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دستورالعمل های 1040 H

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Department of the Treasury  
Internal Revenue Service  
2023 Instructions for Schedule H  
Here is a list of forms that household employers need to  
Household  
Employment  
Taxes  
complete.  
Schedule H (Form 1040) for figuring your household employment taxes.  
Form W-2 (or Form 499R-2/W-2PR for employers in Puerto Rico) for reporting  
wages paid to your employees. References to Form W-2 also apply to Form  
499R-2/W-2PR unless otherwise specified.  
Form W-3 (or Form W-3 (PR) for filers in Puerto Rico) for sending Copy A of  
Form(s) W-2 to the Social Security Administration (SSA). References to Form W-3  
also apply to Form W-3 (PR) unless otherwise specified.  
For more information, see What Forms Must You File? in Pub. 926, Household Em-  
ployer's Tax Guide.  
We have been asked:  
Do I need to pay household employment taxes for 2023? If you have a household  
employee, you need to withhold and pay social security and Medicare taxes if you  
paid cash wages of $2,600 or more in 2023 to any one household employee. See Did  
you have a household employee? and the Line A instructions, later, for more informa-  
tion. You need to pay federal unemployment tax if you paid total cash wages of $1,000  
or more in any calendar quarter of 2022 or 2023 to household employees. See the Part  
II. Federal Unemployment (FUTA) Tax instructions, later, for more information.  
How do I file Schedule H? File Schedule H with your Form 1040, 1040-SR,  
1040-NR, 1040-SS, or 1041. If you’re not filing a 2023 tax return, file Schedule H by  
itself.  
Do I make a separate payment? No. You pay both income and employment taxes to  
the United States Treasury when you file Schedule H with your return.  
Note. Taxpayers in Puerto Rico pay their income tax to the Department of the Treas-  
ury, Government of Puerto Rico.  
When do I pay? Most filers must pay by April 15, 2024.  
How many copies of Form W-3 do I send to the SSA? Send one copy of Form W-3  
with Copy A of Form(s) W-2 to the SSA, and keep one copy of Form W-3 for your  
records.  
Important Dates  
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January 31, 2024  
Give your employee Form W-2 and send Copy A of Form(s)  
W-2 with Form W-3 to the SSA. Go to SSA.gov/employer  
for details.  
April 15, 2024  
File Schedule H and pay your household employment taxes  
with your 2023 tax return.  
Section references are to the Internal Revenue Code unless  
otherwise noted.  
Contents  
Page  
Do You Have an Employer Identification Number  
Contents  
Page  
(EIN)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3  
What's New . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2  
Reminders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2  
Who Needs To File Schedule H? . . . . . . . . . . . . . . . . . . 3  
Who Needs To File Form W-2 and Form W-3? . . . . . . . . 3  
Can Your Employee Legally Work in the United States?  
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3  
What About State Employment Taxes? . . . . . . . . . . . . . . 4  
When and Where To File . . . . . . . . . . . . . . . . . . . . . . . 4  
H-1  
Cat. No. 21451X  
Nov 14, 2023  
Contents  
Page  
subject to the unemployment tax laws of a credit reduction  
state, that employer must pay additional federal unemployment  
tax.  
How To Fill In Schedule H, Form W-2, and Form W-3 . . . 4  
Schedule H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4  
Worksheet 1. Credit for Late Contributions . . . . . . . 10  
For 2023, there are credit reduction states. If you paid any  
wages that are subject to the unemployment compensation laws  
of a credit reduction state, your credit against federal unem-  
ployment tax will be reduced based on the credit reduction rate  
for that credit reduction state. Use Worksheet 2 to figure your  
credit reduction for 2023.  
Worksheet 2. Household Employers in a Credit  
Reduction State . . . . . . . . . . . . . . . . . . . . . . . 10  
Form W-2 and Form W-3 . . . . . . . . . . . . . . . . . . . 15  
Worksheet 3. Credit for Qualified Sick and Family  
Leave Wages Paid in 2023 for Leave Taken After  
March 31, 2020, and Before April 1, 2021 . . . . . . . . 10  
Reminders  
Worksheet 4. Credit for Qualified Sick and Family  
Leave Wages Paid in 2023 for Leave Taken After  
March 31, 2021, and Before October 1, 2021 . . . . . . 10  
The COVID-19 related credit for qualified sick and family  
leave wages is limited to leave taken after March 31, 2020,  
and before October 1, 2021. Generally, the credit for quali-  
fied sick and family leave wages, as enacted under the Families  
First Coronavirus Response Act (FFCRA) and amended and  
extended by the COVID-related Tax Relief Act of 2020, for  
leave taken after March 31, 2020, and before April 1, 2021,  
and the credit for qualified sick and family leave wages under  
sections 3131, 3132, and 3133 of the Internal Revenue Code,  
as enacted under the American Rescue Plan Act of 2021 (the  
ARP), for leave taken after March 31, 2021, and before Octo-  
ber 1, 2021, have expired. However, employers that pay quali-  
fied sick and family leave wages in 2023 for leave taken after  
March 31, 2020, and before October 1, 2021, are eligible to  
claim a credit for qualified sick and family leave wages on  
Schedule H filed for 2023. For more information, see the in-  
structions for line 8b, line 8c, line 8e, and line 8f, later.  
Estimated Tax Penalty . . . . . . . . . . . . . . . . . . . . . . . . 15  
What Records To Keep . . . . . . . . . . . . . . . . . . . . . . . 16  
What Is the Earned Income Credit (EIC)? . . . . . . . . . . . 16  
Rules for Business Employers . . . . . . . . . . . . . . . . . . . 16  
How To Correct Schedule H . . . . . . . . . . . . . . . . . . . . 16  
How To Get Forms and Publications . . . . . . . . . . . . . . 16  
Privacy Act and Paperwork Reduction Act Notice . . . . . . 17  
Future Developments  
For the latest information about developments related to Sched-  
ule H and its instructions, such as legislation enacted after they  
were published, go to IRS.gov/ScheduleH.  
Use Worksheet 3 to figure the credit for leave taken after  
March 31, 2020, and before April 1, 2021. Use Worksheet 4 to  
figure the credit for leave taken after March 31, 2021, and be-  
fore October 1, 2021. For more information about the credit for  
qualified sick and family leave wages, go to IRS.gov/PLC.  
What's New  
Social security and Medicare tax for 2023. The rate of social  
security tax on taxable wages, including qualified sick leave  
wages and qualified family leave wages paid in 2023 for leave  
taken after March 31, 2021, and before October 1, 2021, is  
6.2% each for the employer and employee or 12.4% for both.  
Qualified sick leave wages and qualified family leave wages  
paid in 2023 for leave taken after March 31, 2020, and before  
April 1, 2021, aren't subject to the employer share of social se-  
curity tax; therefore, the tax rate on these wages is 6.2%. The  
social security wage base limit is $160,200.  
Bicycle commuting reimbursements. The Tax Cuts and Jobs  
Act suspends the exclusion of qualified bicycle commuting re-  
imbursements from your employee's income for tax years be-  
ginning after 2017 and before 2026.  
Outsourcing payroll duties. You’re responsible to ensure that  
tax returns are filed and deposits and payments are made, even  
if you contract with a third party to perform these acts. You re-  
main responsible if the third party fails to perform any required  
action. Before you choose to outsource any of your payroll and  
related tax duties (that is, withholding, reporting, and paying  
over social security, Medicare, FUTA, and income taxes) to a  
third-party payer, such as a payroll service provider or report-  
ing agent, go to IRS.gov/OutsourcingPayrollDuties for helpful  
information on this topic. For more information on the different  
types of third-party payer arrangements, see section 16 of Pub.  
15.  
The Medicare tax rate is 1.45% each for the employee and  
employer, unchanged from 2022. There is no wage base limit  
for Medicare tax.  
Social security and Medicare taxes apply to the wages of  
household workers you pay $2,600 or more in cash wages in  
2023. For more information, see Cash wages and $2,600 test,  
later.  
For information about the rates and wage threshold that will  
apply in 2024, see Pub. 926.  
Paid preparers. If you use a paid preparer to complete  
Schedule H, the paid preparer must complete and sign the paid  
preparer’s section of the Schedule H unless you’re attaching  
Schedule H to Form 1040, 1040-SR, 1040-NR, 1040-SS, or  
1041. A paid preparer must sign Schedule H and provide the  
information requested in the Paid Preparer Use Only section  
only if the preparer was paid to prepare Schedule H and isn't  
your employee. The preparer must give you a copy of the re-  
turn in addition to the copy to be filed with the IRS.  
Qualified parking exclusion and commuter transportation  
benefit. For 2023, the monthly exclusion for qualified parking  
is $300 and the monthly exclusion for commuter highway vehi-  
cle transportation and transit passes is $300.  
Credit reduction state. A state that hasn't repaid money it  
borrowed from the federal government to pay unemployment  
benefits is a “credit reduction state.” The Department of Labor  
determines these states. If an employer pays wages that are  
H-2  
   
Who Needs To File Schedule H?  
Who Needs To File Form W-2 and  
Form W-3?  
You must file Schedule H if you answer “Yes” to any of the  
questions on lines A, B, and C of Schedule H.  
You must file Form W-2 for each household employee to  
whom you paid $2,600 or more of cash wages in 2023 that are  
subject to social security and Medicare taxes. To find out if the  
wages are subject to these taxes, see the instructions for Sched-  
ule H, line 1a, line 3, and line 5, later. Even if the wages aren't  
subject to these taxes, if you withheld federal income tax from  
the wages of any household employee, you must file Form W-2  
for that employee. However, when not subject to social security  
and Medicare taxes, leave boxes 3, 4, 5, and 6 blank on Form  
W-2; only complete boxes 1 and 2. If the wages are below  
$2,600 for 2023 and you complete boxes 3, 4, 5, and 6 on Form  
W-2, the SSA will reject your Form W-2.  
Did you have a household employee? If you hired someone  
to do household work and you could control what work they  
did and how they did it, you had a household employee. This is  
true even if you gave the employee freedom of action. What  
matters is that you had the right to control the details of how  
the work was done.  
Example. You paid Peyton Oak to babysit your child and  
do light housework 4 days a week in your home. Peyton fol-  
lowed your specific instructions about household and childcare  
duties. You provided the household equipment and supplies  
Peyton needed to do the work. Peyton is your household em-  
ployee.  
Note. If you are a household employer located in Puerto Rico  
and wages are not subject to social security and Medicare tax-  
es, leave boxes 20, 21, 22, and 23 blank on Form 499R-2/  
W-2PR, but complete the rest of the form according to your in-  
structions. If the wages are below $2,600 for 2023 and you  
complete boxes 20, 21, 22, and 23 of Form 499R-2/W-2PR, the  
SSA will reject your Form 499R-2/W-2PR.  
Household work is work done in or around your home.  
Some examples of workers who do household work are:  
Babysitters  
Butlers  
Cooks  
Maids  
Drivers  
Nannies  
Caretakers  
Cleaning people  
Health aides  
Housekeepers  
Private nurses  
Yard workers  
If you're required to file a 2023 Form W-2 for any house-  
hold employee, you must also send Form W-3 with Copy A of  
Form(s) W-2 to the SSA. You're encouraged to file your Forms  
W-2 and W-3 electronically. If filing electronically via the  
SSA's Form W-2 Online service, the SSA generates Form W-3  
data from the electronic submission of Form(s) W-2. For more  
information on electronic filing, go to the SSA's Employer W-2  
Filing Instructions & Information website at SSA.gov/employer.  
If a worker is your employee, it doesn't matter whether the  
work is full or part time or that you hired the worker through  
an agency or from a list provided by an agency or association.  
Also, it doesn't matter if the wages paid are for work done  
hourly, daily, weekly, or by the job.  
If you’re a home care service recipient receiving home care  
services through a program administered by a federal, state, or  
local government agency, and the person who provides your  
care is your household employee, you can ask the IRS to au-  
thorize an agent under section 3504 to report, file, and pay all  
federal employment taxes, including FUTA taxes, on your be-  
half. See Form 2678, Employer/Payer Appointment of Agent,  
for more information.  
Do You Have an Employer  
Identification Number (EIN)?  
If you have household employees, you will need an EIN to file  
Schedule H. If you don't have an EIN, you may apply for one  
online by going to IRS.gov/EIN. You may also apply for an  
EIN by faxing or mailing Form SS-4 to the IRS. Don't use your  
social security number (SSN) in place of an EIN. The Instruc-  
tions for Form SS-4 explain how you can get an EIN immedi-  
ately over the Internet, generally within 4 business days by fax,  
or in about 4 weeks if you apply by mail. Go to IRS.gov/Forms  
to get forms and publications, including Form SS-4.  
If a government agency or third-party agent reports  
and pays the employment taxes on wages paid to your  
household employee on your behalf, you don't need to  
TIP  
file Schedule H to report those taxes.  
Workers who aren't your employees. Workers you get from  
an agency aren't your employees if the agency is responsible  
for who does the work and how it is done. Self-employed  
workers are also not your employees. A worker is self-em-  
ployed if only the worker can control how the work is done. A  
self-employed worker usually provides their own tools and of-  
fers services to the general public in an independent business.  
Can Your Employee Legally Work in  
the United States?  
It is unlawful to employ a person who can't legally work in the  
United States. When you hire a household employee to work  
for you on a regular basis, you and the employee must each  
complete part of the U.S. Citizenship and Immigration Services  
(USCIS) Form I-9, Employment Eligibility Verification. You  
must verify that the employee is either a U.S. citizen or a per-  
son who can legally work in the United States and you must  
keep Form I-9 for your records. You can get the form and the  
USCIS Handbook for Employers by going to the USCIS web-  
site at USCIS.gov/I-9-Central. You may use E-Verify at E-  
Verify.gov to confirm the employment eligibility of newly hired  
employees.  
Example. You made an agreement with a worker to care for  
your lawn. The worker runs a lawn care business and offers  
their services to the general public. The worker hires their own  
helpers, provides their own tools and supplies, and instructs the  
helpers how to do their jobs. Neither the worker nor their help-  
ers are your employees.  
For more information, see Pub. 926 (or Pub. 179 for em-  
ployers in Puerto Rico).  
H-3  
       
Note. Form I-9 is available in Spanish. Only employers loca-  
ted in Puerto Rico may complete the Spanish version of Form  
I-9 instead of the English version. Go to USCIS.gov/I-9 to get  
the English and Spanish versions of Form I-9 and their separate  
instructions.  
ic filing. If filing electronically via the SSA's Form W-2 Online  
service, the SSA generates Form W-3 automatically based on  
your Form(s) W-2.  
By January 31, 2024, send Copy A of all Forms W-2 with  
Form W-3 to the SSA and give Copies B, C, and 2 of Form  
W-2 to each employee. For paper forms, you will meet this re-  
quirement if the form is properly addressed, mailed, and post-  
marked no later than January 31, 2024.  
What About State Employment  
Taxes?  
If you employed a household employee in 2023, you probably  
have to pay contributions to your state unemployment fund for  
2023. To find out if you do, contact your state unemployment  
tax agency. For a list of state unemployment tax agencies, go to  
the U.S. Department of Labor's website at oui.doleta.gov/  
unemploy/agencies.asp. You should also find out if you need to  
pay or collect other state employment taxes or carry workers'  
compensation insurance.  
If you file Forms W-2 and W-3 electronically, don't  
mail the paper Forms W-2 and W-3 to the SSA.  
!
CAUTION  
If filing on paper, mail Copy A of all Forms W-2 with Form  
W-3 to:  
Social Security Administration  
Direct Operations Center  
Wilkes-Barre, PA 18769-0001  
Note. Household employers located in Puerto Rico see Pub.  
179, Section 9 or call 787-754-5353.  
If you use “Certified Mail” to file, change the ZIP code to  
“18769-0002.” If you use an IRS-approved private delivery  
service (PDS), add “Attn: W-2 Process, 1150 E. Mountain  
Drive” to the address and change the ZIP code to  
“18702-7997.” Go to IRS.gov/PDS for the current list of  
IRS-approved PDSs.  
When and Where To File  
Schedule H  
If you file Form 1040, 1040-SR, 1040-NR, 1040-SS, or 1041  
for 2023, remember to attach Schedule H to it. Mail your re-  
turn, by April 15, 2024, to the address shown in your tax return  
instructions. If you live in Maine or Massachusetts, you have  
until April 17, 2024, because of the Patriots' Day and Emanci-  
pation Day holidays.  
Check with your state, city, or local tax department to  
find out if you must file Copy 1 of Form W-2.  
TIP  
Penalties. You may have to pay a penalty if you don't give  
Forms W-2 to your employees or file Copy A of the forms with  
the SSA by the due dates. You may also have to pay a penalty  
if you don't show your employee's SSN on Form W-2 or don't  
provide correct information on the form.  
Exceptions. If you get an extension of time to file your return,  
file your return with Schedule H by the extended due date. If  
you’re a fiscal year filer, file your return and Schedule H by the  
due date of your fiscal year return, including extensions.  
If you’re a calendar year taxpayer and have no house-  
hold employees for 2023, you don't have to file Sched-  
ule H for 2023.  
TIP  
How To Fill In Schedule H, Form  
W-2, and Form W-3  
If you have household employees for 2023, but you’re not  
required to file a 2023 tax return (for example, because your in-  
come is below the amount that requires you to file), you must  
file Schedule H by itself by April 15, 2024. Complete Sched-  
ule H and put it in an envelope with your check or money or-  
der. Don't send cash. See the list of filing addresses, later. Mail  
your completed Schedule H and payment to the address listed  
for the place where you live. Make your check or money order  
payable to “United States Treasury” for the total household em-  
ployment taxes due. Enter your name, address, SSN, daytime  
phone number, and “2023 Schedule H” on your check or mon-  
ey order. Household employers that are tax exempt and don't  
have to file a tax return (for example, churches that pay a  
household worker to take care of a minister's home) may also  
file Schedule H by itself.  
Schedule H  
If you were notified that your household employee re-  
ceived payments from a state disability plan, see State  
!
CAUTION  
Social security number (SSN). Enter your SSN. Form 1041  
filers, don't enter a number in this space. But be sure to enter  
your EIN in the space provided.  
Employer identification number (EIN). An EIN is a  
nine-digit number assigned by the IRS. The digits are arranged  
as follows: 00-0000000. Enter your EIN in the space provided.  
If you don't have an EIN, see Do You Have an Employer Identi-  
fication Number (EIN), earlier. If you applied for an EIN but  
haven't received it, enter “Applied For” and the date you ap-  
plied. Don't use your SSN as an EIN.  
Form W-2 and Form W-3  
Line A. Did you pay any one household employee cash wa-  
ges of $2,600 or more in 2023? To figure the total cash wages  
You're encouraged to file your Forms W-2 and W-3 electroni-  
cally. Go to the SSA's Employer W-2 Filing Instructions & In-  
formation website at SSA.gov/employer to learn about electron-  
H-4  
         
you paid in 2023 to each household employee, don't include  
amounts paid to any of the following individuals.  
muter highway vehicle transportation and transit passes. See  
Transportation (Commuting) Benefits in Pub. 15-B for more in-  
formation. Any cash reimbursement over these amounts is in-  
cluded as wages.  
Your spouse.  
Your child who was under age 21.  
Your parent. (See Exception for parents below.)  
Your employee who was under age 18 at any time during  
Part I. Social Security, Medicare, and  
Federal Income Taxes  
Social security and Medicare taxes fund retirement, survivor,  
disability, and health benefits for workers and their families.  
You and your employees generally pay these taxes in equal  
amounts.  
2023. If the employee wasn't a student, see Exception for em-  
Exception for parents. Include the cash wages you paid  
your parent for work in or around your home if both (1) and (2)  
below apply.  
1. Your child (including an adopted child or stepchild) who  
lived with you was under age 18 or had a physical or mental  
condition that required the personal care of an adult for at least  
4 continuous weeks during the calendar quarter in which serv-  
ices were performed. A calendar quarter is January through  
March, April through June, July through September, or October  
through December.  
You’re not required to withhold federal income tax from  
wages you pay a household employee. You should withhold  
federal income tax only if your household employee asks you  
to withhold it and you agree. The employee must give you a  
completed Form W-4.  
For 2023, the rate of social security tax on taxable wages,  
except for qualified sick leave wages and qualified family  
leave wages paid in 2023 for leave taken after March 31, 2020,  
and before April 1, 2021, is 6.2% each for the employer and  
employee or 12.4% for both. Stop paying social security tax on  
and entering an employee's wages on line 1a when the employ-  
ee's taxable wages, including qualified sick and family leave  
wages paid in 2023 that are reported on line 1b, reach $160,200  
for the year. However, continue to withhold income and Medi-  
care taxes for the whole year on all wages, including qualified  
sick and family leave wages paid in 2023, even when the social  
security wage base of $160,200 has been reached.  
2. You were divorced and not remarried, a widow or wid-  
ower, or married to and living with a person whose physical or  
mental condition prevented your spouse from caring for the  
child for at least 4 continuous weeks during the calendar quar-  
ter in which services were performed.  
Exception for employees under age 18. Include the cash  
wages you paid to a person who was under age 18 and not a  
student if providing household services was the employee’s  
principal occupation.  
Cash wages. Cash wages include wages paid by check, money  
order, etc. Cash wages don't include the value of food, lodging,  
clothing, transit passes, or other noncash items you give a  
household employee. However, cash you give your employee  
in place of these items is included in cash wages.  
The Medicare tax rate is 1.45% each for the employee and  
employer, unchanged from 2022. There is no wage base limit  
for Medicare tax. If you didn't deduct the employee's share  
from the employee’s wages, you must pay the employee's share  
of tax and your share of tax, a total of 12.4% for social security  
tax and 2.9% for Medicare tax. See Form W-2 and Form W-3,  
later, for more information.  
Noncash wages paid to household employees aren't subject  
to social security taxes or Medicare taxes; however, they are  
subject to federal income tax unless a specific exclusion ap-  
plies. Report the value of taxable noncash wages in box 1 of  
Form W-2 together with cash wages. Don't show noncash wa-  
ges in box 3 or in box 5 of Form W-2. See section 5 of Pub. 15  
for more information on cash and noncash wages, and Pub.  
15-B for more information on fringe benefits.  
Note. Employers located in Puerto Rico see the Instructions  
for Form W-3 (PR).  
In addition to withholding Medicare tax at 1.45%, you must  
withhold a 0.9% Additional Medicare Tax from wages you pay  
to an employee in excess of $200,000 in a calendar year.  
You’re required to begin withholding Additional Medicare Tax  
in the pay period in which you pay wages in excess of  
$200,000 to an employee and continue to withhold it each pay  
period until the end of the calendar year. Additional Medicare  
Tax is only imposed on the employee. There is no employer  
share of Additional Medicare Tax. All wages that are subject to  
Medicare tax are subject to Additional Medicare Tax withhold-  
ing if paid in excess of the $200,000 withholding threshold. For  
more information on Additional Medicare Tax, go to IRS.gov/  
Note. Household employers located in Puerto Rico report the  
value of taxable noncash wages in box 7 of Form 499R-2/  
W-2PR together with cash wages. Don't show noncash wages  
in box 20 or in box 22 of Form 499R-2/W-2PR. See section 5  
or section 8 of Pub. 179 for more information on cash and non-  
cash wages.  
Transportation (commuting) benefits. If you reimburse  
your employee for qualified parking, transportation in a com-  
muter highway vehicle, or transit passes, you may be able to  
exclude the cash reimbursement amounts from counting as  
cash wages subject to social security and Medicare taxes.  
Qualified parking is parking at or near your home or at or near  
a location from which your employee commutes to your home.  
It doesn't include parking at or near your employee's home. For  
2023, you can reimburse your employee up to $300 per month  
for qualified parking and $300 per month for combined com-  
$2,600 test. If you pay a household employee $2,600 or  
more in cash wages during 2023, you must report and pay so-  
cial security and Medicare taxes on all the wages, including the  
first $2,600 paid to that employee. The test applies to cash wa-  
ges paid in 2023 regardless of when the wages were earned.  
See Pub. 926 for more information.  
H-5  
       
Note. Household employers located in Puerto Rico, see Pub.  
Emergency Paid Sick Leave Act (EPSLA). Employers with  
fewer than 500 employees and, for leave taken after March 31,  
2021, and before October 1, 2021, certain governmental em-  
ployers without regard to number of employees (except for the  
federal government and its agencies and instrumentalities un-  
less described in section 501(c)(1)) are entitled to a credit if  
they provide paid sick leave to employees that otherwise meets  
the requirements of the EPSLA. Under the EPSLA, as amen-  
ded for purposes of the ARP, wages are qualified sick leave  
wages if paid to employees that are unable to work before Oc-  
tober 1, 2021, because the employee:  
179.  
Line 1a. Total cash wages subject to social security tax. En-  
ter the total of cash wages (see Cash wages, earlier) paid in  
2023 to each household employee who meets the $2,600 test,  
explained earlier.  
If you paid any household employee cash wages of  
more than $160,200 in 2023, include on line 1a only  
the first $160,200 of that employee's cash wages.  
!
CAUTION  
Line 1b. Qualified sick and family leave wages paid in 2023  
for leave taken after March 31, 2020, and before April 1,  
2021, included on line 1a. Enter the qualified sick and family  
leave wages you paid in 2023 for leave taken after March 31,  
2020, and before April 1, 2021, included on line 1a. For more  
information on qualified sick and family leave wages paid in  
2023 for leave taken after March 31, 2020, and before April 1,  
2021, see the instructions for line 8g and line 8i, later.  
1. Is subject to a federal, state, or local quarantine or isola-  
tion order related to COVID-19;  
2. Has been advised by a health care provider to self-quar-  
antine due to concerns related to COVID-19;  
3. Is experiencing symptoms of COVID-19 and seeking a  
medical diagnosis; or, for leave taken after March 31, 2021,  
and before October 1, 2021, is seeking or awaiting the results  
of a diagnostic test for, or a medical diagnosis of, COVID-19  
(and the employee has been exposed to COVID-19 or the em-  
ployee's employer has requested such test or diagnosis), or the  
employee is obtaining immunizations related to COVID-19 or  
recovering from an injury, disability, illness, or condition rela-  
ted to such immunization;  
Line 2a. Social security tax. Multiply the amount on line 1a  
by 12.4% (0.124). Enter the result on line 2a.  
Line 2b. Employer share of social security tax on qualified  
sick and family leave wages paid in 2023 for leave taken af-  
ter March 31, 2020, and before April 1, 2021. Multiply the  
amount on line 1b by 6.2% (0.062). Enter the result on line 2b.  
4. Is caring for an individual subject to an order described  
in (1) or who has been advised as described in (2);  
Line 2c. Total social security tax. Subtract line 2b from  
line 2a. Enter the result on line 2c.  
5. Is caring for a son or daughter because the school or  
place of care for that child has been closed, or the childcare  
provider for that child is unavailable, due to COVID-19 pre-  
cautions; or  
Line 3. Total cash wages subject to Medicare tax. Enter the  
total cash wages (see Cash wages, earlier) paid in 2023 to each  
employee who meets the $2,600 test, explained earlier. There is  
no limit on wages subject to Medicare tax.  
6. Is experiencing any other substantially similar condition  
specified by the U.S. Department of Health and Human Serv-  
ices, which for leave taken after March 31, 2021, and before  
October 1, 2021, includes to accompany an individual to obtain  
immunization related to COVID-19, or to care for an individual  
who is recovering from any injury, disability, illness, or condi-  
tion related to the immunization.  
Line 4. Medicare tax. Multiply the amount on line 3 by 2.9%  
(0.029). Enter the result on line 4.  
Line 5. Total cash wages subject to Additional Medicare  
Tax withholding. Enter the total cash wages (see Cash wages,  
earlier) paid to each employee in 2023 that exceeded $200,000.  
Line 6. Additional Medicare Tax withholding. Multiply the  
amount on line 5 by 0.9% (0.009). Enter the result on line 6.  
Son or daughter. A son or daughter must generally have  
been under 18 years of age or incapable of self-care because of  
a mental or physical disability. A son or daughter includes a bi-  
ological child, adopted child, stepchild, foster child, legal ward,  
or child for whom the employee assumes parental status and  
carries out the obligations of a parent.  
Line 7. Federal income tax withheld. Enter any federal in-  
come tax you withheld from the wages you paid to your house-  
hold employees in 2023. See Pub. 926 and Pub. 15-T for infor-  
mation on withholding federal income taxes.  
Note. Household employers located in Puerto Rico skip  
line 7.  
Limits on qualified sick leave wages. The EPSLA, as  
amended for purposes of the ARP, provides different limita-  
tions for different circumstances under which qualified sick  
leave wages are paid. For paid sick leave qualifying under (1),  
(2), or (3) earlier, the amount of qualified sick leave wages is  
determined at the employee's regular rate of pay, but the wages  
may not exceed $511 for any day (or portion of a day) for  
which the individual is paid sick leave. For paid sick leave  
qualifying under (4), (5), or (6) earlier, the amount of qualified  
sick leave wages is determined at two-thirds the employee's  
regular rate of pay, but the wages may not exceed $200 for any  
day (or portion of a day) for which the individual is paid sick  
leave. The EPSLA also limits each individual to a maximum of  
up to 80 hours of paid sick leave in total for leave taken after  
Line 8a. Total social security, Medicare, and federal income  
taxes. Add lines 2c, 4, 6, and 7. Enter the result on line 8a.  
Lines 8b Through 8f  
If you aren't claiming a credit for qualified sick leave wages or  
qualified family leave wages, enter the amount from line 8a on  
line 8d and skip to line 9.  
The same wages can't be treated as both qualified sick leave  
wages and qualified family leave wages. For leave taken after  
March 31, 2021, and before October 1, 2021, any wages taken  
into account in determining the credit for qualified sick and  
family leave wages can't be taken into account as wages for  
purposes of the credits under sections 45A, 45P, 45S, and 51.  
H-6  
         
March 31, 2020, and before April 1, 2021. The ARP resets this  
limit at 80 hours of paid sick leave for leave taken after March  
31, 2021, and before October 1, 2021. Therefore, for leave tak-  
en after March 31, 2020, and before April 1, 2021, the maxi-  
mum amount of paid sick leave wages can't exceed $5,110 for  
an employee for leave under (1), (2), or (3), and it can't exceed  
$2,000 for an employee for leave under (4), (5), or (6). These  
maximum amounts also reset and apply to leave taken after  
March 31, 2021, and before October 1, 2021.  
If you paid qualified sick or family leave wages in  
2023 for leave taken after March 31, 2020, and before  
April 1, 2021, complete lines 8g through 8j before  
TIP  
completing Worksheet 3. If you paid qualified sick or family  
leave wages in 2023 for leave taken after March 31, 2021, and  
before October 1, 2021, complete lines 8k through 8n before  
completing Worksheet 4.  
Line 8b. Nonrefundable portion of credit for qualified sick  
and family leave wages for leave taken after March 31,  
2020, and before April 1, 2021. Enter the nonrefundable por-  
tion of the credit for qualified sick and family leave wages for  
leave taken after March 31, 2020, and before April 1, 2021,  
from Worksheet 3, Step 2, line 2j.  
For more information about qualified sick and family leave  
wages, go to IRS.gov/PLC.  
Expanded Family and Medical Leave Act (Expanded  
FMLA). Employers with fewer than 500 employees and, for  
leave taken after March 31, 2021, and before October 1, 2021,  
certain governmental employers without regard to number of  
employees (except for the federal government and its agencies  
and instrumentalities unless described in section 501(c)(1)) are  
entitled to a credit under the FFCRA, as amended for purposes  
of the ARP, if they provide paid family leave to employees that  
otherwise meets the requirements of the Expanded FMLA. For  
leave taken after March 31, 2020, and before April 1, 2021,  
wages are qualified family leave wages if paid to an employee  
who has been employed for at least 30 calendar days when an  
employee is unable to work due to the need to care for a son or  
daughter under 18 years of age or incapable of self-care be-  
cause of a mental or physical disability because the school or  
place of care for that child has been closed, or the childcare  
provider for that child is unavailable, due to a public health  
emergency. See Son or daughter, earlier, for more information.  
For leave taken after March 31, 2021, and before October 1,  
2021, the leave can be granted for any other reason provided by  
the EPSLA, as amended for purposes of the ARP.  
Complete line 8b only if qualified sick leave wages  
and/or qualified family leave wages were paid in 2023  
for leave taken after March 31, 2020, and before April  
!
CAUTION  
1, 2021.  
Businesses, tax-exempt organizations with fewer than 500  
employees, and Schedule H filers that provide paid sick leave  
under the EPSLA and/or provide paid family leave under the  
Expanded FMLA are eligible to claim the credit for qualified  
sick and family leave wages for leave taken after March 31,  
2020, and before April 1, 2021. For purposes of the credit,  
qualified sick leave wages and qualified family leave wages are  
wages for social security and Medicare tax purposes, deter-  
mined without regard to the exclusions from the definition of  
employment under sections 3121(b)(1)–(22), that an employer  
pays that otherwise meet the requirements of the EPSLA or Ex-  
panded FMLA. The credit for qualified sick and family leave  
wages consists of the qualified sick leave wages, the qualified  
family leave wages, the qualified health plan expenses alloca-  
ble to those wages, and the employer share of Medicare tax al-  
locable to those wages. The nonrefundable portion of the credit  
is limited to the employer share of social security tax reported  
on Schedule H, line 2a.  
For leave taken after March 31, 2020, and before April 1,  
2021, the first 10 days for which an employee takes leave may  
be unpaid. During this period, employees may use other forms  
of paid leave, such as qualified sick leave, accrued sick leave,  
annual leave, or other paid time off. After an employee takes  
leave for 10 days, the employer provides the employee paid  
leave (that is, qualified family leave wages) for up to 10 weeks.  
For leave taken after March 31, 2021, and before October 1,  
2021, the 10-day rule discussed above doesn't apply and the  
paid leave can be provided for up to 12 weeks.  
Any credit in excess of the remaining amount of the em-  
ployer share of social security tax is refundable and reported on  
Schedule H, line 8e. For more information on the credit for  
qualified sick and family leave wages, go to IRS.gov/PLC.  
Qualified health plan expenses allocable to qualified sick  
and family leave wages. The credit for qualified sick leave  
wages and qualified family leave wages is increased to cover  
the qualified health plan expenses that are properly allocable to  
the qualified leave wages for which the credit is allowed. These  
qualified health plan expenses are amounts paid or incurred by  
the employer to provide and maintain a group health plan but  
only to the extent such amounts are excluded from the employ-  
ees' income as coverage under an accident or health plan. The  
amount of qualified health plan expenses generally includes  
both the portion of the cost paid by the employer and the por-  
tion of the cost paid by the employee with pre-tax salary reduc-  
tion contributions. However, qualified health plan expenses  
don't include amounts that the employee paid for with after-tax  
contributions. For more information, go to IRS.gov/PLC.  
Rate of pay and limit on wages. The rate of pay must be at  
least two-thirds of the employee's regular rate of pay (as deter-  
mined under the Fair Labor Standards Act of 1938), multiplied  
by the number of hours the employee otherwise would have  
been scheduled to work. For leave taken after March 31, 2020,  
and before April 1, 2021, the total qualified family leave wages  
can't exceed $200 per day or $10,000 in the aggregate per em-  
ployee. For leave taken after March 31, 2021, and before Octo-  
ber 1, 2021, the limit resets and the total qualified family leave  
wages can't exceed $200 per day or $12,000 in the aggregate  
per employee.  
For more information about qualified sick and family leave  
wages, go to IRS.gov/PLC.  
H-7  
     
You must include the full amount (both the nonrefund-  
able and refundable portions) of the credit for quali-  
fied sick and family leave wages in your gross income  
and before April 1, 2021. Enter the refundable portion of the  
credit for qualified sick and family leave wages from Work-  
sheet 3, Step 2, line 2k.  
TIP  
for the tax year that includes the last day of any calendar quar-  
ter in which a credit is allowed.  
Complete line 8e only if qualified sick leave wages  
and/or qualified family leave wages were paid in 2023  
for leave taken after March 31, 2020, and before April  
!
CAUTION  
Line 8c. Nonrefundable portion of credit for qualified sick  
and family leave wages for leave taken after March 31,  
2021, and before October 1, 2021. Enter the nonrefundable  
portion of the credit for qualified sick and family leave wages  
from Worksheet 4, Step 2, line 2l.  
1, 2021.  
Businesses, tax-exempt organizations with fewer than 500  
employees, and Schedule H filers that provide paid sick leave  
under the EPSLA and/or provide paid family leave under the  
Expanded FMLA are eligible to claim the credit for qualified  
sick and family leave wages. The credit for qualified sick and  
family leave wages consists of the qualified sick leave wages,  
the qualified family leave wages, the qualified health plan ex-  
penses allocable to those wages, and the employer share of  
Medicare tax allocable to those wages. The refundable portion  
of the credit is allowed after the employer share of social secur-  
ity tax is reduced to zero by nonrefundable credits that are ap-  
plied against the employer share of social security tax.  
Complete line 8c only if qualified sick leave wages  
and/or qualified family leave wages were paid in 2023  
for leave taken after March 31, 2021, and before Oc-  
tober 1, 2021.  
!
CAUTION  
Businesses, tax-exempt organizations with fewer than 500  
employees, and Schedule H filers that provide paid sick leave  
under the EPSLA, as amended for purposes of the ARP, and/or  
provide paid family leave to employees that otherwise meets  
the requirements under the Expanded FMLA, as amended for  
purposes of the ARP, are eligible to claim the credit for quali-  
fied sick and family leave wages for leave taken after March  
31, 2021, and before October 1, 2021. The nonrefundable por-  
tion of the credit is limited to the employer share of Medicare  
tax reported on Schedule H, line 4.  
Line 8f. Refundable portion of credit for qualified sick and  
family leave wages for leave taken after March 31, 2021,  
and before October 1, 2021. Enter the refundable portion of  
the credit for qualified sick and family leave wages from Work-  
sheet 4, Step 2, line 2m.  
Complete line 8f only if qualified sick leave wages  
and/or qualified family leave wages were paid in 2023  
for leave taken after March 31, 2021, and before Oc-  
For purposes of this credit, qualified sick leave wages and  
qualified family leave wages are wages for social security and  
Medicare tax purposes, determined without regard to the exclu-  
sions from the definition of employment under sections  
3121(b)(1)–(22), that an employer pays that otherwise meet the  
requirements of the EPSLA or Expanded FMLA, as enacted  
under the FFCRA and amended for purposes of the ARP.  
!
CAUTION  
tober 1, 2021.  
Businesses, tax-exempt organizations with fewer than 500  
employees, and Schedule H filers are entitled to a credit if they  
provide paid sick leave to employees that otherwise meets the  
requirements of the EPSLA, as amended for purposes of the  
ARP, and/or provide paid family leave to employees that other-  
wise meets the requirements under the Expanded FMLA, as  
amended for purposes of the ARP, for leave taken after March  
31, 2021, and before October 1, 2021. The refundable portion  
of the credit is allowed after the employer share of Medicare  
tax is reduced to zero by nonrefundable credits that are applied  
against the employer share of Medicare tax.  
The credit for qualified sick and family leave wages consists  
of the:  
Qualified sick leave wages and/or qualified family leave  
wages;  
Qualified health plan expenses allocable to qualified sick  
and family leave wages;  
Collectively bargained defined benefit pension plan con-  
tributions, subject to the qualified leave wage limitations, allo-  
cable to the qualified sick and family leave wages;  
Lines 8g Through 8n  
Collectively bargained apprenticeship program contribu-  
tions, subject to the qualified leave wages limitations, allocable  
to the qualified sick and family leave wages; and  
The amounts entered on lines 8g through 8n are amounts that  
you use on Worksheet 3 and Worksheet 4, later in these instruc-  
tions to figure certain credits. If you're claiming these credits,  
you must enter the applicable amounts.  
Employer share of social security and Medicare tax allo-  
cable to the qualified sick and family leave wages.  
For more information on the collectively bargained amounts  
discussed above, see sections 3131 and 3132.  
Complete lines 8g and 8h only if qualified sick leave  
wages were paid in 2023 for leave taken after March  
31, 2020, and before April 1, 2021.  
!
CAUTION  
Any credit in excess of the remaining amount of the em-  
ployer share of Medicare tax is refundable and reported on  
Schedule H, line 8f. For more information on the credit for  
qualified sick and family leave wages, go to IRS.gov/PLC.  
Line 8g. Qualified sick leave wages for leave taken before  
April 1, 2021. Enter the qualified taxable (subject to social se-  
curity tax) sick leave wages you paid in 2023 to your employ-  
ees for leave taken after March 31, 2020, and before April 1,  
2021. Qualified sick leave wages for leave taken after March  
31, 2020, and before April 1, 2021, aren't subject to the em-  
ployer share of social security tax; therefore, the tax rate on  
these wages is 6.2%. Stop paying social security tax on and  
Line 8d. Total social security, Medicare, and federal income  
taxes after nonrefundable credits. Add lines 8b and 8c and  
then subtract that total from line 8a. Enter the result on line 8d.  
Line 8e. Refundable portion of credit for qualified sick and  
family leave wages for leave taken after March 31, 2020,  
H-8  
       
entering an employee's wages on line 1a when the employee's  
taxable wages, including qualified sick and family leave wages  
reported on line 1b, reach $160,200 for the year. See the in-  
structions for line 3, earlier, for reporting Medicare tax on  
qualified sick leave wages, including the portion above the so-  
cial security wage base. This amount is also entered on Work-  
sheet 3, Step 2, line 2a.  
Complete lines 8m and 8n only if qualified family  
leave wages were paid in 2023 for leave taken after  
March 31, 2021, and before October 1, 2021.  
!
CAUTION  
Line 8m. Qualified family leave wages for leave taken after  
March 31, 2021, and before October 1, 2021. Enter the  
qualified family leave wages you paid in 2023 to your employ-  
ees for leave taken after March 31, 2021, and before October 1,  
2021, including any qualified family leave wages that were  
above the social security wage base and any qualified family  
leave wages excluded from the definition of employment under  
sections 3121(b)(1)–(22). See the instructions for line 8c, earli-  
er, for more information about qualified family leave wages for  
leave taken after March 31, 2021, and before October 1, 2021.  
This amount is also entered on Worksheet 4, Step 2, line 2f.  
Line 8h. Qualified health plan expenses allocable to quali-  
fied sick leave wages reported on line 8g. Enter the qualified  
health plan expenses allocable to qualified sick leave wages  
paid in 2023 for leave taken after March 31, 2020, and before  
April 1, 2021. This amount is also entered on Worksheet 3,  
Step 2, line 2b.  
Complete lines 8i and 8j only if qualified family leave  
wages were paid in 2023 for leave taken after March  
31, 2020, and before April 1, 2021.  
Line 8n. Qualified health plan expenses allocable to quali-  
fied family leave wages reported on line 8m. Enter the quali-  
fied health plan expenses allocable to qualified family leave  
wages paid in 2023 for leave taken after March 31, 2021, and  
before October 1, 2021. This amount is also entered on Work-  
sheet 4, Step 2, line 2g.  
!
CAUTION  
Line 8i. Qualified family leave wages for leave taken before  
April 1, 2021. Enter the qualified taxable (subject to social se-  
curity tax) family leave wages you paid in 2023 to your em-  
ployees for leave taken after March 31, 2020, and before April  
1, 2021. Qualified family leave wages for leave taken after  
March 31, 2020, and before April 1, 2021, aren't subject to the  
employer share of social security tax; therefore, the tax rate on  
these wages is 6.2%. Stop paying social security tax on and en-  
tering an employee's wages on line 1a when the employee's  
taxable wages, including qualified sick and family leave wages  
reported on line 1b, reach $160,200 for the year. See the in-  
structions for line 3, earlier, for reporting Medicare tax on  
qualified family leave wages, including the portion above the  
social security wage base. This amount is also entered on  
Worksheet 3, Step 2, line 2e.  
Line 9. Did you pay total cash wages of $1,000 or more in  
any calendar quarter of 2022 or 2023 to all household em-  
ployees? Review the cash wages you paid to all your house-  
hold employees for each calendar quarter of 2022 and 2023.  
If the total for any quarter in 2022 or 2023 is not $1,000 or  
more, check "No," stop here, and include the amount from  
line 8d on Schedule 2 (Form 1040), line 9. Include the  
amounts, if any, from lines 8e and 8f on Schedule 3 (Form  
1040), line 13z. If you don't file Form 1040, complete Sched-  
ule H, Part IV, and follow the instructions under When and  
Where To File, earlier.  
Line 8j. Qualified health plan expenses allocable to quali-  
fied family leave wages reported on line 8i. Enter the quali-  
fied health plan expenses allocable to qualified family leave  
wages paid in 2023 for leave taken after March 31, 2020, and  
before April 1, 2021. This amount is also entered on Worksheet  
3, Step 2, line 2f.  
If the total for any quarter in 2022 or 2023 is $1,000 or  
more, check "Yes" and complete Schedule H, Part II.  
Part II. Federal Unemployment (FUTA) Tax  
Together with state unemployment tax systems, the FUTA tax  
provides funds for paying unemployment compensation to  
workers who have lost their jobs. Most employers pay both a  
federal and a state unemployment tax.  
Complete lines 8k and 8l only if qualified sick leave  
wages were paid in 2023 for leave taken after March  
31, 2021, and before October 1, 2021.  
!
CAUTION  
The FUTA tax applies to the first $7,000 you pay to each  
employee during a calendar year after subtracting any pay-  
ments exempt from FUTA tax. The FUTA tax rate is 6.0% for  
2023. But see Credit for contributions paid to state next. Only  
employers pay FUTA tax. Don't collect or deduct FUTA tax  
from your employee's wages. You must pay it from your own  
funds.  
Line 8k. Qualified sick leave wages for leave taken after  
March 31, 2021, and before October 1, 2021. Enter the  
qualified sick leave wages you paid in 2023 to your employees  
for leave taken after March 31, 2021, and before October 1,  
2021, including any qualified sick leave wages that were above  
the social security wage base and any qualified sick leave wa-  
ges excluded from the definition of employment under sections  
3121(b)(1)–(22). See the instructions for line 8c, earlier, for  
more information about qualified sick leave wages for leave  
taken after March 31, 2021, and before October 1, 2021. This  
amount is also entered on Worksheet 4, Step 2, line 2a.  
Credit for contributions paid to state. You may be able to  
take a credit of up to 5.4% against the FUTA tax, resulting in a  
net FUTA tax rate of 0.6%. But to do so, you must pay all the  
required contributions for 2023 to your state unemployment  
fund by April 15, 2024. Fiscal year filers must pay all required  
contributions for 2023 by the due date of their federal income  
tax returns (not including extensions).  
Line 8l. Qualified health plan expenses allocable to quali-  
fied sick leave wages reported on line 8k. Enter the qualified  
health plan expenses allocable to qualified sick leave wages  
paid in 2023 for leave taken after March 31, 2021, and before  
October 1, 2021. This amount is also entered on Worksheet 4,  
Step 2, line 2b.  
State unemployment taxes are sometimes called contribu-  
tions. Contributions are payments that a state requires you, as  
an employer, to make to its unemployment fund for the pay-  
H-9  
     
ment of unemployment benefits. However, contributions don't  
include:  
as line 17. Your state will provide the experience rate. If you  
don't know your rate, contact your state unemployment tax  
agency.  
Any payments deducted or deductible from your employ-  
ees' pay;  
You must complete columns (a), (b), and (h), even if you  
weren't given an experience rate. If you were given an experi-  
ence rate of 5.4% or higher, you must also complete columns  
(c) and (d). If you were given a rate of less than 5.4%, you  
must complete all columns.  
Penalties, interest, or special administrative taxes; or  
Voluntary contributions you paid to get a lower state ex-  
perience rate.  
If you paid contributions to any credit reduction state, see  
the instructions for line 23, later.  
If you were given a rate for only part of the year, or the rate  
changed during the year, you must complete a separate line for  
each rate period.  
Lines 10 through 12. Answer the questions on lines 10  
through 12 to see if you should complete Section A or Sec-  
tion B of Part II.  
Column (b). Taxable wages. Enter the taxable wages on  
which you must pay taxes to the unemployment fund of the  
state shown in column (a). If your experience rate is 0%, enter  
the amount of wages you would have had to pay taxes on if  
that rate hadn't been granted.  
Fiscal year filers. If you paid all state unemployment con-  
tributions for 2023 by the due date of your return (not includ-  
ing extensions), check the “Yes” box on line 11. Check the  
“No” box if you didn't pay all of your state contributions by the  
due date of your return.  
Column (h). Contributions paid to state unemployment  
fund. Enter the total contributions (defined earlier) you paid  
to the state unemployment fund for 2023 by April 15, 2024.  
Fiscal year filers, enter the total contributions you paid to the  
state unemployment fund for 2023 by the due date of your re-  
turn (not including extensions). If you’re claiming excess cred-  
its as payments of state unemployment contributions, attach a  
copy of the letter from your state.  
Section A  
Line 13. Name of the state where you paid unemployment  
contributions. Enter the two-letter abbreviation of the name  
of the state (or the District of Columbia, Puerto Rico, or the  
U.S. Virgin Islands) to which you paid unemployment contri-  
butions. For a list of states and their postal abbreviations, see  
Line 18. Totals. Add the amounts in columns (g) and (h) sepa-  
rately and enter the totals in the spaces provided.  
Line 14. Contributions paid to your state unemployment  
fund. Enter the total of contributions (defined earlier) you paid  
to your state unemployment fund for 2023. If you didn't have  
to make contributions because your state gave you a 0% expe-  
rience rate, enter “0% rate” on line 14.  
Line 19. Add columns (g) and (h) of line 18. Add the  
amounts shown in columns (g) and (h) of line 18. Enter the to-  
tal on line 19.  
Line 20. Total cash wages subject to FUTA tax. Enter the to-  
tal cash wages subject to FUTA tax. See the line 15 instruc-  
tions, earlier, for details.  
Line 15. Total cash wages subject to FUTA tax. Enter the  
total of cash wages (see Cash wages, earlier) you paid in 2023  
to each household employee, including employees paid less  
than $1,000. However, don't include cash wages paid in 2023  
to any of the following individuals.  
Line 21. Multiply line 20 by 6.0% (0.06). Multiply the wages  
on line 20 by 6.0% (0.06). Enter the result on line 21.  
Line 22. Multiply line 20 by 5.4% (0.054). Multiply the wa-  
ges on line 20 by 5.4% (0.054). Enter the result on line 22.  
Your spouse.  
Your child who was under age 21.  
Your parent.  
Line 23. Enter the smaller of line 19 or line 22. Enter the  
smaller of line 19 or 22. However, if you paid state unemploy-  
ment contributions late or you're in a credit reduction state,  
don't enter the smaller of line 19 or 22, as discussed next. You  
paid state unemployment contributions late if you paid any  
state contributions after the due date for filing Form 1040,  
1040-SR, or 1040-SS (not including extensions). You're in a  
credit reduction state if you’re a household employer in a state  
which has an amount greater than zero in the “Reduction Rate”  
column of Worksheet 2.  
If you paid any household employee more than $7,000 in  
2023, include on line 15 only the first $7,000 of that employ-  
ee's cash wages.  
Line 16. FUTA tax. Multiply the wages on line 15 by 0.6%  
(0.006). Enter the result on line 16.  
Section B  
Complete lines 17 through 24 only if you checked a  
No” box on line 10, 11, or 12.  
If you paid state unemployment contributions late, use  
Worksheet 1 to figure the amount to enter on line 23.  
If you're in a credit reduction state, use Worksheet 2 to  
!
CAUTION  
TIP  
Credit for 2023. The credit you can take for any state unem-  
ployment fund contributions for 2023 that you pay after April  
15, 2024, is limited to 90% of the credit that would have been  
allowable if the contributions were paid on or before April 15,  
2024.  
figure the amount to enter on line 23. If you paid state contri-  
butions late and you're also in a credit reduction state, com-  
plete Worksheet 1 before completing Worksheet 2. If you didn't  
pay any state unemployment contributions late and you're not  
in a credit reduction state, you don't need to complete Work-  
sheet 1 or Worksheet 2.  
Line 17. Complete all columns below that apply. Complete  
all columns that apply. If you don't, you won't get a credit. If  
you need more space, attach a statement using the same format  
H-10  
   
Keep for Your Records  
Enter the amount from Schedule H, line 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Worksheet 1. Credit for Late Contributions  
1.  
2.  
3.  
4.  
5.  
6.  
7.  
8.  
9.  
Enter the amount from Schedule H, line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Subtract line 2 from line 1. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Enter total contributions paid to the state(s) after the Form 1040 or 1040-SR due date . . . . . .  
Enter the smaller of line 3 or line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Multiply line 5 by 90% (0.90) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Add lines 2 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Enter the smaller of the amount on line 1 or line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Are you in a credit reduction state?  
Yes. Enter the amount from line 8 above, on Worksheet 2, line 1. Complete that Worksheet 2 to figure the amount to  
enter on Schedule H, line 23.  
No. Enter the amount from line 8 on Schedule H, line 23.  
State Names and Postal Abbreviations  
State  
Postal  
State  
Postal  
State  
Postal  
State  
Postal  
Abbreviation  
Abbreviation  
Abbreviation  
Abbreviation  
Alabama  
Alaska  
AL  
AK  
AZ  
AR  
CA  
CO  
CT  
DE  
DC  
FL  
Indiana  
IN  
IA  
Nevada  
NV  
NH  
NJ  
Tennessee  
Texas  
TN  
TX  
UT  
VT  
VA  
WA  
WV  
WI  
WY  
PR  
Iowa  
New Hampshire  
New Jersey  
New Mexico  
New York  
Arizona  
Kansas  
KS  
Utah  
Arkansas  
California  
Colorado  
Connecticut  
Delaware  
District of Columbia  
Florida  
Kentucky  
Louisiana  
Maine  
KY  
LA  
ME  
MD  
MA  
MI  
NM  
NY  
NC  
ND  
OH  
OK  
OR  
PA  
Vermont  
Virginia  
North Carolina  
North Dakota  
Ohio  
Washington  
West Virginia  
Wisconsin  
Wyoming  
Puerto Rico  
U.S. Virgin Islands  
Maryland  
Massachusetts  
Michigan  
Minnesota  
Mississippi  
Missouri  
Montana  
Nebraska  
Oklahoma  
MN  
MS  
MO  
MT  
NE  
Oregon  
Georgia  
GA  
HI  
Pennsylvania  
Rhode Island  
South Carolina  
South Dakota  
VI  
Hawaii  
RI  
Idaho  
ID  
SC  
Illinois  
IL  
SD  
H-11  
   
Keep for Your Records  
Worksheet 2. Household Employers in a Credit Reduction State  
1. Enter the smaller of the amount from Schedule H, line 19 or line 22. (However, if you completed Worksheet 1,  
1.  
2.  
enter the amount from line 8 of that Worksheet 1.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
2. Enter the total taxable FUTA wages from Schedule H, line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
3. Place an “X” in the box of EVERY state in which you had to pay state unemployment tax this year. If all of the states you check have a credit  
reduction rate of zero, you don't have to complete this Worksheet 2. For each state with a credit reduction rate greater than zero, enter the FUTA taxable  
wages, multiply by the reduction rate, and then enter the credit reduction amount. Don't enter your state unemployment wages in the FUTA Taxable  
Wages box. Also don't include in the FUTA Taxable Wages box wages that were excluded from state unemployment tax. If any states don't apply to you,  
leave them blank.  
Postal Abbreviation FUTA Taxable Reduction Credit Reduction Postal Abbreviation  
FUTA Taxable  
Wages  
Reduction  
Rate  
Credit Reduction  
Wages  
Rate  
AK  
AL  
AR  
AZ  
CA  
CO  
CT  
DC  
DE  
FL  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.006  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
NC  
ND  
NE  
NH  
NJ  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.006  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.000  
x 0.039  
NM  
NV  
NY  
OH  
OK  
OR  
PA  
GA  
HI  
IA  
RI  
ID  
SC  
IL  
SD  
TN  
TX  
UT  
VA  
VT  
WA  
WI  
WV  
WY  
PR  
IN  
KS  
KY  
LA  
MA  
MD  
ME  
MI  
MN  
MO  
MS  
MT  
VI  
4. Total Credit Reduction. Add all amounts shown in the Credit Reduction boxes. Enter the total here . . . . . . . .  
4.  
5.  
5. Subtract line 4 of this Worksheet 2 from line 1 of this Worksheet 2 and enter the result here and on Schedule H,  
line 23. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
H-12  
 
Worksheet 3. Credit for Qualified Sick and Family Leave Wages Paid in 2023  
for Leave Taken After March 31, 2020, and Before April 1, 2021  
Keep for Your Records  
Determine how you will complete this worksheet.  
If you paid qualified sick leave wages and/or qualified family leave wages in 2023 for leave taken after March 31,2020, and before April 1, 2021, complete  
Step 1 and Step 2. Caution: Use Worksheet 4 to figure the credit for qualified sick and family leave wages paid in 2023 for leave taken after March 31,  
2021, and before October 1, 2021.  
Step 1.  
Determine the employer share of social security tax this year  
1a  
1b  
1c  
1d  
Enter the amount of social security tax from Schedule H (Form 1040), Part I, line 2a . . . . . .  
1a  
1b  
1c  
Multiply line 1a by 50% (0.50) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Enter the amount of social security tax from Schedule H (Form 1040), Part I, line 2b . . . . . .  
Employer share of social security tax. Subtract line 1c from line 1b . . . . . . . . . . . . . . . .  
1d  
Step 2.  
Figure the sick and family leave credit  
2a  
Qualified sick leave wages reported on Schedule H (Form 1040), Part I, line 8g . . . . . . . . .  
2a  
2a(i)  
Qualified sick leave wages included on Schedule H (Form 1040), Part I, line 3, but not  
included on Schedule H (Form 1040), Part I, line 8g, because the wages reported on that line  
were limited by the social security wage base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a(i)  
2a(ii) Total qualified sick leave wages. Add lines 2a and 2a(i) . . . . . . . . . . . . . . . . . . . . . . . . . .  
2a(ii)  
2a(iii) Qualified sick leave wages excluded from the definition of employment under sections  
3121(b)(1)–(22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a(iii)  
2b  
2c  
Qualified health plan expenses allocable to qualified sick leave wages reported on  
Schedule H (Form 1040), Part I, line 8h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b  
Employer share of Medicare tax on qualified sick leave wages. Multiply line 2a(ii) by 1.45%  
(0.0145) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c  
2d  
Credit for qualified sick leave wages. Add lines 2a(ii), 2a(iii), 2b, and 2c . . . . . . . . . . . . .  
2d  
2e  
Qualified family leave wages reported on Schedule H (Form 1040), Part I, line 8i . . . . . . . .  
2e  
2e(i)  
Qualified family leave wages included on Schedule H (Form 1040), Part I, line 3, but not  
included on Schedule H (Form 1040), Part I, line 8i, because the wages reported on that line  
were limited by the social security wage base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2e(i)  
2e(ii) Total qualified family leave wages. Add lines 2e and 2e(i) . . . . . . . . . . . . . . . . . . . . . . . .  
2e(ii)  
2e(iii) Qualified family leave wages excluded from the definition of employment under sections  
3121(b)(1)–(22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2e(iii)  
2f  
Qualified health plan expenses allocable to qualified family leave wages reported on  
Schedule H (Form 1040), Part I, line 8j . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2f  
2g  
Employer share of Medicare tax on qualified family leave wages. Multiply line 2e(ii) by  
1.45% (0.0145) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2g  
2h  
2i  
2j  
Credit for qualified family leave wages. Add lines 2e(ii), 2e(iii), 2f, and 2g . . . . . . . . . . .  
2h  
2i  
Credit for qualified sick and family leave wages. Add lines 2d and 2h . . . . . . . . . . . . . .  
Nonrefundable portion of credit for qualified sick and family leave wages for leave  
taken after March 31, 2020, and before April 1, 2021. Enter the smaller of line 1d or  
line 2i. Enter this amount on Schedule H (Form 1040), Part I, line 8b . . . . . . . . . . . . . . . . .  
2j  
2k  
Refundable portion of credit for qualified sick and family leave wages for leave taken  
after March 31, 2020, and before April 1, 2021. Subtract line 2j from line 2i and enter this  
amount on Schedule H (Form 1040), Part I, line 8e . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
2k  
H-13  
 
Worksheet 4. Credit for Qualified Sick and Family Leave Wages Paid in 2023  
for Leave Taken After March 31, 2021, and Before October 1, 2021  
Keep for Your Records  
Determine how you will complete this worksheet.  
If you paid qualified sick leave wages and/or qualified family leave wages in 2023 for leave taken after March 31, 2021, and before October 1, 2021,  
complete Step 1 and Step 2. Caution: Use Worksheet 3 to figure the credit for qualified sick and family leave wages paid in 2023 for leave taken after March  
31, 2020, and before April 1, 2021.  
Step 1.  
Step 2.  
Determine the employer share of Medicare tax  
Enter the amount of Medicare tax from Schedule H (Form 1040), Part I, line 4 . . . . . . . . . .  
1a  
1b  
1a  
2a  
Employer share of Medicare tax. Multiply line 1a by 50% (0.50) . . . . . . . . . . . . . . . . . .  
1b  
Figure the sick and family leave credit  
Qualified sick leave wages reported on Schedule H (Form 1040), Part I, line 8k . . . . . . . . .  
2a  
2a(i)  
Qualified sick leave wages included on Schedule H (Form 1040), Part I, line 8k, that were  
not included as wages reported on Schedule H (Form 1040), Part I, lines 1a and 3, because  
the qualified sick leave wages were excluded from the definition of employment under  
sections 3121(b)(1)–(22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a(i)  
2a(ii) Subtract line 2a(i) from line 2a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
2a(ii)  
2a(iii) Qualified sick leave wages included on Schedule H (Form 1040), Part I, line 8k, that were  
not included as wages reported on Schedule H (Form 1040), Part I, line 1a, because the  
qualified sick leave wages were limited by the social security wage base . . . . . . . . . . . . . . 2a(iii)  
2a(iv) Subtract line 2a(iii) from line 2a(ii) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
2a(iv)  
2b  
Qualified health plan expenses allocable to qualified sick leave wages reported on  
Schedule H (Form 1040), Part I, line 8l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b  
2b(i) Amounts under certain collectively bargained agreements allocable to qualified sick leave  
wages for leave taken after March 31, 2021, and before October 1, 2021 . . . . . . . . . . . . . . 2b(i)  
2c  
Employer share of social security tax on qualified sick leave wages. Multiply line 2a(iv) by  
6.2% (0.062) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c  
2d  
Employer share of Medicare tax on qualified sick leave wages. Multiply line 2a(ii) by 1.45%  
(0.0145) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d  
2e  
Credit for qualified sick leave wages. Add lines 2a, 2b, 2b(i), 2c, and 2d . . . . . . . . . . . . .  
2e  
2f  
Qualified family leave wages reported on Schedule H (From 1040), Part I, line 8m . . . . . . .  
2f  
2f(i)  
Qualified family leave wages included on Schedule H (Form 1040), Part I, line 8m, that were  
not included as wages reported on Schedule H (Form 1040), Part I, lines 1a and 3, because  
the qualified family leave wages were excluded from the definition of employment under  
sections 3121(b)(1)–(22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2f(i)  
2f(ii) Subtract line 2f(i) from line 2f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
2f(ii)  
2f(iii) Qualified family leave wages included on Schedule H (Form 1040), Part I, line 8m, that were  
not included as wages reported on Schedule H (Form 1040), Part I, line 1a, because the  
qualified family leave wages were limited by the social security wage base . . . . . . . . . . . . 2f(iii)  
2f(iv) Subtract line 2f(iii) from line 2f(ii) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
2f(iv)  
2g  
Qualified health plan expenses allocable to qualified family leave wages reported on  
Schedule H (Form 1040), Part I, line 8n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2g  
2g(i) Amounts under certain collectively bargained agreements allocable to qualified family leave  
wages for leave taken after March 31, 2021, and before October 1, 2021 . . . . . . . . . . . . . . 2g(i)  
2h  
Employer share of social security tax on qualified family leave wages. Multiply line 2f(iv) by  
6.2% (0.062) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2h  
2i  
Employer share of Medicare tax on qualified family leave wages. Multiply line 2f(ii) by  
1.45% (0.0145) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2i  
2j  
2k  
2l  
Credit for qualified family leave wages. Add lines 2f, 2g, 2g(i), 2h, and 2i . . . . . . . . . . . .  
2j  
Credit for qualified sick and family leave wages. Add lines 2e and 2j . . . . . . . . . . . . . . .  
2k  
Nonrefundable portion of credit for qualified sick and family leave wages for leave  
taken after March 31, 2021, and before October 1, 2021. Enter the smaller of line 1b or  
line 2k. Enter this amount on Schedule H (Form 1040), Part I, line 8c . . . . . . . . . . . . . . . .  
2l  
2m  
Refundable portion of credit for qualified sick and family leave wages for leave taken  
after March 31, 2021, and before October 1, 2021. Subtract line 2l from line 2k and enter  
this amount on Schedule H (Form 1040), Part I, line 8f . . . . . . . . . . . . . . . . . . . . . . . . . .  
2m  
H-14  
 
ever, the tax you paid isn't counted as social security and Medi-  
care wages and isn't included in boxes 3 and 5 of Form W-2  
(box 20 and 22 of Form 499R-2/W-2PR). Also, don't count the  
tax as wages for FUTA tax purposes. Follow steps 1 through 3  
below.  
Part III. Total Household Employment Taxes  
Line 25. Enter the amount from line 8d. Enter the amount  
from line 8d. If there is no entry on line 8d, enter -0-.  
Line 26. Add line 16 (or line 24) and line 25. Add the  
amounts on lines 16 and 25. If you were required to complete  
Section B of Part II, add the amounts on lines 24 and 25 and  
enter the total on line 26.  
1. Enter the amounts you paid on your employee's behalf  
in boxes 4 and 6 (boxes 21 and 23 of Form 499R-2/W-2PR).  
Don't include your share of these taxes.  
Line 27. Are you required to file Form 1040? Follow the in-  
structions in the chart.  
2. Add the amounts in boxes 3, 4, and 6 (boxes 20, 21 and  
23 of Form 499R-2/W-2PR). However, if box 5 (box 22 of  
Form 499R-2/W-2PR) is greater than box 3 (box 20 of Form  
499R-2/W-2PR), then add the amounts in boxes 4, 5, and 6  
(boxes 21, 22, and 23 of Form 499R-2/W-2PR).  
Enter the  
Enter the  
amount, if  
any, from  
Enter the  
amount, if  
any, from  
amount from  
Schedule H,  
line 8d, or, if  
applicable,  
line 26 on...  
Schedule H, Schedule H,  
line 8e, on… line 8f, on…  
3. Include the total in box 1 (box 7 of Form 499R-2/  
W-2PR). Also include in box 1 any taxable noncash wages  
which aren't reported in boxes 3 and 5 (boxes 20 and 22 of  
Form 499R-2/W-2PR).  
IF you file  
Form. . .  
1040 or 1040-SR  
Schedule 2 (Form Schedule 3  
Schedule 3  
(Form 1040),  
line 13z.  
1040), line 9.  
(Form 1040),  
line 13z.  
On Form W-3, put an “X” in the “Hshld. emp.” box  
located in box b, Kind of Payer.  
TIP  
1040-NR  
Schedule 2 (Form Schedule 3  
Schedule 3  
(Form 1040),  
line 13z.  
1040), line 9.  
(Form 1040),  
line 13z.  
Note. Household employers located in Puerto Rico, see Pub.  
1040-SS  
1041  
Form 1040-SS,  
Part I, line 4.  
Form 1040-SS, Form 1040-SS,  
Part I, line 11a. Part I, line 11b.  
179, section 13.  
For information on filing Forms W-2 and W-3 electronical-  
ly, go to the SSA's Employer W-2 Filing Instructions & Infor-  
mation website at SSA.gov/employer.  
Form 1041,  
Schedule G, Part Schedule G,  
I, line 7.  
Form 1041,  
Form 1041,  
Schedule G,  
Part II, line 18b. Part II,  
line 18b.  
You Should Also Know  
Estimated Tax Penalty  
If you don't file any of the above forms, complete Schedule H,  
Part IV, and follow the instructions under When and Where To  
File, earlier.  
You may need to increase the federal income tax withheld from  
your pay, pension, annuity, etc., or make estimated tax pay-  
ments to avoid an estimated tax penalty based on your house-  
hold employment taxes shown on Schedule H, line 26. You  
may increase your federal income tax withheld by giving your  
employer a new Form W-4, or by giving the payer of your pen-  
sion a new Form W-4P. Make estimated tax payments by filing  
Form 1040-ES, Estimated Tax for Individuals. For more infor-  
mation, see Pub. 505.  
Paid Preparers  
Paid Preparer Use Only. You must complete this part if you  
were paid to prepare Schedule H, and aren't an employee of the  
filing entity, and aren't attaching Schedule H to Form 1040,  
1040-SR, 1040-NR, 1040-SS, or 1041. You must sign in the  
space provided and give the filer a copy of Schedule H in addi-  
tion to the copy to be filed with the IRS.  
Form W-2 and Form W-3  
If you file one or more Forms W-2, you must also file Form  
W-3. We encourage you to file electronically. If filing electron-  
ically via the SSA's Form W-2 Online service, the SSA will  
generate Form W-3 data from the electronic submission.  
Note. Household employers located in Puerto Rico make esti-  
mated tax payments by filing Form 1040-ES (PR).  
Estimated tax payments must be made as the tax lia-  
bility is incurred by April 18, 2023; June 15, 2023;  
September 15, 2023; and January 16, 2024. If you file  
your Form 1040 or 1040-SR by January 31, 2024, and pay the  
entire balance due with the form, you don't have to make the  
payment due on January 16, 2024.  
!
CAUTION  
You must report both cash and noncash wages in box 1, as  
well as tips and other compensation. For detailed information  
on preparing these forms, see the General Instructions for  
Forms W-2 and W-3.  
Employee's portion of taxes paid by employer. You’re re-  
sponsible for payment of your employee's share of the taxes as  
well as your own. You can either withhold your employee's  
share from the employee's wages or pay it from your own  
funds. If you paid all of your employee's share of social securi-  
ty and Medicare taxes, without deducting the amounts from the  
employee's pay, the employee's wages are increased by the  
amount of that tax for income tax withholding purposes. How-  
Exception. You won't be penalized for failure to make estima-  
ted tax payments if both (1) and (2) below apply for the year.  
1. You won't have federal income tax withheld from wa-  
ges, pensions, or any other payments you receive.  
2. Your income taxes, excluding your household employ-  
ment taxes, wouldn't be enough to require payment of estima-  
ted taxes.  
H-15  
   
ees on Form 941 or 941 (PR), Employer's QUARTERLY Fed-  
eral Tax Return; Form 943, Employer's Annual Federal Tax  
Return for Agricultural Employees; or Form 944, Employer's  
ANNUAL Federal Tax Return. If you report this way, be sure  
to include your household employees' wages on your Form  
940, Employer's Annual Federal Unemployment (FUTA) Tax  
Return.  
What Records To Keep  
You must keep copies of Schedule H and related Forms W-2,  
W-3, and W-4 for at least 4 years after the due date for filing  
Schedule H or the date the taxes were paid, whichever is later.  
You must also keep records to support the information you en-  
ter on the forms you file. Records related to qualified sick leave  
wages and qualified family leave wages for leave taken after  
March 31, 2021, and before October 1, 2021, should be kept  
for at least 6 years. Copies must be submitted to the IRS if re-  
quested. If you must file Form W-2, you will need to keep a re-  
cord of each employee's name, address, and SSN. Each payday,  
you should record and keep the dates and amounts of:  
State Disability Payments  
Certain state disability plan payments to household employees  
are treated as wages subject to social security and Medicare  
taxes. If your employee received payments from a plan that  
withheld the employee's share of social security and Medicare  
taxes, include the payments on lines 1a, 3, and, if applicable, 5  
of Schedule H and complete the rest of Part I through line 7.  
Add lines 2c, 4, 6, and 7. (Household employers located in Pu-  
erto Rico add lines 2c, 4, and 6.) From that total, subtract the  
amount of these taxes withheld by the state. Enter the result on  
line 8a. Also, enter “disability” and the amount subtracted on  
the dotted line next to line 8a. See the notice issued by the state  
for more details.  
Cash and noncash wage payments,  
Any employee social security tax you withhold or agree  
to pay for your employee,  
Any employee Medicare tax you withhold or agree to pay  
for your employee,  
Any federal income tax you withhold, and  
Any state employment taxes you withhold.  
What Is the Earned Income Credit  
(EIC)?  
How To Correct Schedule H  
The EIC is a refundable tax credit for certain workers.  
If you discover an error on a Schedule H that you previously  
filed with Form 1040, 1040-SR or 1040-NR, file Form 1040-X,  
Amended U.S. Individual Income Tax Return, and attach a cor-  
rected Schedule H. If you discover an error on a Schedule H  
that you previously filed with Form 1040-SS, file a "Corrected"  
Form 1040-SS and attach a corrected Schedule H. If you dis-  
cover an error on a Schedule H that you previously filed with  
Form 1041, file an “Amended” Form 1041 and attach a correc-  
ted Schedule H.  
Which employees must I notify about the EIC? You must  
notify your household employee about the EIC if you agreed to  
withhold federal income tax from the employee's wages but  
didn't do so because the income tax withholding tables showed  
that no tax should be withheld.  
You’re encouraged to notify each employee whose wa-  
ges for 2023 were less than $56,838 ($63,398 if mar-  
ried filing jointly) that the employee may be eligible  
TIP  
If you discover an error on a Schedule H that you filed as a  
stand-alone return, file another stand-alone Schedule H with  
the corrected information. In the top margin of your corrected  
Schedule H, write (in bold letters) “CORRECTED” followed  
by the date you discovered the error.  
for the EIC for 2023.  
How and when must I notify my employees? You must give  
the employee one of the following items.  
The official IRS Form W-2, which has the required infor-  
mation about the EIC on the back of Copy B.  
Note. Household employers located in Puerto Rico that dis-  
cover an error on a Schedule H previously filed with Form  
1040-PR, file a "Corrected" Form 1040-PR, and attach a cor-  
rected Schedule H-PR.  
A substitute Form W-2 with the same EIC information on  
the back of the employee's copy that is on Copy B of the offi-  
cial IRS Form W-2.  
Notice 797, Possible Federal Tax Refund Due to the  
Earned Income Credit (EIC).  
If you owe tax, pay the tax in full with your Form 1040-X,  
“Corrected” Form 1040-SS or 1040-PR, “Amended” Form  
1041, or stand-alone Schedule H. If you overpaid tax on a pre-  
viously filed Schedule H, then, depending on whether you ad-  
just or claim a refund, you must certify that you repaid or reim-  
bursed the employee's share of social security and Medicare  
taxes, or that you have obtained consents from your employees  
to file a claim for refund for the employee tax. See Pub. 926 for  
complete instructions.  
Your written statement with the same wording as Notice  
797.  
If you’re not required to give the employee a Form W-2,  
you must provide the notification by February 7, 2024.  
If the notification isn't given on Form W-2 in a timely man-  
ner, you must hand the notice directly to the employee or send  
it by First-Class Mail to the employee's last known address.  
How do my employees claim the EIC? Eligible employees  
claim the EIC on their 2023 tax returns.  
How To Get Forms and Publications  
To get the IRS forms and publications mentioned in these in-  
Rules for Business Employers  
structions (including Notice 797), go to IRS.gov/Forms.  
Don't use Schedule H if you chose to report employment taxes  
for your household employees along with your other employ-  
H-16  
           
Privacy Act and Paperwork Reduction Act Notice  
We ask for the information on this form to carry out the Internal Revenue laws of the United States. You’re required to give us the  
information. We need it to ensure that you’re complying with these laws and to allow us to figure and collect the right amount of  
tax. If you don't provide the information we ask for, or provide false or fraudulent information, you may be subject to penalties.  
You’re not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the  
form displays a valid OMB control number. Books or records relating to a form or instructions must be retained as long as their  
contents may become material in the administration of any Internal Revenue law.  
Subtitle C, Employment Taxes, of the Internal Revenue Code imposes employment taxes on wages and provides for income tax  
withholding. This form is used to determine the amount of the taxes that you owe. Section 6011 requires you to provide the reques-  
ted information if the tax is applicable to you. Section 6109 requires you to provide your identification number.  
Generally, tax returns and return information are confidential, as required by section 6103. However, section 6103 allows or  
requires the IRS to disclose or give the information shown on your tax return to others as described in the Code. For example, we  
may disclose your tax information to the Department of Justice for civil and criminal litigation, and to cities, states, the District of  
Columbia, and U.S. commonwealths and territories to administer their tax laws. We may also disclose this information to other  
countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and  
intelligence agencies to combat terrorism.  
The time needed to complete and file this form will vary depending on individual circumstances. The estimated burden for indi-  
vidual taxpayers filing this form is approved under OMB control number 1545-0074 and is included in the estimates shown in the  
instructions for their individual income tax return.  
The estimated burden for all other taxpayers who file this form is:  
Recordkeeping .  
Learning about the law or the form.  
Preparing the form  
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1 hr., 38 min.  
39 min.  
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1 hr., 3 min.  
34 min.  
Copying, assembling, and sending the form to the IRS .  
If you have comments concerning the accuracy of these time estimates or suggestions for making this form simpler, we would  
be happy to hear from you. You can send us comments from IRS.gov/FormComments. Or you can send your comments to Internal  
Revenue Service, Tax Forms and Publications Division, 1111 Constitution Ave. NW, IR-6526, Washington, DC 20224. Don't send  
Schedule H (Form 1040) to this address. Instead, see When and Where To File, earlier.  
H-17  
   
Do You Have To File Form 1040, 1040-SR, 1040-NR, 1040-SS, or 1041?  
Yes — Attach Schedule H to that form and mail to the address in your tax return instructions.  
No — Mail your completed Schedule H and payment to the address shown below that applies to you. No street address is needed.  
See When and Where To File, earlier, for the information to enter on your payment.  
IF you live in...  
THEN use this address...  
Arizona, Florida, Louisiana, Mississippi, New Mexico, Texas  
Department of the Treasury  
Internal Revenue Service  
Austin, TX 73301-0002  
Alabama, Arkansas, Connecticut, Delaware, District of Columbia, Georgia,  
Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Massachusetts, Minnesota,  
Missouri, New Hampshire, New Jersey, New York, North Carolina, Oklahoma,  
Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, Virginia,  
West Virginia, Wisconsin  
Department of the Treasury  
Internal Revenue Service  
Kansas City, MO 64999-0002  
Alaska, California, Colorado, Hawaii, Idaho, Kansas, Michigan, Montana,  
Nebraska, Nevada, Ohio, Oregon, North Dakota, South Dakota, Utah,  
Washington, Wyoming  
Department of the Treasury  
Internal Revenue Service  
Ogden, UT 84201-0002  
A foreign country, U.S. territory,* or use an APO or FPO address, or file Form  
2555 or 4563, or are a dual-status alien  
Department of the Treasury  
Internal Revenue Service  
Austin, TX 73301-0215  
* If you live in American Samoa, Puerto Rico, Guam, the U.S. Virgin Islands, or the Commonwealth of the Northern Mariana Islands, see Pub.  
570.  
H-18