DO NOT STAPLE OR FOLD
a Control number
For Official Use Only
OMB No. 1545-0008
Military 943 944
None apply 501c non-govt.
State/local 501c Federal govt.
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
11 Nonqualified plans 12a Deferred compensation
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.
Transmittal of Wage and Tax Statements
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.
Separate instructions. See the 2019 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 four years.
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
• 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
January 31, 2020. 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 January 31, 2020.
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
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