12, Box may contain the following required items with labels cont. assigned by IRS: M Uncollected OASDI on Group Term Life Insurance Coverage over $50,000 N Uncollected HI on Group Term Life Insurance Coverage over $50,000 P Excludable moving expense reimbursements Special Pay 03 -Moving and Relocation Nontaxable BB Roth 403(b) Deduction 043 – DD Cost of employer-sponsored health coverage EE Roth 457 Deduction 052 – Note: Only four items can print in . If an employee has more than four of these items, a second W-2 will be printed with basic identification information on it, but it will not repeat the wage and tax information printed on the first form. 13 This box contains checkboxes that are marked with an if they apply. “X” - Employee's FIT Status is equal to 1 and FICA STATUTORY EMPLOYEE Status not equal to a 1 on the H0BAD screen. Note: DOA will override this indicator unless specifically requested by the agency in writing. If employee was an active participant in a retirement RETIREMENT PLAN - plan for any part of a year. Contributions to non-qualified plans or 457 plans are excluded. Not applicable. THIRD PARTY SICK PAY - 14 Special Pay 07 Car Company Car – – 15 State Two-character abbreviation of the state and the employer’s identification number. 16 State Wages, Amount of state taxable wages. This can include imputed Tips, Etc. life and may also include any company-paid DI tax. 17 Income Amount of state income tax withheld Tax 18 Locality Name of the local taxing entity. Name 19 Local Amount of local taxable wages. (Note: For these amounts Wages, Tips, are reported with State.) Etc. 20 Local Amount of local income tax. (Note: For these amounts are Income Tax reported with State Tax.) Contact Information Department of Accounts - Payroll and Leave Contacts CIPPS 2016 Calendar Year-End
12, cont. M N P BB DD EE Box may contain the following required items with labels assigned by IRS: Uncollected OASDI on Group Term Life Insurance Coverage over $50,000 Uncollected HI on Group Term Life Insurance Coverage over $50,000 Excludable moving expense reimbursements Special Pay 03 -Moving and Relocation Nontaxable Roth 403(b) – Deduction 043 Cost of employer-sponsored health coverage Roth 457 – Deduction 052 Note: Only four items can print in . If an employee has more than four of these items, a second W-2 will be printed with basic identification information on it, but it will not repeat the wage and tax information printed on the first form. 13 This box contains checkboxes that are marked with an “X” if they apply. STATUTORY EMPLOYEE - Employee's FIT Status is equal to 1 and FICA Status not equal to a 1 on the H0BAD screen. Note: DOA will override this indicator unless specifically requested by the agency in writing. RETIREMENT PLAN - If employee was an active participant in a retirement plan for any part of a year. Contributions to non-qualified plans or 457 plans are excluded. THIRD PARTY SICK PAY - Not applicable. 14 Company Car – Special Pay 07 – Car 15 State Two-character abbreviation of the state and the employer’s identification number. 16 State Wages, Tips, Etc. Amount of state taxable wages. This can include imputed life and may also include any company-paid DI tax. 17 Income Tax Amount of state income tax withheld 18 Locality Name Name of the local taxing entity. 19 Local Wages, Tips, Etc. Amount of local taxable wages. (Note: For these amounts are reported with State.) 20 Local Income Tax Amount of local income tax. (Note: For these amounts are reported with State Tax.) Contact Information Department of Accounts - Payroll and Leave Contacts CIPPS 2016 Calendar Year-End
2016_12.docx