Form W-2c - Fill, Edit Online, Download & Print - No Signup

Image 1

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

44444

For Official Use Only

OMB No. 1545-0029

a

Employer’s name, address, and ZIP code

b

Employer identification number (EIN)

c

Tax year/Form corrected

/

W-2

d

Employee’s correct SSN

e

Corrected SSN and/or name. (Check this box and complete boxes f and/or

g if incorrect on form previously filed.)

Complete boxes f and/or g only if incorrect on form

previously filed

:

f

Employee’s

previously reported

SSN

g

Employee’s

previously reported

name

h

Employee’s first name and initial

Last name

Suff.

i

Employee’s address and ZIP code

Note:

Only complete money fields that are being corrected.

(Exception: for

corrections involving MQGE, see the General Instructions for Forms W-2

and W-3, under

Specific Instructions

for Form W-2c

, boxes 5 and 6.)

Previously reported

1

Wages, tips, other compensation

Correct information

1

Wages, tips, other compensation

Previously reported

2

Federal income tax withheld

Correct information

2

Federal income tax withheld

3

Social security wages

3

Social security wages

4

Social security tax withheld

4

Social security tax withheld

5

Medicare wages and tips

5

Medicare wages and tips

6

Medicare tax withheld

6

Medicare tax withheld

7

Social security tips

7

Social security tips

8

Allocated tips

8

Allocated tips

9

9

10

Dependent care benefits

10

Dependent care benefits

11

Nonqualified plans

11

Nonqualified plans

12a

See instructions for box 12

C

o

d

e

12a

See instructions for box 12

C

o

d

e

12b

C

o

d

e

12b

C

o

d

e

12c

C

o

d

e

12c

C

o

d

e

12d

C

o

d

e

12d

C

o

d

e

13

Statutory

employee

Retirement

plan

Third-party

sick pay

13

Statutory

employee

Retirement

plan

Third-party

sick pay

14

Other (see instructions)

14

Other (see instructions)

State Correction Information

Previously reported

15

State

Employer’s state ID number

Correct information

15

State

Employer’s state ID number

Previously reported

15

State

Employer’s state ID number

Correct information

15

State

Employer’s state ID number

16

State wages, tips, etc.

16

State wages, tips, etc.

16

State wages, tips, etc.

16

State wages, tips, etc.

17

State income tax

17

State income tax

17

State income tax

17

State income tax

Locality Correction Information

Previously reported

18

Local wages, tips, etc.

Correct information

18

Local wages, tips, etc.

Previously reported

18

Local wages, tips, etc.

Correct information

18

Local wages, tips, etc.

19

Local income tax

19

Local income tax

19

Local income tax

19

Local income tax

20

Locality name

20

Locality name

20

Locality name

20

Locality name

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

Cat. No. 61437D

Department of the Treasury

Internal Revenue Service

44444

For Official Use Only

OMB No. 1545-0029

a

Employer’s name, address, and ZIP code

b

Employer identification number (EIN)

c

Tax year/Form corrected

/

W-2

d

Employee’s correct SSN

e

Corrected SSN and/or name. (Check this box and complete boxes f and/or

g if incorrect on form previously filed.)

Complete boxes f and/or g only if incorrect on form

previously filed

:

f

Employee’s

previously reported

SSN

g

Employee’s

previously reported

name

h

Employee’s first name and initial

Last name

Suff.

i

Employee’s address and ZIP code

Note:

Only complete money fields that are being corrected.

(Exception: for

corrections involving MQGE, see the General Instructions for Forms W-2

and W-3, under

Specific Instructions for Form W-2c

, boxes 5 and 6.)

Previously reported

1

Wages, tips, other compensation

Correct information

1

Wages, tips, other compensation

Previously reported

2

Federal income tax withheld

Correct information

2

Federal income tax withheld

3

Social security wages

3

Social security wages

4

Social security tax withheld

4

Social security tax withheld

5

Medicare wages and tips

5

Medicare wages and tips

6

Medicare tax withheld

6

Medicare tax withheld

7

Social security tips

7

Social security tips

8

Allocated tips

8

Allocated tips

9

9

10

Dependent care benefits

10

Dependent care benefits

11

Nonqualified plans

11

Nonqualified plans

12a

See instructions for box 12

C

o

d

e

12a

See instructions for box 12

C

o

d

e

12b

C

o

d

e

12b

C

o

d

e

12c

C

o

d

e

12c

C

o

d

e

12d

C

o

d

e

12d

C

o

d

e

13

Statutory

employee

Retirement

plan

Third-party

sick pay

13

Statutory

employee

Retirement

plan

Third-party

sick pay

14

Other (see instructions)

14

Other (see instructions)

State Correction Information

Previously reported

15

State

Employer’s state ID number

Correct information

15

State

Employer’s state ID number

Previously reported

15

State

Employer’s state ID number

Correct information

15

State

Employer’s state ID number

16

State wages, tips, etc.

16

State wages, tips, etc.

16

State wages, tips, etc.

16

State wages, tips, etc.

17

State income tax

17

State income tax

17

State income tax

17

State income tax

Locality Correction Information

Previously reported

18

Local wages, tips, etc.

Correct information

18

Local wages, tips, etc.

Previously reported

18

Local wages, tips, etc.

Correct information

18

Local wages, tips, etc.

19

Local income tax

19

Local income tax

19

Local income tax

19

Local income tax

20

Locality name

20

Locality name

20

Locality name

20

Locality name

Copy 1—For State, City, or Local Tax Department

Form

W-2c

(Rev. 6-2024)

Corrected Wage and Tax Statement

Department of the Treasury

Internal Revenue Service

Image 1

44444

For Official Use Only

OMB No. 1545-0029

Safe, accurate,

FAST! Use

Visit the IRS website

at

www.irs.gov/efile

.

a

Employer’s name, address, and ZIP code

b

Employer identification number (EIN)

c

Tax year/Form corrected

/

W-2

d

Employee’s correct SSN

e

Corrected SSN and/or name. (Check this box and complete boxes f and/or

g if incorrect on form previously filed.)

Complete boxes f and/or g only if incorrect on form

previously filed

:

f

Employee’s

previously reported

SSN

g

Employee’s

previously reported

name

h

Employee’s first name and initial

Last name

Suff.

i

Employee’s address and ZIP code

Note:

Only complete money fields that are being corrected.

(Exception: for

corrections involving MQGE, see the General Instructions for Forms W-2

and W-3, under

Specific Instructions

for Form W-2c

, boxes 5 and 6.)

Previously reported

1

Wages, tips, other compensation

Correct information

1

Wages, tips, other compensation

Previously reported

2

Federal income tax withheld

Correct information

2

Federal income tax withheld

3

Social security wages

3

Social security wages

4

Social security tax withheld

4

Social security tax withheld

5

Medicare wages and tips

5

Medicare wages and tips

6

Medicare tax withheld

6

Medicare tax withheld

7

Social security tips

7

Social security tips

8

Allocated tips

8

Allocated tips

9

9

10

Dependent care benefits

10

Dependent care benefits

11

Nonqualified plans

11

Nonqualified plans

12a

See instructions for box 12

C

o

d

e

12a

See instructions for box 12

C

o

d

e

12b

C

o

d

e

12b

C

o

d

e

12c

C

o

d

e

12c

C

o

d

e

12d

C

o

d

e

12d

C

o

d

e

13

Statutory

employee

Retirement

plan

Third-party

sick pay

13

Statutory

employee

Retirement

plan

Third-party

sick pay

14

Other (see instructions)

14

Other (see instructions)

State Correction Information

Previously reported

15

State

Employer’s state ID number

Correct information

15

State

Employer’s state ID number

Previously reported

15

State

Employer’s state ID number

Correct information

15

State

Employer’s state ID number

16

State wages, tips, etc.

16

State wages, tips, etc.

16

State wages, tips, etc.

16

State wages, tips, etc.

17

State income tax

17

State income tax

17

State income tax

17

State income tax

Locality Correction Information

Previously reported

18

Local wages, tips, etc.

Correct information

18

Local wages, tips, etc.

Previously reported

18

Local wages, tips, etc.

Correct information

18

Local wages, tips, etc.

19

Local income tax

19

Local income tax

19

Local income tax

19

Local income tax

20

Locality name

20

Locality name

20

Locality name

20

Locality name

Copy B—To Be Filed With Employee’s FEDERAL Tax Return

Form

W-2c

(Rev. 6-2024)

Corrected Wage and Tax Statement

Department of the Treasury

Internal Revenue Service

Image 1

44444

For Official Use Only

OMB No. 1545-0029

Safe, accurate,

FAST! Use

Visit the IRS website

at

www.irs.gov/efile

.

a

Employer’s name, address, and ZIP code

b

Employer identification number (EIN)

c

Tax year/Form corrected

/

W-2

d

Employee’s correct SSN

e

Corrected SSN and/or name. (Check this box and complete boxes f and/or

g if incorrect on form previously filed.)

Complete boxes f and/or g only if incorrect on form

previously filed

:

f

Employee’s

previously reported

SSN

g

Employee’s

previously reported

name

h

Employee’s first name and initial

Last name

Suff.

i

Employee’s address and ZIP code

Note:

Only complete money fields that are being corrected. (Exception: for

corrections involving MQGE, see the General Instructions for Forms W-2

and W-3, under

Specific Instructions

for Form W-2c

, boxes 5 and 6.)

Previously reported

1

Wages, tips, other compensation

Correct information

1

Wages, tips, other compensation

Previously reported

2

Federal income tax withheld

Correct information

2

Federal income tax withheld

3

Social security wages

3

Social security wages

4

Social security tax withheld

4

Social security tax withheld

5

Medicare wages and tips

5

Medicare wages and tips

6

Medicare tax withheld

6

Medicare tax withheld

7

Social security tips

7

Social security tips

8

Allocated tips

8

Allocated tips

9

9

10

Dependent care benefits

10

Dependent care benefits

11

Nonqualified plans

11

Nonqualified plans

12a

See instructions for box 12

C

o

d

e

12a

See instructions for box 12

C

o

d

e

12b

C

o

d

e

12b

C

o

d

e

12c

C

o

d

e

12c

C

o

d

e

12d

C

o

d

e

12d

C

o

d

e

13

Statutory

employee

Retirement

plan

Third-party

sick pay

13

Statutory

employee

Retirement

plan

Third-party

sick pay

14

Other (see instructions)

14

Other (see instructions)

State Correction Information

Previously reported

15

State

Employer’s state ID number

Correct information

15

State

Employer’s state ID number

Previously reported

15

State

Employer’s state ID number

Correct information

15

State

Employer’s state ID number

16

State wages, tips, etc.

16

State wages, tips, etc.

16

State wages, tips, etc.

16

State wages, tips, etc.

17

State income tax

17

State income tax

17

State income tax

17

State income tax

Locality Correction Information

Previously reported

18

Local wages, tips, etc.

Correct information

18

Local wages, tips, etc.

Previously reported

18

Local wages, tips, etc.

Correct information

18

Local wages, tips, etc.

19

Local income tax

19

Local income tax

19

Local income tax

19

Local income tax

20

Locality name

20

Locality name

20

Locality name

20

Locality name

Copy C—For EMPLOYEE’S RECORDS

Form

W-2c

(Rev. 6-2024)

Corrected Wage and Tax Statement

Department of the Treasury

Internal Revenue Service

Notice to Employee

This is a corrected Form W-2 (or Form W-2AS, W-2CM,

W-2GU, W-2VI, or W-2c) for the tax year shown in box c.

If you have filed an income tax return for the year shown,

you may have to file an amended return. Compare

amounts on this form with those reported on your income

tax return. If the corrected amounts change your U.S.

income tax, file Form 1040-X with Copy B of this Form

W-2c to amend the return you already filed.

If there is a correction in box 5, Medicare wages and

tips, use the corrected amount to determine if you need

to file or amend Form 8959. Attach an original or

amended Form 8959 to Form 1040 or 1040-X, as

applicable.

If you have not filed your return for the year shown in

box c, attach Copy B of the original Form W-2 you

received from your employer and Copy B of this Form

W-2c to your return when you file it.

For more information, contact your nearest Internal

Revenue Service office. Employees in American Samoa,

the Commonwealth of the Northern Mariana Islands,

Guam, or the U.S. Virgin Islands should contact their local

taxing authority for more information.

Future developments.

For the latest information about

Form W-2c and its instructions, such as legislation

enacted after we release them, go to

www.irs.gov/

FormW2c

.

44444

For Official Use Only

OMB No. 1545-0029

a

Employer’s name, address, and ZIP code

b

Employer identification number (EIN)

c

Tax year/Form corrected

/

W-2

d

Employee’s correct SSN

e

Corrected SSN and/or name. (Check this box and complete boxes f and/or

g if incorrect on form previously filed.)

Complete boxes f and/or g only if incorrect on form

previously filed

:

f

Employee’s

previously reported

SSN

g

Employee’s

previously reported

name

h

Employee’s first name and initial

Last name

Suff.

i

Employee’s address and ZIP code

Note:

Only complete money fields that are being corrected. (Exception: for

corrections involving MQGE, see the General Instructions for Forms W-2

and W-3, under

Specific Instructions

for Form W-2c

, boxes 5 and 6.)

Previously reported

1

Wages, tips, other compensation

Correct information

1

Wages, tips, other compensation

Previously reported

2

Federal income tax withheld

Correct information

2

Federal income tax withheld

3

Social security wages

3

Social security wages

4

Social security tax withheld

4

Social security tax withheld

5

Medicare wages and tips

5

Medicare wages and tips

6

Medicare tax withheld

6

Medicare tax withheld

7

Social security tips

7

Social security tips

8

Allocated tips

8

Allocated tips

9

9

10

Dependent care benefits

10

Dependent care benefits

11

Nonqualified plans

11

Nonqualified plans

12a

See instructions for box 12

C

o

d

e

12a

See instructions for box 12

C

o

d

e

12b

C

o

d

e

12b

C

o

d

e

12c

C

o

d

e

12c

C

o

d

e

12d

C

o

d

e

12d

C

o

d

e

13

Statutory

employee

Retirement

plan

Third-party

sick pay

13

Statutory

employee

Retirement

plan

Third-party

sick pay

14

Other (see instructions)

14

Other (see instructions)

State Correction Information

Previously reported

15

State

Employer’s state ID number

Correct information

15

State

Employer’s state ID number

Previously reported

15

State

Employer’s state ID number

Correct information

15

State

Employer’s state ID number

16

State wages, tips, etc.

16

State wages, tips, etc.

16

State wages, tips, etc.

16

State wages, tips, etc.

17

State income tax

17

State income tax

17

State income tax

17

State income tax

Locality Correction Information

Previously reported

18

Local wages, tips, etc.

Correct information

18

Local wages, tips, etc.

Previously reported

18

Local wages, tips, etc.

Correct information

18

Local wages, tips, etc.

19

Local income tax

19

Local income tax

19

Local income tax

19

Local income tax

20

Locality name

20

Locality name

20

Locality name

20

Locality name

Copy 2—To Be Filed With Employee’s State, City, or Local Income Tax Return

Form

W-2c

(Rev. 6-2024)

Corrected Wage and Tax Statement

Department of the Treasury

Internal Revenue Service

44444

For Official Use Only

OMB No. 1545-0029

a

Employer’s name, address, and ZIP code

b

Employer identification number (EIN)

c

Tax year/Form corrected

/

W-2

d

Employee’s correct SSN

e

Corrected SSN and/or name. (Check this box and complete boxes f and/or

g if incorrect on form previously filed.)

Complete boxes f and/or g only if incorrect on form

previously filed

:

f

Employee’s

previously reported

SSN

g

Employee’s

previously reported

name

h

Employee’s first name and initial

Last name

Suff.

i

Employee’s address and ZIP code

Note:

Only complete money fields that are being corrected. (Exception: for

corrections involving MQGE, see the General Instructions for Forms W-2

and W-3, under

Specific Instructions

for Form W-2c

, boxes 5 and 6.)

Previously reported

1

Wages, tips, other compensation

Correct information

1

Wages, tips, other compensation

Previously reported

2

Federal income tax withheld

Correct information

2

Federal income tax withheld

3

Social security wages

3

Social security wages

4

Social security tax withheld

4

Social security tax withheld

5

Medicare wages and tips

5

Medicare wages and tips

6

Medicare tax withheld

6

Medicare tax withheld

7

Social security tips

7

Social security tips

8

Allocated tips

8

Allocated tips

9

9

10

Dependent care benefits

10

Dependent care benefits

11

Nonqualified plans

11

Nonqualified plans

12a

See instructions for box 12

C

o

d

e

12a

See instructions for box 12

C

o

d

e

12b

C

o

d

e

12b

C

o

d

e

12c

C

o

d

e

12c

C

o

d

e

12d

C

o

d

e

12d

C

o

d

e

13

Statutory

employee

Retirement

plan

Third-party

sick pay

13

Statutory

employee

Retirement

plan

Third-party

sick pay

14

Other (see instructions)

14

Other (see instructions)

State Correction Information

Previously reported

15

State

Employer’s state ID number

Correct information

15

State

Employer’s state ID number

Previously reported

15

State

Employer’s state ID number

Correct information

15

State

Employer’s state ID number

16

State wages, tips, etc.

16

State wages, tips, etc.

16

State wages, tips, etc.

16

State wages, tips, etc.

17

State income tax

17

State income tax

17

State income tax

17

State income tax

Locality Correction Information

Previously reported

18

Local wages, tips, etc.

Correct information

18

Local wages, tips, etc.

Previously reported

18

Local wages, tips, etc.

Correct information

18

Local wages, tips, etc.

19

Local income tax

19

Local income tax

19

Local income tax

19

Local income tax

20

Locality name

20

Locality name

20

Locality name

20

Locality name

Copy D—For Employer

Form

W-2c

(Rev. 6-2024)

Corrected Wage and Tax Statement

Department of the Treasury

Internal Revenue Service

Employers, Please Note:

Specific information needed to complete Form W-2c is

available in a separate booklet titled the General

Instructions for Forms W-2 and W-3, under

Specific

Instructions for Form W-2c

. You can order these

instructions and additional forms at

www.irs.gov/

OrderForms

.

Caution:

Do not send the SSA any Forms W-2c or W-3c

that you have printed from IRS.gov. The SSA is unable to

process these forms. Instead, you can create and submit

them online. See

E-filing

, later.

Need help?

If you have questions about reporting on

Form W-2c, call the Technical Services Operation (TSO)

toll free at 866-455-7438 or 304-263-8700 (not toll free).

Deaf or hard-of-hearing customers may call any of our

toll-free numbers using their choice of relay service.

E-filing.

See the General Instructions for Forms W-2 and

W-3 for information on when you’re required to file

Form(s) W-2c electronically. Employers may use the

SSA’s W-2c Online service to create, save, print, and

electronically submit up to 25 Form(s) W-2c at a time.

When you

e-file

with the SSA, no separate Form W-3c

filing is required. An electronic Form W-3c will be created

for you by the W-2c Online service. For information, visit

the SSA’s Employer W-2 Filing Instructions & Information

website at

www.SSA.gov/employer

.

Future developments.

For the latest information about

Form W-2c and its instructions, such as legislation

enacted after we release them, go to

www.irs.gov/

FormW2c

.