30
PRINTED IN USA
1A
FROM:
Important Tax Document Enclosed
SEE REVERSE SIDE FOR
OPENING INSTRUCTIONS
O
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O
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S2032B
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First-Class Mail
MW1288
806663114/10095979
5227B
8710039512 ©2021 RR Donnelley. All rights reserved. - 0221
S14EZ0073
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5512B
Eccentric
Z – Fold
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.
PRINTED IN USA
1A
FROM:
First-Class Mail
Important Tax Document Enclosed
MW1286
SEE REVERSE SIDE FOR
OPENING INSTRUCTIONS
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
2025
2025
2025
2025
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.
Form
Form
Form
Form
W-2
W-2
W-2
W-2
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
See instructions for box 12
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
15
15
15
15
Statutory
Statutory
Statutory
Statutory
emp
emp
emp
emp
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 number
Employer’s state ID number
Employer’s state ID number
Employer’s state ID number
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.
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
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
OMB No. 1545-0029
OMB No. 1545-0029
OMB No. 1545-0029
OMB No. 1545-0029
Copy 2 – To Be Filed With Employee’s State, City, or Local
Income Tax Return.
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.
This information is being furnished to the Internal Revenue Service.
S2032B
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12a
See instructions for box 12
12a
12a
806663104/10095667
9
9
9
9
5228B
Eccentric
Z – Fold
Blank face with backer instructions
Blank face with backer instructions
W-2 PRE-PRINTED & BLANK FORMS
Pressure Seal W-2 Forms
	Sheets per pack
	 500	
FORM DESCRIPTION
	 5227B	
14" Blank W-2 Employee’s 4-Up Horizontal – Blank with Backer Instructions B, C, 2, 2 – EZ-Fold Simplex – 1 Sheet Equals 1 Form
	 5228B	
14" W-2 Employee’s 4-Up Horizontal – Copy B, C, 2, 2 – EZ-Fold Simplex – 1 Sheet Equals 1 Form
	 5512B	
14" Blank W-2 Employee’s 4-Up Horizontal with Backer Instructions – EZ-Fold Simplex – 1 Sheet Equals 1 Form
	 5511B	
14" W-2 Employee’s 4-Up Box – Copy B, C, 2, 2 – EZ-Fold Duplex – 1 Sheet Equals 1 Form
	 5510B	
14" Blank W-2 4-Up Box with Backer Instructions – EZ-Fold Duplex – 1 Sheet Equals 1 Form
Eccentric
Z – Fold
MW1279
PRINTED IN USA
1A
W2-COPY C
W2-COPY B
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S2035
8510027754
A
MW1280Z
1A
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8510007086
A
PRINTED IN USA
8510007086 ©2025. - 0667
1 Wages, tips, other compensation
3 Social security wages
5 Medicare wages and tips
2 Federal income tax withheld
4 Social security tax withheld
6 Medicare tax withheld
c Employer’s name, address, and ZIP code
OMB No. 1545-0029
7 Social security tips
8 Allocated tips
10 Dependent care benefits
11 Nonqualified plans
12a
See instructions for box 12
b Employer identification number (EIN)
a Employee’s social security number
13
14 Other
e 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.
This information is
being furnished to
the Internal
Revenue Service.
Department of the Treasury—Internal Revenue Service
12b
12c
12d
C
o
d
e
C
o
d
e
C
o
d
e
C
o
d
e
Statutory
employee
Retirement
plan
Third-party
sick pay
15 State
17
State income tax
18
Local wages, tips, etc.
19
Local income tax
20
Locality name
2025
W-2
Wage and Tax
Statement
Copy 2 - To Be Filed With Employee’s
State, City, or Local Income Tax Return.
Employer’s state ID number
16
State wages, tips, etc.
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.
See instructions for box 12
9
1 Wages, tips, other compensation
3 Social security wages
5 Medicare wages and tips
2 Federal income tax withheld
4 Social security tax withheld
6 Medicare tax withheld
c Employer’s name, address, and ZIP code
OMB No. 1545-0029
7 Social security tips
8 Allocated tips
10 Dependent care benefits
11 Nonqualified plans
12a
b Employer identification number (EIN)
a Employee’s social security number
13
14 Other
e Employee’s name, address, and ZIP code
Department of the Treasury—Internal Revenue Service
12b
12c
12d
C
o
d
e
C
o
d
e
C
o
d
e
C
o
d
e
Statutory
employee
Retirement
plan
Third-party
sick pay
15 State
17
State income tax
18
Local wages, tips, etc.
19
Local income tax
20
Locality name
2025
W-2
Wage and Tax
Statement
Employer’s state ID number
16
State wages, tips, etc.
Form
9
1 Wages, tips, other compensation
3 Social security wages
5 Medicare wages and tips
2 Federal income tax withheld
4 Social security tax withheld
6 Medicare tax withheld
c Employer’s name, address, and ZIP code
OMB No. 1545-0029
7 Social security tips
8 Allocated tips
10 Dependent care benefits
11 Nonqualified plans
12a
b Employer identification number (EIN)
a Employee’s social security number
13
14 Other
e Employee’s name, address, and ZIP code
Department of the Treasury—Internal Revenue Service
12b
12c
12d
C
o
d
e
C
o
d
e
C
o
d
e
C
o
d
e
Statutory
employee
Retirement
plan
Third-party
sick pay
15 State
17
State income tax
18
Local wages, tips, etc.
19
Local income tax
20
Locality name
2025
W-2
Wage and Tax
Statement
Employer’s state ID number
16
State wages, tips, etc.
Form
9
1 Wages, tips, other compensation
3 Social security wages
5 Medicare wages and tips
2 Federal income tax withheld
4 Social security tax withheld
6 Medicare tax withheld
c Employer’s name, address, and ZIP code
OMB No. 1545-0029
7 Social security tips
8 Allocated tips
10 Dependent care benefits
11 Nonqualified plans
12a
b Employer identification number (EIN)
a Employee’s social security number
13
14 Other
e Employee’s name, address, and ZIP code
Department of the Treasury—Internal Revenue Service
12b
12c
12d
C
o
d
e
C
o
d
e
C
o
d
e
C
o
d
e
Statutory
employee
Retirement
plan
Third-party
sick pay
15 State
17
State income tax
18
Local wages, tips, etc.
19
Local income tax
20
Locality name
2025
W-2
Wage and Tax
Statement
Employer’s state ID number
16
State wages, tips, etc.
Form
9
Blank face with backer instructions
5511B
5510B
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at time of printing.
2026 image not available 
at time of printing.

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