0624 Form W-3C (PDF) — verbatim text

Official source: IRS Forms, Instructions & Publications (https://www.irs.gov/pub/irs-pdf/fw3c.pdf), retrieved 2026-10-03. U.S. Government work (17 U.S.C. § 105).

Attention:¶

You may file Forms W-2 and W-3 electronically on the SSA’s Employer W-2 Filing…¶

Note: Copy A of this form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. The official printed version of this IRS form is scannable, but the online version of it, printed from this website, is not. Do not print and file Copy A downloaded from this website with the SSA; a penalty may be imposed for filing forms that can’t be scanned. See the penalties section in the current General Instructions for Forms W-2 and W-3, available at www.irs.gov/w2, for more information.

Please note that Copy B and other copies of this form, which appear in black, may be downloaded, filled in, and printed and used to satisfy the requirement to provide the information to the recipient.

To order official IRS information returns such as Forms W-2 and W-3, which include a scannable Copy A for filing, go to IRS’ Online Ordering for Information Returns and Employer Returns page, or visit www.irs.gov/orderforms and click on Employer and Information returns. We’ll mail you the scannable forms and any other products you order.

See IRS Publications 1141, 1167, and 1179 for more information about printing these tax forms.

DO NOT CUT, FOLD, OR STAPLE

55555	a Tax year/Form corrected / W-			For Official Use Only: OMB No. 1545-0029
bEmployer’s name, address, and ZIP code	bEmployer’s name, address, and ZIP code	bEmployer’s name, address, and ZIP code	c Kind of Payer(Check one) 941/941-SS Military 943 944 CT-1 Hshld. emp. Medicare govt. emp.	c Kind of Payer(Check one) 941/941-SS Military 943 944 CT-1 Hshld. emp. Medicare govt. emp.	c Kind of Payer(Check one) 941/941-SS Military 943 944 CT-1 Hshld. emp. Medicare govt. emp.	c Kind of Payer(Check one) 941/941-SS Military 943 944 CT-1 Hshld. emp. Medicare govt. emp.	Kind of Employer(Check one) None apply 501c non-govt. State/local non-501c State/local 501c Federal govt.	Kind of Employer(Check one) None apply 501c non-govt. State/local non-501c State/local 501c Federal govt.	Kind of Employer(Check one) None apply 501c non-govt. State/local non-501c State/local 501c Federal govt.	Kind of Employer(Check one) None apply 501c non-govt. State/local non-501c State/local 501c Federal govt.	Kind of Employer(Check one) None apply 501c non-govt. State/local non-501c State/local 501c Federal govt.	Kind of Employer(Check one) None apply 501c non-govt. State/local non-501c State/local 501c Federal govt.	Third-party sick pay (Check if applicable)
dTotal number of Forms W-2c	dTotal number of Forms W-2c	eEmployer identification number (EIN)	eEmployer identification number (EIN)	eEmployer identification number (EIN)	eEmployer identification number (EIN)	fEstablishment number	fEstablishment number	gEmployer’s state ID number	gEmployer’s state ID number	gEmployer’s state ID number	gEmployer’s state ID number	gEmployer’s state ID number	gEmployer’s state ID number
Complete boxes h, i, or j only if incorrect on last form filed.	Complete boxes h, i, or j only if incorrect on last form filed.	hEmployer’soriginally reportedEIN	hEmployer’soriginally reportedEIN	hEmployer’soriginally reportedEIN	hEmployer’soriginally reportedEIN	i Incorrectestablishment number	i Incorrectestablishment number	jEmployer’sincorrectstate ID number	jEmployer’sincorrectstate ID number	jEmployer’sincorrectstate ID number	jEmployer’sincorrectstate ID number	jEmployer’sincorrectstate ID number	jEmployer’sincorrectstate ID number
Total of amounts previously reported as shown on enclosed Forms W-2c.	Total of amounts previously reported as shown on enclosed Forms W-2c.	Total of corrected amounts as shown on enclosed Forms W-2c.	Total of corrected amounts as shown on enclosed Forms W-2c.	Total of corrected amounts as shown on enclosed Forms W-2c.	Total of corrected amounts as shown on enclosed Forms W-2c.	Total of amounts previously reported as shown on enclosed Forms W-2c.	Total of amounts previously reported as shown on enclosed Forms W-2c.	Total of corrected amounts as shown on enclosed Forms W-2c.	Total of corrected amounts as shown on enclosed Forms W-2c.	Total of corrected amounts as shown on enclosed Forms W-2c.	Total of corrected amounts as shown on enclosed Forms W-2c.	Total of corrected amounts as shown on enclosed Forms W-2c.	Total of corrected amounts as shown on enclosed Forms W-2c.
1Wages, tips, other compensation	1Wages, tips, other compensation	1Wages, tips, other compensation	1Wages, tips, other compensation	1Wages, tips, other compensation	1Wages, tips, other compensation	2Federal income tax withheld	2Federal income tax withheld	2Federal income tax withheld	2Federal income tax withheld	2Federal income tax withheld	2Federal income tax withheld	2Federal income tax withheld	2Federal income tax withheld
3Social security wages	3Social security wages	3Social security wages	3Social security wages	3Social security wages	3Social security wages	4Social security tax withheld	4Social security tax withheld	4Social security tax withheld	4Social security tax withheld	4Social security tax withheld	4Social security tax withheld	4Social security tax withheld	4Social security tax withheld
5Medicare wages and tips	5Medicare wages and tips	5Medicare wages and tips	5Medicare wages and tips	5Medicare wages and tips	5Medicare wages and tips	6Medicare tax withheld	6Medicare tax withheld	6Medicare tax withheld	6Medicare tax withheld	6Medicare tax withheld	6Medicare tax withheld	6Medicare tax withheld	6Medicare tax withheld
7Social security tips	7Social security tips	7Social security tips	7Social security tips	7Social security tips	7Social security tips	8Allocated tips	8Allocated tips	8Allocated tips	8Allocated tips	8Allocated tips	8Allocated tips	8Allocated tips	8Allocated tips
9	9	9	9	9	9	10Dependent care benefits	10Dependent care benefits	10Dependent care benefits	10Dependent care benefits	10Dependent care benefits	10Dependent care benefits	10Dependent care benefits	10Dependent care benefits
11Nonqualified plans	11Nonqualified plans	11Nonqualified plans	11Nonqualified plans	11Nonqualified plans	11Nonqualified plans	12aDeferred compensation	12aDeferred compensation	12aDeferred compensation	12aDeferred compensation	12aDeferred compensation	12aDeferred compensation	12aDeferred compensation	12aDeferred compensation
14Inc. tax w/h by third-party sick pay payer	14Inc. tax w/h by third-party sick pay payer	14Inc. tax w/h by third-party sick pay payer	14Inc. tax w/h by third-party sick pay payer	14Inc. tax w/h by third-party sick pay payer	14Inc. tax w/h by third-party sick pay payer	12b	12b	12b	12b	12b	12b	12b	12b
16State wages, tips, etc.	16State wages, tips, etc.	16State wages, tips, etc.	16State wages, tips, etc.	16State wages, tips, etc.	16State wages, tips, etc.	17State income tax	17State income tax	17State income tax	17State income tax	17State income tax	17State income tax	17State income tax	17State income tax
18Local wages, tips, etc.	18Local wages, tips, etc.	18Local wages, tips, etc.	18Local wages, tips, etc.	18Local wages, tips, etc.	18Local wages, tips, etc.	19Local income tax	19Local income tax	19Local income tax	19Local income tax	19Local income tax	19Local income tax	19Local income tax	19Local income tax
Explain decreases here:	Explain decreases here:	Explain decreases here:	Explain decreases here:	Explain decreases here:	Explain decreases here:	Explain decreases here:	Explain decreases here:	Explain decreases here:	Explain decreases here:	Explain decreases here:	Explain decreases here:	Explain decreases here:	Explain decreases here:
Has an adjustment been made on an employment tax return filed with the Internal Revenue Service?	Has an adjustment been made on an employment tax return filed with the Internal Revenue Service?	Has an adjustment been made on an employment tax return filed with the Internal Revenue Service?	Has an adjustment been made on an employment tax return filed with the Internal Revenue Service?	Has an adjustment been made on an employment tax return filed with the Internal Revenue Service?	Has an adjustment been made on an employment tax return filed with the Internal Revenue Service?	Has an adjustment been made on an employment tax return filed with the Internal Revenue Service?	Has an adjustment been made on an employment tax return filed with the Internal Revenue Service?	Has an adjustment been made on an employment tax return filed with the Internal Revenue Service?		Yes		No	No
If “Yes,” give date the return was filed:
Under penalties of perjury, I declare that I have examined this return, including accompanying documents, and, to the best of my knowledge and belief, it is true, correct, and complete. Signature: Title: Date:
Employer’s contact person	Employer’s contact person	Employer’s contact person	Employer’s contact person	Employer’s contact person	Employer’s telephone number	Employer’s telephone number	Employer’s telephone number	Employer’s telephone number	For Official Use Only	For Official Use Only	For Official Use Only	For Official Use Only	For Official Use Only
Employer’s fax number	Employer’s fax number	Employer’s fax number	Employer’s fax number	Employer’s fax number	Employer’s email address	Employer’s email address	Employer’s email address	Employer’s email address	Employer’s email address	Employer’s email address	Employer’s email address	Employer’s email address	Employer’s email address

Exceptions & meaning →

Form W-3c (Rev. 6-2024) Transmittal of Corrected Wage and Tax Statements¶

Department of the Treasury

Internal Revenue Service

Purpose of Form

Complete a Form W-3c transmittal only when filing paper Copy A of the most recent version of Form(s) W-2c, Corrected Wage and Tax Statement. Make a copy of Form W-3c and keep it with Copy D (For Employer) of Forms W-2c for your records. File Form W-3c even if only one Form W-2c is being filed or if those Forms W-2c are being filed only to correct an employee’s name and social security number (SSN) or the employer identification number (EIN). See the General Instructions for Forms W-2 and W-3 for information on completing this form. E-Filing

See the General Instructions for Forms W-2 and W-3 for e-filing requirements for Forms W-2c and W-3c. The SSA provides two free e-filing options on its Business Services Online (BSO) website:

W-2c Online. Use fill-in forms to create, save, print, and submit up to 25 Forms W-2c at a time to the SSA.
File Upload. Upload wage files to the SSA you have created using payroll or tax software that formats the files according to the SSA’s Specifications for Filing Forms W-2c Electronically (EFW2C) .

For more information, go to www.SSA.gov/employer . When To File

File this form and Copy A of Form(s) W-2c with the Social Security Administration as soon as possible after you discover an error on Forms W-2, W-2AS, W-2GU, W-2CM, W-2VI, or W-2c. Provide Copies B, C, and 2 of Form W-2c to your employees as soon as possible. Where To File Paper Forms

If you use the U.S. Postal Service, send this entire page with Copy A of Form W-2c to:

Forms W-2c and W-3c. The SSA provides two free e-filing options on its Business Social Security Administration Services Online (BSO) website: Direct Operations Center

P.O. Box 3333

W-2c Online. Use fill-in forms to create, save, print, and submit up to 25 Forms Wilkes-Barre, PA 18767-3333 W-2c at a time to the SSA.

Note: If you use an IRS-approved private delivery service to file, replace “P.O. Box

File Upload. Upload wage files to the SSA you have created using payroll or tax 3333” with “Attn: W-2c Process, 1150 E. Mountain Dr.” in the address and change software that formats the files according to the SSA’s Specifications for Filing the ZIP code to “18702-7997.” Go to www.irs.gov/PDS for a list of IRS-approved Forms W-2c Electronically (EFW2C) . private delivery services.

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 10164R

Exceptions & meaning →