DO NOT STAPLE OR FOLD
33333
a Control number
For Official Use Only
▶
OMB No. 1545-0008
b
Kind
of
Payer
(Check one)
▲
941-SS
Military 943 944
Hshld.
emp.
Medicare
govt. emp.
Kind
of
Employer
(Check one)
▲
None apply 501c non-govt.
State/local
non-501c
State/local 501c Federal govt.
Third-party
sick pay
(Check if
applicable)
c Total number of Forms W-2
d Establishment number
e Employer identification number (EIN)
f Employer’s name
g Employer’s address and ZIP code
h Other EIN used this year
1 Wages, tips, other compensation 2 Income tax withheld
3 Social security wages 4 Social security tax withheld
5 Medicare wages and tips 6 Medicare tax withheld
7 Social security tips
8
9 10
11 Nonqualified plans 12a Deferred compensation
12b
13 For third-party sick pay use only
14 Income tax withheld by payer of third-party sick pay
15 Employer’s territorial ID number
18 Check the appropriate box
Type of Form
▶
W-2AS W-2CM W-2GU W-2VI
Employer’s contact person Employer’s telephone number
For Official Use Only
Employer’s fax number
Employer’s email address
Copy A—For Social Security Administration
Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and complete.
Signature
▶
Title
▶
Date
▶
Form W-3SS
Transmittal of Wage and Tax Statements
2020
Department of the Treasury
Internal Revenue Service
Send this entire page with the entire Copy A page of Form(s) W-2AS, W-2CM, W-2GU, or W-2VI to the Social Security
Administration (SSA). Photocopies are not acceptable. Do not send Form W-3SS if you filed electronically with the SSA.
Do not send any payment (cash, checks, money orders, etc.) with Form(s) W-2AS, W-2CM, W-2GU, W-2VI, and W-3SS.
Reminder
Separate instructions. See the 2020 General Instructions for Forms W-2
and W-3 for information on completing this form. Do not file Form W-3SS for
Form(s) W-2AS, W-2CM, W-2GU, or W-2VI that were submitted electronically
to the SSA.
Purpose of Form
Complete a Form W-3SS Transmittal only when filing paper Copy A of
Form(s) W-2AS, W-2CM, W-2GU, or W-2VI. Don’t file Form W-3SS alone. All
paper forms must comply with IRS standards and be machine readable.
Photocopies are not acceptable. Use a Form W-3SS even if only one paper
Form W-2AS, W-2CM, W-2GU, or W-2VI is being filed. Make sure both the
Form W-3SS and Form(s) W-2AS, W-2CM, W-2GU, or W-2VI show the
correct tax year and Employer Identification Number (EIN). Make a copy of
this form and keep it with Copy D (For Employer) of Form(s) W-2AS, W-2CM,
W-2GU, or W-2VI for your records. The IRS recommends retaining copies of
these forms for 4 years.
E-Filing
The SSA strongly suggests employers report Form W-3SS and Form(s)
W-2AS, W-2CM, W-2GU, or W-2VI Copy A electronically instead of on paper.
The SSA provides two free e-filing options on its Business Services Online
(BSO) website.
• W-2 Online. Use fill-in forms to create, save, print, and submit up to 50
Forms W-2AS, W-2CM, W-2GU, or W-2VI at a time to the SSA.
• File Upload. Upload wage files to the SSA you have created using payroll
or tax software that formats the files according to the SSA’s Specifications
for Filing Forms W-2 Electronically (EFW2).
W-2 Online fill-in forms or file uploads will be on time if submitted by
February 1, 2021. For more information, go to www.SSA.gov/bso. First time
filers, select “Register”; returning filers select “Log In.”
When To File Paper Forms
Mail Copy A of Form W-3SS with Copy A of Form(s) W-2AS, W-2CM,
W-2GU, or W-2VI by February 1, 2021.
Where To File Paper Forms
Send this entire page with the entire Copy A page of Form(s) W-2AS,
W-2CM, W-2GU, or W-2VI to:
Social Security Administration
Direct Operations Center
Wilkes-Barre, PA 18769-0001
Note: If you use “Certified Mail” to file, change the ZIP code to
“18769-0002.” If you use an IRS-approved private delivery service, add
“ATTN: W-2 Process, 1150 E. Mountain Dr.” to the address and change the
ZIP code to “18702-7997.” See Pub. 15 (Circular E), Employer’s Tax Guide,
for a list of IRS-approved private delivery services.
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10117S