Reminder:
Internal Revenue Manual Part 3. Submission Processing · 2026-10-03 edition · updated 2026-10-04 · United States
Use these instructions for form revision 2023 only.
Qualified health plan expenses allocable to qualified sick leave wages reported on line 22 from Form 943, Line 23
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 2023.
LN nn Col t- Form 943-X Line 31
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