5230
5231
5232
5233
W-2G LASER
MISCELLANEOUS FORMS
5323
Form 1042-S
2026
Foreign Person’s U.S. Source Income Subject to Withholding
Department of the Treasury 
Internal Revenue Service
Go to www.irs.gov/Form1042S for instructions and the latest information.
OMB No. 1545-0096
Copy D for Recipient 
UNIQUE FORM IDENTIFIER
AMENDED
AMENDMENT NO.
1 Income 
code
2  Gross income 3   Chapter indicator.  Enter “3” or “4”
3a Exemption code
3b Tax rate
.
4a Exemption code
4b Tax rate
.
5  Withholding allowance
6  Net income
7a  Federal tax withheld
7b  Check if federal tax withheld was not deposited with the IRS because 
escrow procedures were applied (see instructions) .
.
.
.
.
.
7c  Check if withholding occurred in subsequent year with respect to a 
partnership interest .
.
.
.
.
.
.
.
.
.
.
.
.
.
7d  
partnership, or withholding foreign trust revising its reporting on Form 
.
.
.
.
.
.
.
.
.
8  Tax withheld by other agents 
9  Overwithheld tax repaid to recipient pursuant 
to adjustment procedures (see instructions)
(                                                               )
10  Total withholding credit 
(combine boxes 7a, 8, and 9)
11  Tax paid by withholding agent (amounts not withheld) (see instructions)
12a  Withholding agent’s EIN
12b  Ch. 3 status code
12c  Ch. 4 status code
12d  Withholding agent’s name
12e  
12f  Country code
12g  FTIN, if any
12h  Address (number and street)
12i  Room or suite no.
12j  City or town
12k  State or province
12l  Country
12m  ZIP or foreign postal code
13i  Recipient’s U.S. TIN, if any
13j  Ch. 3 status code
13k Ch. 4 status code
13l  Recipient’s GIIN 
13m  Recipient’s FTIN, if any
13n  LOB code 
13o  Recipient’s account number
13p  Recipient’s date of birth (YYYYMMDD)
14a  Primary withholding agent’s name (if applicable)
14b  Primary withholding agent’s EIN
15  Check if pro-rata basis reporting 
15a  
EIN, if any
15b  Ch. 3 status code
15c  Ch. 4 status code
15d  
15e  
15f  Country code
15g  FTIN, if any
15h  Address (number and street)
15i  Room or suite no.
15j  City or town
15k  State or province
15l  Country
15m  ZIP or foreign postal code
16a  Payer’s name 
16b  Payer’s TIN
16c  Payer’s GIIN
16d  Ch. 3 status code
16e  Ch. 4 status code
17a  State income tax withheld
17b  Payer’s state tax no.
17c  Name of state
Form 1042-S (2026)
13a,c,d  Recipient’s name, address, city, state and ZIP code 13b Recipient’s country code
5322
Form 1042-S
2026
Foreign Person’s U.S. Source Income Subject to Withholding
Department of the Treasury 
Internal Revenue Service
Go to www.irs.gov/Form1042S for instructions and the latest information.
OMB No. 1545-0096
Copy C for Recipient 
UNIQUE FORM IDENTIFIER
AMENDED
AMENDMENT NO.
1 Income 
code
2  Gross income 3   Chapter indicator.  Enter “3” or “4”
3a Exemption code
3b Tax rate
.
4a Exemption code
4b Tax rate
.
5  Withholding allowance
6  Net income
7a  Federal tax withheld
7b  Check if federal tax withheld was not deposited with the IRS because 
escrow procedures were applied (see instructions) .
.
.
.
.
.
7c  Check if withholding occurred in subsequent year with respect to a 
partnership interest .
.
.
.
.
.
.
.
.
.
.
.
.
.
7d  
partnership, or withholding foreign trust revising its reporting on Form 
.
.
.
.
.
.
.
.
.
8  Tax withheld by other agents 
9  Overwithheld tax repaid to recipient pursuant 
to adjustment procedures (see instructions)
(                                                               )
10  Total withholding credit 
(combine boxes 7a, 8, and 9)
11  Tax paid by withholding agent (amounts not withheld) (see instructions)
12a  Withholding agent’s EIN
12b  Ch. 3 status code
12c  Ch. 4 status code
12d  Withholding agent’s name
12e  
12f  Country code
12g  FTIN, if any
12h  Address (number and street)
12i  Room or suite no.
12j  City or town
12k  State or province
12l  Country
12m  ZIP or foreign postal code
13i  Recipient’s U.S. TIN, if any
13j  Ch. 3 status code
13k Ch. 4 status code
13l  Recipient’s GIIN 
13m  Recipient’s FTIN, if any
13n  LOB code 
13o  Recipient’s account number
13p  Recipient’s date of birth (YYYYMMDD)
14a  Primary withholding agent’s name (if applicable)
14b  Primary withholding agent’s EIN
15  Check if pro-rata basis reporting 
15a  
EIN, if any
15b  Ch. 3 status code
15c  Ch. 4 status code
15d  
15e  
15f  Country code
15g  FTIN, if any
15h  Address (number and street)
15i  Room or suite no.
15j  City or town
15k  State or province
15l  Country
15m  ZIP or foreign postal code
16a  Payer’s name 
16b  Payer’s TIN
16c  Payer’s GIIN
16d  Ch. 3 status code
16e  Ch. 4 status code
17a  State income tax withheld
17b  Payer’s state tax no.
17c  Name of state
Form 1042-S (2026)
13a,c,d  Recipient’s name, address, city, state and ZIP code 13b Recipient’s country code
5321
Form 1042-S
2026
Foreign Person’s U.S. Source Income Subject to Withholding
Department of the Treasury 
Internal Revenue Service
Go to www.irs.gov/Form1042S for instructions and the latest information.
OMB No. 1545-0096
Copy B   
for Recipient
UNIQUE FORM IDENTIFIER
AMENDED
AMENDMENT NO.
1 Income 
code
2  Gross income 3   Chapter indicator.  Enter “3” or “4”
3a Exemption code
3b Tax rate
.
4a Exemption code
4b Tax rate
.
5  Withholding allowance
6  Net income
7a  Federal tax withheld
7b  Check if federal tax withheld was not deposited with the IRS because 
escrow procedures were applied (see instructions) .
.
.
.
.
.
7c  Check if withholding occurred in subsequent year with respect to a 
partnership interest .
.
.
.
.
.
.
.
.
.
.
.
.
.
7d  
partnership, or withholding foreign trust revising its reporting on Form 
.
.
.
.
.
.
.
.
.
8  Tax withheld by other agents 
9  Overwithheld tax repaid to recipient pursuant 
to adjustment procedures (see instructions)
(                                                               )
10  Total withholding credit 
(combine boxes 7a, 8, and 9)
11  Tax paid by withholding agent (amounts not withheld) (see instructions)
12a  Withholding agent’s EIN
12b  Ch. 3 status code
12c  Ch. 4 status code
12d  Withholding agent’s name
12e  
12f  Country code
12g  FTIN, if any
12h  Address (number and street)
12i  Room or suite no.
12j  City or town
12k  State or province
12l  Country
12m  ZIP or foreign postal code
13i  Recipient’s U.S. TIN, if any
13j  Ch. 3 status code
13k Ch. 4 status code
13l  Recipient’s GIIN 
13m  Recipient’s FTIN, if any
13n  LOB code 
13o  Recipient’s account number
13p  Recipient’s date of birth (YYYYMMDD)
14a  Primary withholding agent’s name (if applicable)
14b  Primary withholding agent’s EIN
15  Check if pro-rata basis reporting 
15a  
EIN, if any
15b  Ch. 3 status code
15c  Ch. 4 status code
15d  
15e  
15f  Country code
15g  FTIN, if any
15h  Address (number and street)
15i  Room or suite no.
15j  City or town
15k  State or province
15l  Country
15m  ZIP or foreign postal code
16a  Payer’s name 
16b  Payer’s TIN
16c  Payer’s GIIN
16d  Ch. 3 status code
16e  Ch. 4 status code
17a  State income tax withheld
17b  Payer’s state tax no.
17c  Name of state
(keep for your records)
Form 1042-S (2026)
13a,c,d  Recipient’s name, address, city, state and ZIP code 13b Recipient’s country code
Form 1042-S
2026
Foreign Person’s U.S. Source Income Subject to Withholding
Department of the Treasury 
Internal Revenue Service
Go to www.irs.gov/Form1042S for instructions and the latest information.
OMB No. 1545-0096
Copy A for
Internal Revenue Service
UNIQUE FORM IDENTIFIER
AMENDED
AMENDMENT NO.
1 Income 
code
2  Gross income 3   Chapter indicator.  Enter “3” or “4”
3a Exemption code
3b Tax rate
.
4a Exemption code
4b Tax rate
.
5  Withholding allowance
6  Net income
7a  Federal tax withheld
7b  Check if federal tax withheld was not deposited with the IRS because 
escrow procedures were applied (see instructions) .
.
.
.
.
.
7c  Check if withholding occurred in subsequent year with respect to a 
partnership interest .
.
.
.
.
.
.
.
.
.
.
.
.
.
7d  
partnership, or withholding foreign trust revising its reporting on Form 
8  Tax withheld by other agents 
9  Overwithheld tax repaid to recipient pursuant 
to adjustment procedures (see instructions)
(
)
10  Total withholding credit 
(combine boxes 7a, 8, and 9)
11  Tax paid by withholding agent (amounts not withheld) (see instructions)
12a  Withholding agent’s EIN
12b  Ch. 3 status code
12c  Ch. 4 status code
12d  Withholding agent’s name
12e  
12f  Country code
12g  FTIN, if any
12h  Address (number and street)
12i  Room or suite no.
12j  City or town
12k  State or province
12l  Country
12m  ZIP or foreign postal code
13a  Recipient’s name
13b  Recipient’s country code
13c  Address (number and street)
13d  Apt. no.
13e  City or town
13f  State or province
13g  Country
13h  ZIP or foreign postal code
13i  Recipient’s U.S. TIN, if any
13j  Ch. 3 status code
13k Ch. 4 status code
13l  Recipient’s GIIN 
13m  Recipient’s FTIN, if any
13n  LOB code 
13o  Recipient’s account number
13p  Recipient’s date of birth (YYYYMMDD)
14a  Primary withholding agent’s name (if applicable)
14b  Primary withholding agent’s EIN
15  Check if pro-rata basis reporting 
15a  
EIN, if any
15b  Ch. 3 status code
15c  Ch. 4 status code
15d  
15e  
15f  Country code
15g  FTIN, if any
15h  Address (number and street)
15i  Room or suite no.
15j  City or town
15k  State or province
15l  Country
15m  ZIP or foreign postal code
16a  Payer’s name 
16b  Payer’s TIN
16c  Payer’s GIIN
16d  Ch. 3 status code
16e  Ch. 4 status code
17a  State income tax withheld
17b  Payer’s state tax no.
17c  Name of state
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
Form 1042-S (2026) Created 8/29/25
5320
 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS
 DETACH BEFORE MAILING
5233
state or province, country, and ZIP or foreign postal code  
, street address (including apt. no.), city or town,
WINNER’S name
2
$
$
$
$
$
$
$
Form W-2G
(Rev. January 2026)
Certain 
Gambling 
Winnings
Department of the Treasury - Internal Revenue Service
 
OMB No. 1545-0238
For calendar year
20
VOID 
CORRECTED
PAYER’S name
Street address
Room or suite no.
City or town
State or province
Country
ZIP or foreign postal code
PAYER’S TIN 
PAYER’S telephone no.
1  Reportable winnings
2  Date won
3  Type of wager
4  Federal income tax withheld
5  Transaction
6  Race
7  Winnings from identical wagers
8  Cashier
9  WINNER’S TIN
10  Window
11
12
13  State/Payer’s state 
14  State winnings
15  State income tax 
withheld
16  Local winnings
17  Local income tax 
withheld
18  Name of locality
on number that I have furnished 
correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.
Signature:
Date:
Form W-2G (Rev. 1-2026)
www.irs.gov/FormW2G
Copy 1
For State, City or
or Copy D For Payer.
Local Tax
Department
state or province, country, and ZIP or foreign postal code  
, street address (including apt. no.), city or town,
WINNER’S name
2
$
$
$
$
$
$
$
Form W-2G
(Rev. January 2026)
Certain 
Gambling 
Winnings
Department of the Treasury - Internal Revenue Service
 
OMB No. 1545-0238
For calendar year
20
VOID 
CORRECTED
PAYER’S name
Street address
Room or suite no.
City or town
State or province
Country
ZIP or foreign postal code
PAYER’S TIN 
PAYER’S telephone no.
1  Reportable winnings
2  Date won
3  Type of wager
4  Federal income tax withheld
5  Transaction
6  Race
7  Winnings from identical wagers
8  Cashier
9  WINNER’S TIN
10  Window
11
12
13  State/Payer’s state 
14  State winnings
15  State income tax 
withheld
16  Local winnings
17  Local income tax 
withheld
18  Name of locality
on number that I have furnished 
correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.
Signature:
Date:
Form W-2G (Rev. 1-2026)
www.irs.gov/FormW2G
Copy 1
For State, City or
or Copy D For Payer.
Local Tax
Department
For Privacy Act 
and Paperwork 
Reduction Act 
Notice, see 
Pub. 1099, 
General 
Instructions 
for Certain 
Information 
Returns.
For Privacy Act 
and Paperwork 
Reduction Act 
Notice, see 
Pub. 1099, 
General 
Instructions 
for Certain 
Information 
Returns.
 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS
 DETACH BEFORE MAILING
5232
Form W-2G
(Rev. January 2026)
Certain 
Gambling 
Winnings
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0238
For calendar year
20
CORRECTED (if checked)
PAYER’S name
Street address
Room or suite no.
City or town
State or province
Country
ZIP or foreign postal code
PAYER’S TIN 
PAYER’S telephone no.
1  Reportable winnings
2  Date won
3  Type of wager
4  Federal income tax withheld
5  Transaction
6  Race
7  Winnings from identical wagers
8  Cashier
9  WINNER’S TIN
10  Window
11
12
13  State/Payer’s state 
14  State winnings
15  State income tax 
withheld
17  Local income tax 
withheld
18  Name of locality
16  Local winnings
on number that I have furnished 
correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.
Signature:
Date:
Form W-2G (Rev. 1-2026)
www.irs.gov/FormW2G
$
$
$
$
$
$
$
 
 
 
  
 
 
 
t
d
  
 
 
 
Attach this copy to
Winner’s Records.
your state
Copy 2
if 
required or Copy C
 For
, city, or local
income tax return,
This is important tax 
information and is 
being furnished to 
the Internal Revenue 
Service. If you are 
return, a negligence 
penalty or other 
sanction may be 
imposed on you if 
this income is 
taxable and the 
IRS determines 
that it has not 
been reported.
WINNER’S name
state or province, country, and ZIP or foreign postal code  
, street address (including apt. no.), city or town,
Form W-2G
(Rev. January 2026)
Certain 
Gambling 
Winnings
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0238
For calendar year
20
CORRECTED (if checked)
PAYER’S name
Street address
Room or suite no.
City or town
State or province
Country
ZIP or foreign postal code
PAYER’S TIN 
PAYER’S telephone no.
1  Reportable winnings
2  Date won
3  Type of wager
4  Federal income tax withheld
5  Transaction
6  Race
7  Winnings from identical wagers
8  Cashier
9  WINNER’S TIN
10  Window
11
12
13  State/Payer’s state 
14  State winnings
15  State income tax 
withheld
17  Local income tax 
withheld
18  Name of locality
16  Local winnings
on number that I have furnished 
correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.
Signature:
Date:
Form W-2G (Rev. 1-2026)
www.irs.gov/FormW2G
$
$
$
$
$
$
$
 
 
 
  
 
 
 
t
d
  
 
 
 
Attach this copy to
Winner’s Records.
your state
Copy 2
if 
required or Copy C
 For
, city, or local
income tax return,
This is important tax 
information and is 
being furnished to 
the Internal Revenue 
Service. If you are 
return, a negligence 
penalty or other 
sanction may be 
imposed on you if 
this income is 
taxable and the 
IRS determines 
that it has not 
been reported.
WINNER’S name
state or province, country, and ZIP or foreign postal code  
, street address (including apt. no.), city or town,
 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS
 DETACH BEFORE MAILING
5231
WINNER’S name
state or province, country, and ZIP or foreign postal code  
, street address (including apt. no.), city or town,
2
$
$
$
$
$
$
$
Form W-2G
(Rev. January 2026)
Certain 
Gambling 
Winnings
Department of the Treasury - Internal Revenue Service
Copy B 
Report this income 
on your federal tax 
return. If this form 
shows federal 
income tax 
withheld in box 4, 
attach this copy 
to your return.
This information 
is being furnished 
to the IRS.
OMB No. 1545-0238
For calendar year
20
CORRECTED (if checked)
PAYER’S name
Street address
Room or suite no.
City or town
State or province
Country
ZIP or foreign postal code
PAYER’S TIN 
PAYER’S telephone no.
1  Reportable winnings
  Date won
3  Type of wager
4  Federal income tax withheld
5  Transaction
6  Race
7  Winnings from identical wagers
8  Cashier
9  WINNER’S TIN
10  Window
11
12
13  State/Payer’s state 
14  State winnings
15  State income tax 
withheld
16  Local winnings
17  Local income tax 
withheld
18  Name of locality
on number that I have furnished 
correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.
Signature:
Date:
Form W-2G (Rev. 1-2026)
www.irs.gov/FormW2G
WINNER’S name
state or province, country, and ZIP or foreign postal code  
, street address (including apt. no.), city or town,
2
$
$
$
$
$
$
$
Form W-2G
(Rev. January 2026)
Certain 
Gambling 
Winnings
Department of the Treasury - Internal Revenue Service
Copy B 
Report this income 
on your federal tax 
return. If this form 
shows federal 
income tax 
withheld in box 4, 
attach this copy 
to your return.
This information 
is being furnished 
to the IRS.
OMB No. 1545-0238
For calendar year
20
CORRECTED (if checked)
PAYER’S name
Street address
Room or suite no.
City or town
State or province
Country
ZIP or foreign postal code
PAYER’S TIN 
PAYER’S telephone no.
1  Reportable winnings
  Date won
3  Type of wager
4  Federal income tax withheld
5  Transaction
6  Race
7  Winnings from identical wagers
8  Cashier
9  WINNER’S TIN
10  Window
11
12
13  State/Payer’s state 
14  State winnings
15  State income tax 
withheld
16  Local winnings
17  Local income tax 
withheld
18  Name of locality
on number that I have furnished 
correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.
Signature:
Date:
Form W-2G (Rev. 1-2026)
www.irs.gov/FormW2G
 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS
3232
3232
 DETACH BEFORE MAILING
5230
41-0852411
Form W-2G
(Rev. January 2026)
Certain 
Gambling 
Winnings
Department of the Treasury - Internal Revenue Service
Copy A 
For Internal Revenue 
Service Center
File with Form 1096
OMB No. 1545-0238
For Privacy Act 
and Paperwork 
Reduction Act 
Notice, see 
Pub. 1099, 
General 
Instructions 
for Certain 
Information 
Returns.
For calendar year
20
VOID 
CORRECTED
PAYER’S name
Street address
Room or suite no.
City or town
State or province
Country
ZIP or foreign postal code
PAYER’S TIN 
PAYER’S telephone no.
WINNER’S name
Street address
Apt. no.
City or town
State or province
Country
ZIP or foreign postal code
1  Reportable winnings
2  Date won
3  Type of wager
4  Federal income tax withheld
5  Transaction
6  Race
7  Winnings from identical wagers
8  Cashier
9  WINNER’S TIN
10  Window
11
12
13  State/Payer’s state 
14  State winnings
15  State income tax 
withheld
16  Local winnings
17  Local income tax 
withheld
18  Name of locality
on number that I have furnished 
correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.
Signature:
Date: 
Form W-2G (Rev. 1-2026) Created 11/24/25
www.irs.gov/FormW2G
Do Not Cut or Separate Forms on This Page  —  Do Not Cut or Separate Forms on This Page
$
$
$
$
$
$
$
Form W-2G
(Rev. January 2026)
Certain 
Gambling 
Winnings
Department of the Treasury - Internal Revenue Service
Copy A 
For Internal Revenue 
Service Center
File with Form 1096
OMB No. 1545-0238
For Privacy Act 
and Paperwork 
Reduction Act 
Notice, see 
Pub. 1099, 
General 
Instructions 
for Certain 
Information 
Returns.
For calendar year
20
VOID 
CORRECTED
PAYER’S name
Street address
Room or suite no.
City or town
State or province
Country
ZIP or foreign postal code
PAYER’S TIN 
PAYER’S telephone no.
WINNER’S name
Street address
Apt. no.
City or town
State or province
Country
ZIP or foreign postal code
1  Reportable winnings
2  Date won
3  Type of wager
4  Federal income tax withheld
5  Transaction
6  Race
7  Winnings from identical wagers
8  Cashier
9  WINNER’S TIN
10  Window
11
12
13  State/Payer’s state 
14  State winnings
15  State income tax 
withheld
16  Local winnings
17  Local income tax 
withheld
18  Name of locality
on number that I have furnished 
correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.
Signature:
Date: 
Form W-2G (Rev. 1-2026) Created 11/24/25
www.irs.gov/FormW2G
$
$
$
$
$
$
$
532025
532125
532225
532325
1042-S LASER
10251
I-9
	
FORM	
DESCRIPTION
	 10251	
I-9 – 50 FORMS  PER PACK - Instruction booklet is included with each form.
Supplement B, 
Reverification and Rehire (formerly Section 3) 
USCIS 
Form I-9
Supplement B
Expires 05/31/2027
Department of Homeland Security 
Last Name (Family Name) from Section 1. 
First Name (Given Name) from Section 1. 
Middle initial (if any) from Section 1. 
Instructions: This supplement replaces Section 3 on the previous version of Form I-9. Only use this page if your employee requires 
reverification, is rehired within three years of the date the original Form I-9 was completed, or provides proof of a legal name change.  Enter 
the employee's name in the fields above. Use a new section for each reverification or rehire. Review the Form I-9 instructions before 
completing this page. Keep this page as part of the employee's Form I-9 record. Additional guidance can be found in the 
Handbook for Employers: Guidance for Completing Form I-9 (M-274) 
New Name (if applicable)
Date of Rehire (if applicable) 
Date (mm/dd/yyyy) 
Last Name (Family Name) 
First Name (Given Name) 
Middle Initial 
Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show 
continued employment authorization. Enter the document information in the spaces below. 
Document Title 
Document Number (if any) 
Expiration Date (if any) (mm/dd/yyyy) 
I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the  
employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it. 
Name of Employer or Authorized Representative 
Signature of Employer or Authorized Representative 
Today's Date (mm/dd/yyyy) 
Additional Information (Initial and date each notation.) 
Check here if you used an 
alternative procedure authorized 
by DHS to examine documents. 
Date of Rehire (if applicable) 
New Name (if applicable) 
Date (mm/dd/yyyy) 
Last Name (Family Name) 
First Name (Given Name) 
Middle Initial 
Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show 
continued employment authorization. Enter the document information in the spaces below. 
Document Title 
Document Number (if any) 
Expiration Date (if any) (mm/dd/yyyy) 
I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the  
employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it. 
Name of Employer or Authorized Representative 
Signature of Employer or Authorized Representative 
Today's Date (mm/dd/yyyy) 
Additional Information (Initial and date each notation.) 
Check here if you used an 
alternative procedure authorized 
by DHS to examine documents. 
Date of Rehire (if applicable) 
New Name (if applicable) 
Date (mm/dd/yyyy) 
Last Name (Family Name) 
First Name (Given Name) 
Middle Initial 
Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show 
continued employment authorization. Enter the document information in the spaces below. 
Document Title 
Document Number (if any) 
Expiration Date (if any) (mm/dd/yyyy) 
I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the  
employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it. 
Name of Employer or Authorized Representative 
Signature of Employer or Authorized Representative 
Today's Date (mm/dd/yyyy) 
Additional Information (Initial and date each notation.) 
Check here if you used an 
alternative procedure authorized 
by DHS to examine documents. 
01/20/25
 
Form I-9 Supplement B  01/20/2025
 
Form I-9 Supplement B  Edition  01/20/25
1042-S, W-2G & I-9
W-2G
Used to report gambling winnings and any Federal income tax 
withheld on those winnings. The requirements for reporting and 
withholding depend on the type of gambling, the amount of the 
gambling winnings and the ratio of the winnings to the wager. The 
types of gambling are grouped as follows: 1. Horse racing, dog racing, 
jai alai and Other Wagering Transactions, 2. Sweepstakes, Wagering 
Pools and Lotteries, 3. Bingo, keno and slot machines, 4. Poker 
Tournaments, 5. Sports Wagering. Due to recent IRS changes, we have 
updated the instructions to comply with 2026 reporting.
Required Envelope: 77771
W-2G CERTAIN GAMBLING WINNINGS
	 FORM	
DESCRIPTION
	 523025	
Laser W2-G Copy A
	 523125	
Laser W2-G Copy B
	 523225	
Laser W2-G Copy 2 and/or C
	 523325	
Laser W2-G Copy D and/or 1
1042-S
Used to report all income and/or tax with­held for non-resident aliens 
and foreign corporations with United States income. (However, resident 
aliens are treated the same as U.S. citizens; thus a regular W-2 Form 
may be used for reporting. If in doubt whether employee qualifies as a 
resident or non-resident, check with local IRS offices.)
Only available in Laser format. 
Required Envelope:  21211
Order by year:          2026 = 26          2027 = 27
To IRS and to Recipient Paper Filing due date: March 15
1042-S FOREIGN PERSON’S U.S. SOURCE INCOME 
SUBJECT TO WITHHOLDING
LASER FORMS
	
2026	
2027
	 FORM	
 FORM	
DESCRIPTION
	 53202650	
53202750	
Laser 1042-S Copy A
	 53212650	
53212750	
Laser 1042-S Copy B
	 53222650	
53222750	
Laser 1042-S Copy C
	 53232650	
53232750	
Laser 1042-S Copy D
35
I-9 EMPLOYMENT ELIGIBILITY VERIFICATION
The Department of Homeland Security, U.S. Citizenship and Immigration 
Services (USCIS) requires all U.S. employers to complete Form I-9 for 
every paid employee regardless of citizenship or immigration status. 
Form I-9 is used to verify both the identity and the employment 
authorization of every individual hired for work in the United States. 
The Form must be completed by both the employer and the employee 
at the time of hire, which is the actual start of employment.

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