| A | Uncollected social security or RRTA tax on 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 |
| AA 24 | USERRA 2024 make up designated Roth contributions to a section 401(k) plan |
| AA 25 | USERRA 2025 make up designated Roth contributions to a section 401(k) plan |
| B | Uncollected Medicare tax on tips (but not Additional Medicare Tax) — 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 |
| BB 24 | USERRA 2024 make up designated Roth contributions under a section 403(b) salary reduction agreement |
| BB 25 | USERRA 2025 make up designated Roth contributions under a section 403(b) salary reduction agreement |
| C | Taxable cost of group-term life insurance 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 | Elective deferrals under a section 401(k) cash or deferred arrangement plan (including a SIMPLE 401(k) arrangement) — 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 |
| D 24 | USERRA 2024 make up elective deferrals to a section 401(k) cash or deferred arrangement |
| D 25 | USERRA 2025 make up elective deferrals to a section 401(k) cash or deferred arrangement |
| DD | Cost of employer-sponsored health coverage |
| E | Elective deferrals under a section 403(b) salary reduction agreement — 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 |
| E 24 | USERRA 2024 make up elective deferrals to a section 403(b) salary reduction agreement |
| E 25 | USERRA 2025 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 |
| EE 24 | USERRA 2024 make up designated Roth contributions under a section 457(b) plan |
| EE 25 | USERRA 2025 make up designated Roth contributions under a section 457(b) plan |
| F | Elective deferrals under a section 408(k)(6) salary reduction SEP (this includes elective deferrals made to a Roth SEP IRA) — 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 |
| F 24 | USERRA 2024 make up elective deferrals to a section 408(k)(6) salary reduction agreement |
| F 25 | USERRA 2025 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 | Elective deferrals and employer contributions (including nonelective deferrals) to a section 457(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 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 |
| G 24 | USERRA 2024 make up elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred comp plan |
| G 25 | USERRA 2025 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 | Elective deferrals to a section 501(c)(18)(D) tax-exempt organization 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 |
| H 24 | USERRA 2024 make up elective deferrals under a section 501(c)(18)(D) tax-exempt organization plan |
| H 25 | USERRA 2025 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 | Nontaxable sick pay — If applicable, add this information to Box 12. |
| K | 20% excise tax on excess 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 | Substantiated employee business expense reimbursements — If applicable, add this information to Box 12. |
| M | Uncollected social security or RRTA tax on taxable cost of group-term life insurance over $50,000 (former employees only) — If applicable, add this information to Box 12. |
| N | Uncollected Medicare tax on taxable cost of group-term life insurance over $50,000 (but not Additional Medicare Tax) (former employees only) — If applicable, add this information to Box 12. |
| P | Excludable moving expense reimbursements paid directly to a member of the U.S. Armed Forces or intelligence community (not included in boxes 1, 3, or 5). |
| Q | Nontaxable combat pay — If applicable, add this information to Box 12 (not included in boxes 1, 3, or 5). |
| R | Employer contributions to an Archer MSA. |
| S | Employee salary reduction contributions under a section 408(p) SIMPLE plan (this includes salary reduction contributions made to a Roth SIMPLE IRA). |
| 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 |
| S 24 | USERRA 2024 make up employee salary reduction contributions under a section 408(p) SIMPLE |
| S 25 | USERRA 2025 make up employee salary reduction contributions under a section 408(p) SIMPLE |
| T | Adoption benefits (not included in box 1) |
| TA | Employer contributions under a section 128 Trump account contribution program paid to an employee or a dependent of an employee |
| TP | Total amount of cash tips reported to the employer |
| TT | Total amount of qualified overtime compensation |
| V | Income from exercise of nonstatutory stock option(s) |
| W | Employer contributions (including employee contributions through a cafeteria plan) to an employee’s health savings account (HSA). For more information, see the following Box 12 Code W section. |
| Y | Deferrals under a section 409A nonqualified 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 |
| Y 24 | USERRA 2024 make up deferrals under section 409A nonqualified deferred compensation plan |
| Y 25 | USERRA 2025 make up deferrals under section 409A nonqualified deferred compensation plan |
| Z | Income under a nonqualified deferred compensation plan that fails to satisfy section 409A — If applicable, add this information to Box 12 (included in boxes 1, 3 (up to social security wage base), 5, and 11). |