1A
SEE REVERSE SIDE FOR
OPENING INSTRUCTIONS
S2032B
O
G
O
G
PRINTED IN USA
FROM:
First-Class Mail
Important Tax Document Enclosed
MW1289
A
8510020608
Front Blank
with W2 Instructions
on back side.
Front Blank
with W2 Instructions 
on back side.
Front Blank
with W2 Instructions
on back side.
Front Blank
with W2 Instructions
on back side.
29
5223/PS283
W 2 - COPY C
W 2 - COPY B
Front Blank
with W2 Instructions
on back side.
Front Blank
with W2 Instructions
on back side.
Eccentric
Z – Fold
5225B
5220B
MW285
1
1
1
1
Wages, tips, other compensation
Wages, tips, other compensation
Wages, tips, other compensation
Wages, tips, other compensation
3
3
3
3
Social security wages
Social security wages
Social security wages
Social security wages
5
5
5
5
Medicare wages and tips
Medicare wages and tips
Medicare wages and tips
Medicare wages and tips
2
2
2
2
Federal income tax withheld
Federal income tax withheld
Federal income tax withheld
Federal income tax withheld
4
4
4
4
Social security tax withheld
Social security tax withheld
Social security tax withheld
Social security tax withheld
6
6
6
6
Medicare tax withheld
Medicare tax withheld
Medicare tax withheld
Medicare tax withheld
c
c
c
c
Employer’s name, address, and ZIP code
Employer’s name, address, and ZIP code
Employer’s name, address, and ZIP code
Employer’s name, address, and ZIP code
OMB No. 1545-0029
OMB No. 1545-0029
OMB No. 1545-0029
OMB No. 1545-0029
7
7
7
7
Social security tips
Social security tips
Social security tips
Social security tips
8
8
8
8
Allocated tips
Allocated tips
Allocated tips
Allocated tips
10
10
10
10
Dependent care benefits
Dependent care benefits
Dependent care benefits
Dependent care benefits
11
11
11
11
Nonqualified plans
Nonqualified plans
Nonqualified plans
Nonqualified plans
12a
12a
12a
12a
See instructions for box 12
b
b
b
b
Employer identification number (EIN)
Employer identification number (EIN)
Employer identification number (EIN)
Employer identification number (EIN)
a
a
a
a
Employee’s social security number
Employee’s social security number
Employee’s social security number
Employee’s social security number
13
13
13
13
14
14
14
14
Other
Other
Other
Other
e
e
e
e
Employee’s name, address, and ZIP code
Employee’s name, address, and ZIP code
Employee’s name, address, and ZIP code
Employee’s name, address, and ZIP code
This information is
being furnished to the
Internal Revenue
Service. If you are
required to file a tax
return, a negligence
penalty or other
sanction may be
imposed on you if this
income is taxable and
you fail to report it.
1A
This information is
being furnished to
the Internal
Revenue Service.
Department of the Treasury
Department of the Treasury
Department of the Treasury
Department of the Treasury
—
—
—
—
Internal
Internal
Internal
Internal
Revenue Service
Revenue Service
Revenue Service
Revenue Service
O
G
O
G
S2001
8510027743
12b
12b
12b
12b
12c
12c
12c
12c
12d
12d
12d
12d
C
C
C
C
o
o
o
o
d
d
d
d
e
e
e
e
C
C
C
C
o
o
o
o
d
d
d
d
e
e
e
e
C
C
C
C
o
o
o
o
d
d
d
d
e
e
e
e
C
C
C
C
o
o
o
o
d
d
d
d
e
e
e
e
Statutory
Statutory
Statutory
Statutory
employee
employee
employee
employee
Retirement
Retirement
Retirement
Retirement
plan
plan
plan
plan
Third-party
Third-party
Third-party
Third-party
sick pay
sick pay
sick pay
sick pay
15
15
15
15
State
State
State
State
17
17
17
17
State income tax
State income tax
State income tax
State income tax
18
18
18
18
Local wages, tips, etc.
Local wages, tips, etc.
Local wages, tips, etc.
Local wages, tips, etc.
19
19
19
19
Local income tax
Local income tax
Local income tax
Local income tax
20
20
20
20
Locality name
Locality name
Locality name
Locality name
2025
2025
2025
2025
W-2
W-2
W-2
W-2
Wage and Tax
Wage and Tax
Wage and Tax
Wage and Tax
Statement
Statement
Statement
Statement
Copy 2 - To Be Filed With Employee’s
State, City, or Local Income Tax Return.
Employer’s state ID number
Employer’s state ID number
Employer’s state ID number
Employer’s state ID number
16
16
16
16
State wages, tips, etc.
State wages, tips, etc.
State wages, tips, etc.
State wages, tips, etc.
Form
Form
Form
Form
Copy C - For EMPLOYEE’S RECORDS
(See Notice to Employee on the back of Copy B.)
Copy B - To Be Filed With
Employee’s FEDERAL Tax Return.
Copy 2 - To Be Filed With Employee’s
State, City, or Local Income Tax Return.
A
See instructions for box 12
9
9
9
9
PRINTED IN USA
This information is being
furnished to the Internal
Revenue Service. If you
are required to file a tax
return, a negligence 
penalty or other sanction
may be imposed on you
if this income is taxable
and you fail to report it.
2025
W-2
Copy C-For
EMPLOYEE’S RECORDS
(See Notice to Employee
on the back of Copy B.)
Form
Wage and Tax
Statement
W-2
Form
Wage and Tax
Statement
Copy 2-To Be Filed With
Employee’s State, City, or
Local Income Tax Return.
FROM:
First-Class Mail
Important Tax Document Enclosed
OMB NO. 1545-0029
MW1287
Department of the Treasury—Internal Revenue Service
This information is being
furnished to the
Internal Revenue Service.
1A
SEE REVERSE SIDE FOR
OPENING INSTRUCTIONS
d
d
d
d
Control number
Control number
Control number
Control number
1
1
1
1
Wages, tips, other compensation
Wages, tips, other compensation
Wages, tips, other compensation
Wages, tips, other compensation
3
3
3
3
Social security wages
Social security wages
Social security wages
Social security wages
5
5
5
5
Medicare wages and tips
Medicare wages and tips
Medicare wages and tips
Medicare wages and tips
2
2
2
2
Federal income tax withheld
Federal income tax withheld
Federal income tax withheld
Federal income tax withheld
4
4
4
4
Social security tax withheld
Social security tax withheld
Social security tax withheld
Social security tax withheld
6
6
6
6
Medicare tax withheld
Medicare tax withheld
Medicare tax withheld
Medicare tax withheld
c
c
c
c
Employer’s name, address and ZIP code
Employer’s name, address and ZIP code
Employer’s name, address and ZIP code
Employer’s name, address and ZIP code
7
7
7
7
Social security tips
Social security tips
Social security tips
Social security tips
8
8
8
8
Allocated tips
Allocated tips
Allocated tips
Allocated tips
10
10
10
10
Dependent care benefits
Dependent care benefits
Dependent care benefits
Dependent care benefits
11
11
11
11
Nonqualified plans
Nonqualified plans
Nonqualified plans
Nonqualified plans
12a
12a
12a
12a
a
a
a
a
Employee’s social security number
Employee’s social security number
Employee’s social security number
Employee’s social security number
13
13
13
13
14
14
14
14
Other
Other
Other
Other
e
e
e
e
Employee’s name, address and ZIP code
Employee’s name, address and ZIP code
Employee’s name, address and ZIP code
Employee’s name, address and ZIP code
15
15
15
15
Statutory
Statutory
Statutory
Statutory
employee
employee
employee
employee
Retirement
Retirement
Retirement
Retirement
plan
plan
plan
plan
Third-party
Third-party
Third-party
Third-party
sick pay
sick pay
sick pay
sick pay
State
State
State
State
17
17
17
17
State income tax
State income tax
State income tax
State income tax
18
18
18
18
Local wages, tips, etc.
Local wages, tips, etc.
Local wages, tips, etc.
Local wages, tips, etc.
19
19
19
19
Local income tax
Local income tax
Local income tax
Local income tax
20
20
20
20
Locality name
Locality name
Locality name
Locality name
Employer’s state ID No.
Employer’s state ID No.
Employer’s state ID No.
Employer’s state ID No.
12b
12b
12b
12b
12c
12c
12c
12c
12d
12d
12d
12d
b
b
b
b
Employer identification number (EIN)
Employer identification number (EIN)
Employer identification number (EIN)
Employer identification number (EIN)
C
C
C
C
o
o
o
o
d
d
d
d
e
e
e
e
16
16
16
16
State wages, tips, etc.
State wages, tips, etc.
State wages, tips, etc.
State wages, tips, etc.
OMB NO. 1545-0029
Department of the Treasury—Internal Revenue Service
C
C
C
C
o
o
o
o
d
d
d
d
e
e
e
e
C
C
C
C
o
o
o
o
d
d
d
d
e
e
e
e
C
C
C
C
o
o
o
o
d
d
d
d
e
e
e
e
Form
W-2
Wage and Tax
Statement
Copy B-To Be Filed
With Employee’s
FEDERAL Tax Return
OMB NO. 1545-0029
OMB NO. 1545-0029
S2032B
2025
2025
2025
Copy 2-To Be Filed With
Employee’s State, City, or
Local Income Tax Return.
Wage and Tax
Statement
W-2
Form
Department of the Treasury—Internal Revenue Service
Department of the Treasury—Internal Revenue Service
A
8510020607
See instructions for box 12
See instructions for box 12
O
G
O
G
9
9
9
9
V – Fold
5224B
5223B
W-2 PRE-PRINTED & BLANK FORMS
Pressure Seal W-2 Forms
	Sheets per pack
	 500	
FORM DESCRIPTION
	 5220B	
11" W-2 4-Up Box Employee’s Copy B, C, 2, and 2 For City/Local Copy – V-Fold Duplex – 1 Sheet Equals 1 Form
	 5223B	
11" W-2 4-Up Box with Printed Backer Copy B – V-Fold Duplex – 1 Sheet Equals 1 Form
	 5224B	
14" W-2 4-UP Box Employee's Copy B, C, 2, and 2 For City/Local Copy – EZ-Fold Simplex – 1 Sheet Equals 1 Form
	 5225B	
14" W-2 4-Up Box with Printed Backer Copy B and C – EZ-Fold Simplex – 1 Sheet Equals 1 Form
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2026 image not available 
at time of printing.

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