b Employer’s Employer's Federal Employer Identification Number Identification Number (FEIN). c Employer’s Name, Self-explanatory. Address, and Zip Code d Control Number Not used e & f Employee's Self-explanatory. Identification Number, Organizational Code, Name, Address, and Zip Code 1 Wages, Tips, Other Sum of federal taxable plus federal Compensation (reportable) wages. 2 Federal Income Tax Amount of Federal income tax withheld. Withheld 3 Social Security Amount of OASDI taxable wages. Maximum is $113,700. 4 Social Security Tax Amount of OASDI tax withheld. Maximum is $7,049.40 Withheld 5 Medicare Wages and Amount of HI or Medicare taxable wages. Tips 6 Medicare Tax Withheld Amount of HI or Medicare tax withheld. 7 Social Security Tips Tips subject to tax. 8 Allocated Tips Tips allocated to the employee. 9 Not Used Not used. Should be blank. 10 Dependent Care Amount deducted through the Dependent Care Flexible Benefits Reimbursement Account (Deduction #021 and #055). 11 Nonqualified Plans Not used. Should be blank. 12 Multi-purpose: Box may contain the following required with labels assigned by IRS: C Term Insurance Coverage over $50,000 (Special Pay 14 - Imputed Life) E Section 403(b) plans (Deduction 039 - Annuities) G Section 457 plans (Deduction 038 - Deferred Compensation) Continued on next page W-2 Forms, continued W-2 Form Content Descriptions (continued) Field Title Description
b Employer’s Identification Number Employer's Federal Employer Identification Number (FEIN). c Employer’s Name, Address, and Zip Code Self-explanatory. d Control Number Not used e & f Employee's Identification Number, Organizational Code, Name, Address, and Zip Code Self-explanatory. 1 Wages, Tips, Other Compensation Sum of federal taxable plus federal (reportable) wages. 2 Federal Income Tax Withheld Amount of Federal income tax withheld. 3 Social Security Amount of OASDI taxable wages. Maximum is $113,700. 4 Social Security Tax Withheld Amount of OASDI tax withheld. Maximum is $7,049.40 5 Medicare Wages and Tips Amount of HI or Medicare taxable wages. 6 Medicare Tax Withheld Amount of HI or Medicare tax withheld. 7 Social Security Tips Tips subject to tax. 8 Allocated Tips Tips allocated to the employee. 9 Not Used Not used. Should be blank. 10 Dependent Care Benefits Amount deducted through the Dependent Care Flexible Reimbursement Account (Deduction #021 and #055). 11 Nonqualified Plans Not used. Should be blank. 12 Multi-purpose: C E G Box may contain the following required with labels assigned by IRS: Term Insurance Coverage over $50,000 (Special Pay 14 - Imputed Life) Section 403(b) plans (Deduction 039 - Annuities) Section 457 plans (Deduction 038 - Deferred Compensation) Continued on next page W-2 Forms, continued W-2 Form Content Descriptions (continued) Field Title Description