Countries and Languages
| Countries | Languages |
|---|---|
| USA | English |
Extracted Fields
Form Information
| Field | Description |
|---|---|
| Year | The filing year. |
Employee and Employer Identification
| Field | Description |
|---|---|
| Box a: Employee’s social security number | The employee’s social security number. |
| Box b: Employer Identification Number (EIN) | The employer’s details. |
| Box c: Employer’s name | The employer’s details. |
| Box c: Address, and ZIP code | The employer’s details. |
| Box d: Control number | The employer’s details. |
| Box e: Employee’s first name and initial, last name | The employee’s personal details. |
| Box f: Employee’s address and ZIP code | The employee’s personal details. |
Wages and Tax Information
| Field | Description |
|---|---|
| Box 1: Wages, tips, other compensation | The amounts paid and withheld. |
| Box 2: Federal income tax withheld | The amounts paid and withheld. |
| Box 3: Social security wages | The amounts paid and withheld. |
| Box 4: Social security tax withheld | The amounts paid and withheld. |
| Box 5: Medicare wages and tips | The amounts paid and withheld. |
| Box 6: Medicare tax withheld | The amounts paid and withheld. |
| Box 7: Social security tips | The amounts paid and withheld. |
| Box 8: Allocated tips | The amounts paid and withheld. |
| Box 10: Dependent care benefits | The amounts paid and withheld. |
| Box 11: Nonqualified plans | The amounts paid and withheld. |
Additional Compensation (Box 12)
| Field | Description |
|---|---|
| Box 12a - single or double letter code | The amount of compensation and benefits paid to the employee. |
| Box 12a - dollar amount | The amount of compensation and benefits paid to the employee. |
| Box 12b - single or double letter code | The amount of compensation and benefits paid to the employee. |
| Box 12b - dollar amount | The amount of compensation and benefits paid to the employee. |
| Box 12c - single or double letter code | The amount of compensation and benefits paid to the employee. |
| Box 12c - dollar amount | The amount of compensation and benefits paid to the employee. |
| Box 12d - single or double letter code | The amount of compensation and benefits paid to the employee. |
| Box 12d - dollar amount | The amount of compensation and benefits paid to the employee. |
Employee Status and Other Information
| Field | Description |
|---|---|
| Box 13: Statutory employee | Indicates whether the employee works full-time or part-time. |
| Box 13: Retirement plan | Indicates whether the employee participates in a pension or retirement plan. |
| Box 13: Third-party sick pay | Indicates whether the employer is a third-party sick pay payer or reports sick pay payments made by a third party. |
| Box 14: Other | Additional information. |
State and Local Tax Information (Repeating Group)
| Field | Description |
|---|---|
| Box 15: State | Taxes withheld. |
| Box 15: Employer’s state ID number | Taxes withheld. |
| Box 16: State wages, tips, etc. | Taxes withheld. |
| Box 17: State income tax | Taxes withheld. |
| Box 18: Local wages, tips, etc. | Taxes withheld. |
| Box 19: Local income tax | Taxes withheld. |
| Box 20: Locality name | Taxes withheld. |
Key Fields
- Box a: Employee’s social security number
- Box b: Employer identification number (EIN)
- Box c: Employer’s name
- Box e: Employee’s name
- Box 1: Wages, tips, other compensation