W-3 Transmittal of Income and Tax Statements

Attention:
This form is provided for informational purposes only. Copy A
appears in red, similar to the official printed IRS form. But do
not file Copy A downloaded from this website with the SSA.
The official printed IRS form is scannable, but forms downloaded
and printed from this website are not. A penalty of $50 per
information return may be imposed for filing forms that cannot be
scanned.
To order official IRS forms, call 1-800-TAX-FORM (1-800-8293676) or Order Information Returns and Employer Returns Online,
and we'll mail you the scannable forms and other products.
You may file Forms W-2 and W-3 electronically on the SSA’s
website at Employer Reporting Instructions & Information.
You can create fill-in versions of Forms W-2 and W-3 for filing
with the SSA. You may also print out copies for filing with state
or local governments, distribution to your employees, and for your
records.

W-2 / W-3 Cover page

DO NOT STAPLE
a

33333
b

Kind
of
Payer

Control number

For Official Use Only

䊳

941

Military

CT-1

Hshld.
emp.

c

Total number of Forms W-2

e

Employer identification number (EIN)

d

943

944

1

Wages, tips, other compensation

2

Federal income tax withheld

Medicare
govt. emp.

Third-party
sick pay

3

Social security wages

4

Social security tax withheld

5

Medicare wages and tips

6

Medicare tax withheld

7

Social security tips

8

Allocated tips

9

Advance EIC payments

10

Dependent care benefits

11

Nonqualified plans

12

Deferred compensation

13

For third-party sick pay use only

14

Income tax withheld by payer of third-party sick pay

16

State wages, tips, etc.

17

State income tax

18

Local wages, tips, etc.

19

Local income tax

Establishment number

f Employer’s name

g

Employer’s address and ZIP code

h

Other EIN used this year

15

State

䊳

OMB No. 1545-0008

Employer’s state ID number

Contact person

Telephone number

(
Email address

For Official Use Only

)

Fax number

(

)

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

Form

䊳

䊳

Title

Date

W-3 Transmittal of Wage and Tax Statements

2007

䊳

Department of the Treasury
Internal Revenue Service

Send this entire page with the entire Copy A page of Form(s) W-2 to the Social Security Administration.
Photocopies are not acceptable.
Do not send any payment (cash, checks, money orders, etc.) with Forms W-2 and W-3.

What’s New

Where To File

Relocation of form ID on Form W-3. For consistency with
the revisions to Form W-2, we relocated the form ID number
(“33333”) to the top left corner of Form W-3.

Send this entire page with the entire Copy A page of Form(s)
W-2 to:
Social Security Administration
Data Operations Center
Wilkes-Barre, PA 18769-0001

Reminder
Separate instructions. See the 2007 Instructions for Forms
W-2 and W-3 for information on completing this form.

Purpose of Form
Use Form W-3 to transmit Copy A of Form(s) W-2, Wage
and Tax Statement. Make a copy of Form W-3 and keep it
with Copy D (For Employer) of Form(s) W-2 for your records.
Use Form W-3 for the correct year. File Form W-3 even if
only one Form W-2 is being filed. If you are filing Form(s)
W-2 electronically, do not file Form W-3.

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
Publication 15 (Circular E), Employer’s Tax Guide, for a list
of IRS-approved private delivery services.

When To File
File Form W-3 with Copy A of Form(s) W-2 by
February 29, 2008.
For Privacy Act and Paperwork Reduction Act Notice, see the back of Copy D of Form W-2.
Cat. No. 10159Y