Form W-4

Step 1 of 2

  • Employer Information


(Rev. December 2020) Department of the Treasury Internal Revenue Service

Employee's WIthholdIng Certificate

▶ Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.

▶ Give Form W-4 to your employer.

▶ Your withholding is subject to review by the IRS.

OMB No. 1545-0074


Step 1: Enter Personal Information

(a) First name and middle initial

Last name

(b) Social security number


▶ Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to

City or town, state, and ZIP code


Single or Married filing separately

Married filing jointly or Qualifying widow(er)

Head of household (Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)