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 (for leave taken before April 1, 2021) from Form 941, Line 20
Enter the amount from:
Enter the amount from column (s) 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)
Enter the amount from column (t) box 1 through 5 of Sch R and/or box 1 through 8 of Sch R Continuation Sheet for form revision 2020
LN nn Col t- Qual SL Wages after March 31
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