Printing 941 forms

Type the year for the Form 941 you are printing.

Select the quarter reported on the Form 941 you are printing.

Type the trade name, if any, to print on the form.

Adjustments:

Type the current quarter adjustment amount for fractions of cents.

Type the current quarter adjustment amount for sick pay.

Type the current quarter adjustment amount for group-term life insurance.

These fields apply only to the form for 2009 and later:

Type the amount of COBRA premium assistance payments you made for eligible individuals who paid their reduced premiums.

This amount should be 65% of the total COBRA premiums for assistance eligible individuals without regard to the reduction. Do not include any amounts paid to you by the individuals. For more information, see the IRS instructions for Form 941.

Type the total number of individuals for whom you provided COBRA premium assistance payments.

These fields apply only to the form for 2008 and earlier:

Type the federal withholding amount for the current year.

Type the prior quarter's adjustment amount for Social Security and Medicare.

This line on the form is reserved for employers with special circumstances. Use it only if the IRS has sent you a notice to do so.

This line on the form is reserved for employers with special circumstances. Use it only if the IRS has sent you a notice to do so.

These fields apply to the form for all years:

Type the total amount deposited for the quarter you are reporting.

Select this check box to select the Refund Overpayment check box on the form.

Type the state code for the state where you made your deposits. If you made deposits in multiple states, type MU.

Select the Monthly or Semiweekly check box to check the appropriate box on the form.

To print Schedule B, select Semiweekly.

Enter the amount of the liability adjustment to print on Schedule B of Form 941 for a prior quarter's reporting error.

Select the check box for the month in the quarter in which you are making the liability adjustment. For example, if you are reporting Quarter 1, select Month 2 if the error was found in February.

Type the day of the month to use for this liability adjustment. For example, enter 13 if the error was found on the 13th of the month.

The month and day ensure that the liability adjustment appears on the correct date line on Schedule B. If payroll was paid on the same day and month entered for the liability adjustment, the liability adjustment amount and the payroll amount are added together.

Select this check box if your company is going out of business and will file no future returns.

Enter the final date on which you paid wages that you are reporting on this form.

Business Closed Information: These fields apply if e-filing or printing with Box 18 checked

The second line of the address

Example: Suite number

Select this check box to select the Seasonal Employer check box on the form.

To allow an individual, corporation, firm, organization, or partnership to discuss your Form 941 with the IRS, select this check box, which selects the Yes check box in the Third-Party Designee section of the form.

Type the name of the third-party designee.

Type five numbers that the third-party designee chooses as a personal identification number.

Type the third-party designee's phone number.

Type the name and job title of the person who signs this form.

Type the date of the signature.