W-3 SS Transmittal of Wage and Tax Statements

Note: The draft you are looking for begins on the next page.

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DO NOT STAPLE OR FOLD
33333

a Control number

b

For Official Use Only:
OMB No. 1545-0008

941

Military

943

944

Kind of Payer

None apply

501c non-govt.

State/local
non-501c

State/local 501c

Third-party
sick pay

Kind of Employer

(Check one)

Hshld.
emp.

Medicare
govt. emp.

(Check one)

(Check if
applicable)

Federal govt.

TREASURY/IRS
AND OMB USE
ONLY DRAFT
May 10, 2023
DO NOT FILE
d Establishment number

1 Wages, tips, other compensation

2 Income tax withheld

e Employer identification number (EIN)

3 Social security wages

4 Social security tax withheld

f Employer’s name

5 Medicare wages and tips

6 Medicare tax withheld

7 Social security tips

8

c Total number of Forms W-2

9

10

11 Nonqualified plans

12a Deferred compensation

13 For third-party sick pay use only

12b

g Employer’s address and ZIP code
h Other EIN used this year

15 Employer’s territorial ID number

14 Income tax withheld by payer of third-party sick pay
18 Check the appropriate box
Type of Form:

W-2AS

Employer’s contact person

Employer’s telephone number

Employer’s fax number

Employer’s email address

W-2CM

W-2GU

W-2VI

For Official Use Only

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:
Form

W-3SS

Title:

Date:

Transmittal of Wage and Tax Statements

2024

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 2024 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.

• 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, 2025. For more information, go to www.SSA.gov/bso. First-time
filers, select “Register”; returning filers, select “Log In.”

Purpose of Form

When To File Paper Forms

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 a copy of Copy A (For SSA) 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.

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, 2025.

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

DO NOT STAPLE OR FOLD
33333

a Control number

b

For Official Use Only:
OMB No. 1545-0008

941

Military

943

944

Kind of Payer
(Check one)

None apply

501c non-govt.

State/local
non-501c

State/local 501c

Third-party
sick pay

Kind of Employer
Hshld.
emp.

Medicare
govt. emp.

(Check one)

Federal govt.

TREASURY/IRS
AND OMB USE
ONLY DRAFT
May 10, 2023
DO NOT FILE
1 Wages, tips, other compensation

2 Income tax withheld

e Employer identification number (EIN)

3 Social security wages

4 Social security tax withheld

f Employer’s name

5 Medicare wages and tips

6 Medicare tax withheld

7 Social security tips

8

c Total number of Forms W-2

d Establishment number

9

(Check if
applicable)

10

11 Nonqualified plans

12a Deferred compensation

13 For third-party sick pay use only

12b

g Employer’s address and ZIP code
h Other EIN used this year

15 Employer’s territorial ID number

14 Income tax withheld by payer of third-party sick pay

Employer’s contact person

Employer’s telephone number

Employer’s fax number

Employer’s email address

For Official Use Only

Copy 1—For Local Tax Department

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:

Form W-3SS Transmittal of Wage and Tax Statements

Date:

2024

Department of the Treasury
Internal Revenue Service

Where To File
For more information about where to file Copy 1, contact your state, city, or local tax department.
American Samoa. File Copy 1 of Form W-3SS and Form(s) W-2AS at the following address.
American Samoa Department of Treasury
Tax Office
Executive Office Building
Pago Pago, AS 96799
Guam. File Copy 1 of Form W-3SS and Form(s) W-2GU at the following address.
Guam Department of Revenue and Taxation
P.O. Box 23607
Barrigada, GU 96921
U.S. Virgin Islands. File Copy 1 of Form W-3SS and Form(s) W-2VI at the following address.
Virgin Islands Bureau of Internal Revenue
6115 Estate Smith Bay
Suite 225
St. Thomas, VI 00802
Commonwealth of the Northern Mariana Islands. File Form OS-3710 and Copy 1 of Form(s) W-2CM at the following address.
Division of Revenue and Taxation
Commonwealth of the Northern Mariana Islands
P.O. Box 5234 CHRB
Saipan, MP 96950