City of Columbus, Income Tax Division 
    Form
        IT-6W Employer's Claim for Refund of Withholding Tax
ACCOUNT INFORMATION

Withholding Account No.                                               Tax Year                                 Quarter
                                                             -W

Name                                                                                                     Special Instructions 
                                                                    l Submit amended quarterly returns (IT-11s) if the                                     
Address                                                               previous reported tax liability has changed. 
                                                                      
                                                                    l Submit corrected W-2 forms (W-2Cs) if wage 
City                                 State        Zip Code            and/or withholding information has changed.

REFUND CLAIMED

Columbus (Work City)                 01

Alt Columbus (Resident City)         88

TOTAL REFUND CLAIMED

                                     General Instructions for Form IT-6W 
To avoid delays in the processing of your refund request, be sure that the reason given for your refund request provides sufficient information to enable 
the Income Tax Division to approve your request.  
For example: reasons such as “Remitted tax due to the City of Dublin on wages of employees working at 123 Shamrock Lane to Columbus in error” or 
“Check #123 written on April 27, 2022 for $1,234 was sent to Columbus in error. Check #123 should have been mailed to the State of Ohio” are 
informative enough to avoid processing delays. A reason such as “overpaid Columbus tax” is not. 
Attach any supporting documentation to the back of this form that you feel will be helpful in processing your refund. For example, if you remitted tax to 
us that should have been remitted to another government agency, attach a copy of the return or payment coupon for that other agency that matches the 
amount of your refund claim. 
Refunds must be greater than $10.00. 
Payroll Services filing on behalf of a client must attach a valid power of attorney to the refund claim. 
Questions?  Call (614) 645-8368.

                                                  Reason for Refund

SIGNATURE

OFFICER NAME (Please print)                       OFFICER SIGNATURE                                       DATE

OFFICER TITLE                                     OFFICER'S PHONE #
                                                                                                         Mail to: Columbus Income Tax Division 
                                                  Print Form Reset Form                                   PO Box 182489 
Rev  1/14/2022                                                                                            Columbus, OH 43218-2489