Reminder:
Internal Revenue Manual Part 3. Submission Processing · 2026-10-03 edition · updated 2026-10-04 · United States
Use these instructions for form revisions 2022 - 2023 only.
Qualified health plan expenses allocable to qualified family leave wages reported on Line 26 from Form 941, Line 27
Enter the amount from column (x) box 1 through 5 of Sch R and/or box 1 through 8 of Sch R Continuation Sheet for form revisions 2022 (Rev. Jun 2022) through 2023 (Rev. March 2023).
LN nn Col x- Tot Ln 24 and 27
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