| A
|
Uncollected Social Security Tax on employee's tips — If applicable, add this information to Box 12.
|
| AA
|
Designated Roth contributions to a section 401(k) plan
|
| AA 09
|
USERRA 2009 make up designated Roth contributions to a section 401(k) plan
|
| AA 11
|
USERRA 2011 make up designated Roth contributions to a section 401(k) plan
|
| AA 12
|
USERRA 2012 make up designated Roth contributions to a section 401(k) plan
|
| AA 13
|
USERRA 2013 make up designated Roth contributions to a section 401(k) plan
|
| AA 14
|
USERRA 2014 make up designated Roth contributions to a section 401(k) plan
|
| AA 15
|
USERRA 2015 make up designated Roth contributions to a section 401(k) plan
|
| AA 16
|
USERRA 2016 make up designated Roth contributions to a section 401(k) plan
|
| AA 17
|
USERRA 2017 make up designated Roth contributions to a section 401(k) plan
|
| AA 18
|
USERRA 2018 make up designated Roth contributions to a section 401(k) plan
|
| AA 19
|
USERRA 2019 make up designated Roth contributions to a section 401(k) plan
|
| AA 20
|
USERRA 2020 make up designated Roth contributions to a section 401(k) plan
|
| AA 21
|
USERRA 2021 make up designated Roth contributions to a section 401(k) plan
|
| AA 22
|
USERRA 2022 make up designated Roth contributions to a section 401(k) plan
|
| AA 23
|
USERRA 2023 make up designated Roth contributions to a section 401(k) plan
|
| B
|
Uncollected Medicare Tax on Employee's tips — If applicable, add this information to Box 12.
|
| BB
|
Designated Roth contributions under a section 403(b) plan
|
| BB 09
|
USERRA 2009 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| BB 11
|
USERRA 2011 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| BB 12
|
USERRA 2012 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| BB 13
|
USERRA 2013 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| BB 14
|
USERRA 2014 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| BB 15
|
USERRA 2015 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| BB 16
|
USERRA 2016 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| BB 17
|
USERRA 2017 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| BB 18
|
USERRA 2018 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| BB 19
|
USERRA 2019 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| BB 20
|
USERRA 2020 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| BB 21
|
USERRA 2021 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| BB 22
|
USERRA 2022 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| BB 23
|
USERRA 2023 make up designated Roth contributions under a section 403(b) salary reduction agreement
|
| C
|
Excess Life Insurance (cost of group term life insurance coverage over 50,000) — The amount shown here is the total amount of withholding, from the Deductions subtask of the Manage Employee Earnings History screen, for the deduction code that you have identified as an Excess Life Insurance deduction on the Manage Deductions screen.
|
| CC
|
HIRE exempt wages and tips
|
| D
|
Section 401(k) Deferred Compensation Plan — The amount shown here is the total amount of withholding, from the Deductions subtask of the Manage Employee Earnings History screen, for the deduction code that you have identified as 401(k) Deferred Compensation on the Manage Deductions screen
|
| D 03
|
USERRA 2003 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 05
|
USERRA 2005 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 06
|
USERRA 2006 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 07
|
USERRA 2007 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 08
|
USERRA 2008 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 09
|
USERRA 2009 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 10
|
USERRA 2010 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 11
|
USERRA 2011 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 12
|
USERRA 2012 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 13
|
USERRA 2013 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 14
|
USERRA 2014 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 15
|
USERRA 2015 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 16
|
USERRA 2016 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 17
|
USERRA 2017 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 18
|
USERRA 2018 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 19
|
USERRA 2019 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 20
|
USERRA 2020 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 21
|
USERRA 2021 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 22
|
USERRA 2022 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| D 23
|
USERRA 2023 make up elective deferrals to a section 401(k) cash or deferred arrangement
|
| DD
|
Cost of employer-sponsored health coverage
|
| E
|
Section 403(b) Deferred Compensation Plan — The amount shown here is the total amount of withholding, from the Deductions subtask of the Manage Employee Earnings History screen, for the deduction code that you have identified as 403(b) Deferred Compensation on the Manage Deductions screen.
|
| E 09
|
USERRA 2009 make up elective deferrals to a section 403(b) salary reduction agreement
|
| E 11
|
USERRA 2011 make up elective deferrals to a section 403(b) salary reduction agreement
|
| E 12
|
USERRA 2012 make up elective deferrals to a section 403(b) salary reduction agreement
|
| E 13
|
USERRA 2013 make up elective deferrals to a section 403(b) salary reduction agreement
|
| E 14
|
USERRA 2014 make up elective deferrals to a section 403(b) salary reduction agreement
|
| E 15
|
USERRA 2015 make up elective deferrals to a section 403(b) salary reduction agreement
|
| E 16
|
USERRA 2016 make up elective deferrals to a section 403(b) salary reduction agreement
|
| E 17
|
USERRA 2017 make up elective deferrals to a section 403(b) salary reduction agreement
|
| E 18
|
USERRA 2018 make up elective deferrals to a section 403(b) salary reduction agreement
|
| E 19
|
USERRA 2019 make up elective deferrals to a section 403(b) salary reduction agreement
|
| E 20
|
USERRA 2020 make up elective deferrals to a section 403(b) salary reduction agreement
|
| E 21
|
USERRA 2021 make up elective deferrals to a section 403(b) salary reduction agreement
|
| E 22
|
USERRA 2022 make up elective deferrals to a section 403(b) salary reduction agreement
|
| E 23
|
USERRA 2023 make up elective deferrals to a section 403(b) salary reduction agreement
|
| EE
|
Designated Roth contributions under a governmental section 457(b) plan
|
| EE 11
|
USERRA 2011 make up designated Roth contributions under a section 457(b) plan
|
| EE 12
|
USERRA 2012 make up designated Roth contributions under a section 457(b) plan
|
| EE 13
|
USERRA 2013 make up designated Roth contributions under a section 457(b) plan
|
| EE 14
|
USERRA 2014 make up designated Roth contributions under a section 457(b) plan
|
| EE 15
|
USERRA 2015 make up designated Roth contributions under a section 457(b) plan
|
| EE 16
|
USERRA 2016 make up designated Roth contributions under a section 457(b) plan
|
| EE 17
|
USERRA 2017 make up designated Roth contributions under a section 457(b) plan
|
| EE 18
|
USERRA 2018 make up designated Roth contributions under a section 457(b) plan
|
| EE 19
|
USERRA 2019 make up designated Roth contributions under a section 457(b) plan
|
| EE 20
|
USERRA 2020 make up designated Roth contributions under a section 457(b) plan
|
| EE 21
|
USERRA 2021 make up designated Roth contributions under a section 457(b) plan
|
| EE 22
|
USERRA 2022 make up designated Roth contributions under a section 457(b) plan
|
| EE 23
|
USERRA 2023 make up designated Roth contributions under a section 457(b) plan
|
| F
|
Section 408(k)6 Plan — The amount shown here is the total amount of withholding, from the Deductions subtask of the Manage Employee Earnings History screen, for the deduction code that you have identified as 408(k)6 Deferred Compensation on the Manage Deductions screen.
|
| F 09
|
USERRA 2009 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| F 11
|
USERRA 2011 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| F 12
|
USERRA 2012 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| F 13
|
USERRA 2013 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| F 14
|
USERRA 2014 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| F 15
|
USERRA 2015 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| F 16
|
USERRA 2016 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| F 17
|
USERRA 2017 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| F 18
|
USERRA 2018 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| F 19
|
USERRA 2019 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| F 20
|
USERRA 2020 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| F 21
|
USERRA 2021 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| F 22
|
USERRA 2022 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| F 23
|
USERRA 2023 make up elective deferrals to a section 408(k)(6) salary reduction agreement
|
| FF
|
Permitted benefits under a qualified small employer health reimbursement arrangement
|
| G
|
Section 457 Plan — The amount shown here is the total amount of withholding, from the Deductions subtask of the Manage Employee Earnings History screen, for the deduction code that you have identified as 457 Deferred Compensation on the Manage Deductions screen.
|
| G 09
|
USERRA 2009 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred compensation plan
|
| G 11
|
USERRA 2011 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan
|
| G 12
|
USERRA 2012 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan
|
| G 13
|
USERRA 2013 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan
|
| G 14
|
USERRA 2014 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan
|
| G 15
|
USERRA 2015 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan
|
| G 16
|
USERRA 2016 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan
|
| G 17
|
USERRA 2017 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan
|
| G 18
|
USERRA 2018 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan
|
| G 19
|
USERRA 2019 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan
|
| G 20
|
USERRA 2020 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan
|
| G 21
|
USERRA 2021 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan
|
| G 22
|
USERRA 2022 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan
|
| G 23
|
USERRA 2023 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan
|
| GG
|
Income from qualified equity grants under section 83(i)
|
| H
|
Section 501(c)18(d) Plan — The amount shown here is the total amount of withholding, from the Deductions subtask of the Manage Employee Earnings History screen, for the deduction code that you have identified as 501(c)18(d)d Deferred Compensation on the Manage Deductions screen.
|
| H 09
|
USERRA 2009 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| H 11
|
USERRA 2011 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| H 12
|
USERRA 2012 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| H 13
|
USERRA 2013 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| H 14
|
USERRA 2014 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| H 15
|
USERRA 2015 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| H 16
|
USERRA 2016 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| H 17
|
USERRA 2017 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| H 18
|
USERRA 2018 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| H 19
|
USERRA 2019 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| H 20
|
USERRA 2020 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| H 21
|
USERRA 2021 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| H 22
|
USERRA 2022 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| H 23
|
USERRA 2023 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan
|
| HH
|
Aggregate deferrals under section 83(i) elections as of the close of the calendar year
|
| II
|
Medicaid waiver payments excluded from gross income under Notice 2014-7
|
| J
|
Sick Pay not includible in income — If applicable, add this information to Box 12.
|
| K
|
Golden Parachute Payments — The amount shown here is the total amount of payments, from the Deductions subtask of the Manage Employee Earnings History screen, for the deduction code that you have identified as Golden Parachute on the Manage Deductions screen.
|
| L
|
Non-taxable Employee Business Expenses (if taxable Employee Business Expenses were included in Box 1) — If applicable, add this information to Box 12.
|
| M
|
Uncollected Social Security Tax for Former Employees — If applicable, add this information to Box 12.
|
| N
|
Uncollected Medicare Tax for Former Employees — If applicable, add this information to Box 12.
|
| P
|
Excludable Moving Expense Reimbursements paid directly to employee (not included in boxes 1, 3, or 5).
|
| Q
|
Non-Taxable Combat Pay — If applicable, add this information to Box 12 (not included in boxes 1, 3, or 5).
|
| R
|
Employee contribution to your Medical Savings Account (MSA).
|
| S
|
Employee salary reduction contributions under a section 408(p) SIMPLE (not included in box 1).
|
| S 09
|
USERRA 2009 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| S 11
|
USERRA 2011 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| S 12
|
USERRA 2012 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| S 13
|
USERRA 2013 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| S 14
|
USERRA 2014 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| S 15
|
USERRA 2015 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| S 16
|
USERRA 2016 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| S 17
|
USERRA 2017 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| S 18
|
USERRA 2018 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| S 19
|
USERRA 2019 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| S 20
|
USERRA 2020 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| S 21
|
USERRA 2021 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| S 22
|
USERRA 2022 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| S 23
|
USERRA 2023 make up employee salary reduction contributions under a section 408(p) SIMPLE
|
| T
|
Adoption benefits (not included in box 1)
|
| V
|
Income from exercise of non-statutory stock options (included in boxes 1, 3 (up to social security wage base), and 5)
|
| W
|
Employer's contribution to an employee's Health Savings Account (HSA). For more information, see the following Box 12 Code W section.
|
| Y
|
Section 409A Deferred Compensation Plan — The amount shown here is the total amount of withholding, from the Deductions subtask of the Manage Employee Earnings History screen, for the deduction code that you have identified as 409A Deferred Compensation on the Manage Deductions screen.
|
| Y 09
|
USERRA 2009 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Y 11
|
USERRA 2011 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Y 12
|
USERRA 2012 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Y 13
|
USERRA 2013 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Y 14
|
USERRA 2014 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Y 15
|
USERRA 2015 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Y 16
|
USERRA 2016 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Y 17
|
USERRA 2017 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Y 18
|
USERRA 2018 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Y 19
|
USERRA 2019 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Y 20
|
USERRA 2020 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Y 21
|
USERRA 2021 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Y 22
|
USERRA 2022 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Y 23
|
USERRA 2023 make up deferrals under section 409A nonqualified deferred compensation plan
|
| Z
|
Income under Section 409A on a nonqualified deferred compensation plan — If applicable, add this information to Box 12 (included in boxes 1, 3 (up to social security wage base), 5, and 11).
|
to add W-2 codes and amounts for box 12.
to select, the Box 12 code that is assigned to this W-2 record. The available codes are system-defined.