23 5204 e Employee’s name, address, and ZIP code VOID a Employee’s social security number OMB No. 1545-0029 b c Employer’s name, address, and ZIP code d Control number 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 12a See instructions for box 12 Co de 12b Co de 12c Co de 12d Co de 13 Statutory employee Retirement plan Third-party sick pay 14a Other 14b Treasury Tipped Occupation Code(s) 15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Copy 1—For State, City, or Local Tax Department Copy D—For Employer Form W-2 Wage and Tax Statement 2026 Department of the Treasury—Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. e Employee’s name, address, and ZIP code VOID a Employee’s social security number OMB No. 1545-0029 b c Employer’s name, address, and ZIP code d Control number 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 12a See instructions for box 12 Co de 12b Co de 12c Co de 12d Co de 13 Statutory employee Retirement plan Third-party sick pay 14a Other 14b Treasury Tipped Occupation Code(s) 15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Copy 1—For State, City, or Local Tax Department Copy D—For Employer Form W-2 Wage and Tax Statement 2026 Department of the Treasury—Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. 22222 22222 5203 Copy C—For EMPLOYEE’S RECORDS (See Notice to Employee on the back of Copy B.) or Copy 2 to be Filed With Employee’s State, City or Local Income Tax Return W-2 Form Wage and Tax Statement e Employee’s name, address, and ZIP code a Employee’s social security number OMB No. 1545-0029 This information is being furnished to the Internal Revenue Service. If you may be imposed on you if this income is taxable and you fail to report it. b c Employer’s name, address, and ZIP code d Control number 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 12a See instructions for box 12 Co de 12b Co de 12c Co de 12d Co de 13 Statutory employee Retirement plan Third-party sick pay 14a Other 14b Treasury Tipped Occupation Code(s) 15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 2026 Department of the Treasury—Internal Revenue Service Safe, accurate, FAST! Use Copy C—For EMPLOYEE’S RECORDS (See Notice to Employee on the back of Copy B.) or Copy 2 to be Filed With Employee’s State, City or Local Income Tax Return W-2 Form Wage and Tax Statement e Employee’s name, address, and ZIP code a Employee’s social security number OMB No. 1545-0029 This information is being furnished to the Internal Revenue Service. If you may be imposed on you if this income is taxable and you fail to report it. b c Employer’s name, address, and ZIP code d Control number 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 12a See instructions for box 12 Co de 12b Co de 12c Co de 12d Co de 13 Statutory employee Retirement plan Third-party sick pay 14a Other 14b Treasury Tipped Occupation Code(s) 15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 2026 Department of the Treasury—Internal Revenue Service Safe, accurate, FAST! Use 5202 e Employee’s name, address, and ZIP code a Employee’s social security number OMB No. 1545-0029 Safe, accurate, FAST! Use Visit the IRS website at www.irs.gov/efile. b c Employer’s name, address, and ZIP code d Control number 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 12a See instructions for box 12 Co de 12b Co de 12c Co de 12d Co de 13 Statutory employee Retirement plan Third-party sick pay 14a Other 14b Treasury Tipped Occupation Code(s) 15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 2026 Department of the Treasury—Internal Revenue Service Form W-2 Wage and Tax Statement Copy B—To Be Filed With Employee’s FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service. e Employee’s name, address, and ZIP code a Employee’s social security number OMB No. 1545-0029 Safe, accurate, FAST! Use Visit the IRS website at www.irs.gov/efile. b c Employer’s name, address, and ZIP code d Control number 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 12a See instructions for box 12 Co de 12b Co de 12c Co de 12d Co de 13 Statutory employee Retirement plan Third-party sick pay 14a Other 14b Treasury Tipped Occupation Code(s) 15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 2026 Department of the Treasury—Internal Revenue Service Form W-2 Wage and Tax Statement Copy B—To Be Filed With Employee’s FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service. 5204 5222 Front Blank with W-2 Instructions on back side. 5203 5222 5207 5202 5201 (5) W-3 Transmittal forms are included with each Federal Copy A (Red) Form order Required Envelope: 66661 or 66662 DO NOT STAPLE a Control number For Official Use Only: OMB No. 1545-0029 b Kind of Payer (Check one) 941 Military 943 944 CT-1 Hshld. emp. Medicare govt. emp. Kind of Employer (Check one) None apply 501c non-govt. State/local non-501c State/local 501c Federal govt. Third-party sick pay (Check if applicable) c Total number of Forms W-2 d Establishment number e f Employer’s name g Employer’s address and ZIP code h Other EIN used this year 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 12a Deferred compensation 12b 13 For third-party sick pay use only 14 Income tax withheld by payer of third-party sick pay 15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax Employer’s contact person Employer’s telephone number Employer’s fax number Employer’s email address Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and complete. Signature: Title: Date: Form Transmittal of Wage and Tax Statements Department of the Treasury Internal Revenue Service 5200 41-0852411 2026 W-3 Send this entire page with the entire Copy A page of Form(s) W-2 to the Social Security Administration (SSA). Photocopies are not acceptable. Do not send Form W-3 if you filed electronically with the SSA. Do not send any payment (cash, checks, money orders, etc.) with Forms W-2 and W-3. Reminder Separate instructions. See the 2026 General Instructions for Forms W-2 W-3 for Form(s) W-2 that were submitted electronically to the SSA. Purpose of Form paper forms must comply with IRS standards and be machine readable. Photocopies are not acceptable. Use a Form W-3 even if only one number (EIN). Make a copy of this form and keep it with Copy D (For Employer) of Form(s) W-2 for your records. The IRS recommends retaining copies of these forms for at least 4 years. E-Filing The SSA strongly suggests employers report Form W-3 and Forms W-2 Copy A electronically instead of on paper. The SSA provides two free • W-2 Online. to 50 Forms W-2 at a time to the SSA. • File Upload. using the SSA’s Specifications for Filing Forms W-2 Electronically (EFW2). February 01, 2027. For more information, go to www.SSA.gov/bso. When To File Paper Forms Mail Form W-3 with Copy A of Form(s) W-2 by February 01, 2027. Where To File Paper Forms Send this entire page with the entire Copy A page of Form(s) W-2 to: Social Security Administration Direct Operations Center Wilkes-Barre, PA 18769-0001 Note: “18769-0002.” If you use an IRS-approved private delivery service, add “ATTN: W-2 Process, 1150 E. Mountain Dr.” to the address and change the ZIP code to “18702-7997.” Go to www.irs.gov/PDS for a list of IRS- approved private delivery services. For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Created 6/30/25 33333 5207 5200 W-2 PRE-PRINTED & BLANK FORMS Sheets per pack 25 50 500 FORM DESCRIPTION 520025 520050 5200B W-3 Transmittal Of Income and Tax Statement – 1 Sheet Equals 1 Form 520125 520150 5201B W-2 IRS Federal Copy A – 1 Sheet Equals 2 Forms 520225 520250 5202B W-2 Employee's Copy B – 1 Sheet Equals 2 Forms 520325 520350 5203B W-2 Employee’s Copy C and/or State, City, or Local Copy 2 – 1 Sheet Equals 2 Forms 520425 520450 5204B W-2 Employer’s Copy D and/or State, City, or Local Copy 1 – 1 Sheet Equals 2 Forms 522225 522250 5222B W-2 Blank Face, with W-2 Backer Instructions – 1 Sheet Equals 2 Forms 520725 520750 5207B W-2 Blank Face, No Backer – 1 Sheet Equals 2 Forms 530925 N/A N/A W-3C Transmittal Of Corrected Income and Tax Statement – 1 Sheet Equals 1 Form N/A 531350 N/A W-2C Corrected Income Federal Copy A – 1 Sheet Equals 1 Form N/A 531450 N/A W-2C Corrected Income Employee’s Copy B – 1 Sheet Equals 1 Form N/A 531550 N/A W-2C Corrected Income Employee's Copy C and/or State, City, or Local – 1 Sheet Equals 1 Form N/A 531650 N/A W-2C Corrected Income Employee’s Copy C and/or State, City, Local Copy 2 – 1 Sheet Equals 1 Form 22222 22222 2026 2026 5201 41-0852411 VOID a Employee’s social security number For Official Use Only OMB No. 1545-0029 b c Employer’s name, address, and ZIP code d Control number e Last name Suff. f Employee’s address and ZIP code 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 12a See instructions for box 12 Co de 12b Co de 12c Co de 12d Co de 13 Statutory employee Retirement plan Third-party sick pay 14a Other 14b Treasury Tipped Occupation Code(s) 15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Department of the Treasury—Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Form W-2 Wage and Tax Statement Copy A—For Social Security Administration. Send this entire page with Form W-3 to the Social Security Administration; photocopies are not acceptable. Created 1/7/26 Do Not Cut, Fold, or Staple Forms on This Page 41-0852411 VOID a Employee’s social security number For Official Use Only OMB No. 1545-0029 b c Employer’s name, address, and ZIP code d Control number e Last name Suff. f Employee’s address and ZIP code 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 12a See instructions for box 12 Co de 12b Co de 12c Co de 12d Co de 13 Statutory employee Retirement plan Third-party sick pay 14a Other 14b Treasury Tipped Occupation Code(s) 15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Form W-2 Wage and Tax Statement Department of the Treasury—Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Copy A—For Social Security Administration. Send this entire page with Form W-3 to the Social Security Administration; photocopies are not acceptable. Created 1/7/26 Individual 2-Up Laser Packs
View this content as a flipbook by clicking here.