E-Filing The SSA strongly suggests employers report Form W-3c and Forms W-2c Copy A electronically instead of on paper. 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. If you use the U.S. Postal Service send Forms W-2c and W-3c to the following address Data Operations Center P. Signature Title Date Employer s contact person Employer s telephone number Employer s fax number Employer s email address Form W-3c Rev. 11-2015 Transmittal of Corrected Wage and Tax Statements Department of the Treasury Internal Revenue Service Purpose of Form When To File Use this form to transmit Copy A of the most recent version of Form s W-2c Corrected Wage and Tax Statement. O. Box 3333 Wilkes-Barre PA 18767-3333 If you use a carrier other than the U.S. Postal Service send Forms W-2c and W-3c to the following address Attn W-2c Process 1150 E. Mountain Drive Cat. No. 10164R. DO NOT CUT FOLD OR STAPLE 55555 a Tax year/Form corrected For Official Use Only / W- OMB No. 1545-0008 c Kind of Payer Check one b Employer s name address and ZIP code Kind of Employer Check one Third-party sick pay 941/941-SS Military Hshld. emp. CT-1 None apply 501c non-govt. Medicare govt. emp. State/local State/local non-501c Federal govt. Check if applicable d Number of Forms W-2c e Employer s Federal EIN f Establishment number g Employer s state ID number Complete boxes h i or j only if incorrect on last form filed. h Employer s originally reported Federal EIN i Incorrect establishment number j Total of amounts previously reported as shown on enclosed Forms W-2c. Employer s incorrect state ID number Total of corrected amounts as 1 Wages tips other compensation 2 Federal income tax withheld 3 Social security wages 5 Medicare wages and tips 6 Medicare tax withheld 8 Allocated tips 10 Dependent care benefits 11 Nonqualified plans 12a Deferred compensation 14 Inc. tax w/h by third-party sick pay payer 12b 16 State wages tips etc. 17 State income tax 18 Local wages tips etc. 19 Local income tax Explain decreases here Has an adjustment been made on an employment tax return filed with the Internal Revenue Service If Yes give date the return was filed Yes No 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. See the General Instructions for Forms W-2 and W-3 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. Attention This form is provided for informational purposes only. Copy A appears in red similar to the official IRS form* Do not file Copy A downloaded from this website with the SSA.
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