Other (see instructions) |
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12c |
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12c |
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C |
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C |
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12d |
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12d |
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C |
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C |
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o |
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o |
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State Correction |
Information |
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Previously reported |
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Correct information |
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Previously reported |
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Correct information |
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15 State |
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15 State |
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15 State |
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15 State |
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Employer’s state ID number |
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Employer’s state ID number |
Employer’s state ID number |
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Employer’s state ID number |
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16 State wages, tips, etc. |
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16 State wages, tips, etc. |
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16 State wages, tips, etc. |
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16 State wages, tips, etc. |
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17 State income tax |
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17 State income tax |
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17 State income tax |
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17 State income tax |
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Locality Correction |
Information |
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Previously reported |
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Correct information |
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Previously reported |
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Correct information |
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18 Local wages, tips, etc. |
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18 Local wages, tips, etc. |
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18 Local wages, tips, etc. |
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18 Local wages, tips, etc. |
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19 Local income tax |
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19 Local income tax |
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19 Local income tax |
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19 Local income tax |
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20 Locality name |
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20 Locality name |
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20 Locality name |
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20 Locality name |
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For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. |
Copy A—For Social Security Administration |
Form W-2c (Rev. 6-2024) |
Corrected Wage and Tax Statement |
|
Department of the Treasury |
Cat. No. 61437D |
Internal Revenue Service |