IRS Logo
Print

Form W-4S, Request for Federal Income Tax Withholding From Sick Pay

Give this form to the third-party payer of your sick pay, such as an insurance company, if you want federal income tax withheld from the payments.


Current Products

Form W-4S


Other Items You May Find Useful:

All Form W-4S Revisions

Form W-2, Wage and Tax Statement

Publication 505, Tax Withholding and Estimated Tax

Form 1040, U.S. Individual Income Tax Return

Form 1040-ES, Estimated Tax for Individuals

Other Current Products


Comment on Form W-4S

Send us an email or use the Comment on Tax Forms and Publications web submission form to provide us feedback on the content of the products we give you to help you comply with tax law.

Caution: If you have a tax-related question, please go to Help With Tax Questions or call our toll-free number at 1-800-829-1040 (Individuals) or 1-800-829-4933 (Business). We cannot respond to tax-related questions submitted from this page.

Although we cannot respond individually to each email, we do appreciate your feedback and will consider your comments as we revise our tax products.

Page Last Reviewed or Updated: 06-Mar-2013