Illinois Department of Revenue

         2022 Form             IL-W-6 
         Certificate of Days Worked in Illinois for Non-Residents
To employers:                                                                  Step 1: Employer’s information (completed by employer) 
Complete Step 1 and maintain a copy of this form on file for each 
employee who is not an Illinois resident if                                    ___ ___ - ___ ___ ___ ___ ___ ___ ___
                                                                               Federal employer identification number
•    they are expected to work in the state of Illinois during the taxable 
     year; and 
•    youdo not maintain a time and attendance system where                     ______________________________________________________
         •  the employee is required to record the work location for every     Name
            day worked outside of the state where the employment    
            duties are primarily performed; and                                ______________________________________________________
         •  it allows the employer to allocate the employee’s                  Mailing address
            wages for income tax purposes among all states in which the  
            employee performs services. 
                                                                               ______________________________________________________
                                                                               City                       State                     ZIP 
Under Public Act 101-0585, wages earned in Illinois are subject to 
Illinois income tax withholding. You must also have your employee 
complete Form IL-W-4, Employee’s and other Payee’s Illinois 
Withholding Allowance Certificate and Instructions, so you can                                       Where do I get help?
withhold the correct amount of Illinois Income Tax from their pay, along        •     Visit our website at tax.illinois.gov
with Form IL-W-6-WS, Worksheet to Report Days Worked in Illinois                •     Call our Taxpayer Assistance Division at1 800 732-8866 or    
for Non-Residents. You must send us this information if we request it.              217 782-3336  
                                                                                •     Call our TDD (telecommunications device for the deaf) at     
                                                                                    1 800 544-5304 
                                                                                •     Write to 
                                                                                    ILLINOIS DEPARTMENT OF REVENUE 
                                                                                    PO BOX 19044 
                                                                                    SPRINGFIELD IL 62794-9044 

To employees:                                                                  Step 2: Employee information (completed by employee)
If requested by your employer, complete Step 2 of this form prior to your      Complete and submit this form to your employer prior to your first 
first workday performing services in Illinois, or as soon as practicable       workday performing services in Illinois, or as soon as practicable after 
after being requested, if                                                      being requested.
•   you are not an Illinois resident; and
•   you are expecting to perform non-incidental services for more than         By signing below, I certify that I am expecting to perform services on my 
    30 working days within Illinois on your employer’s behalf during the       employer’s behalf for _______ working days in Illinois for the calendar 
    calendar year.                                                             year. I understand I must report the dates and address of locations 
                                                                               worked in Illinois on Form IL-W-6-WS throughout the calendar year. 
A working day is spent within Illinois if:                                     ___ ___ ___ - ___ ___ - ___ ___ ___ ___
•   you perform service on behalf of the employer and a greater amount         Social Security number
    of time on that day is spent by the individual performing duties on         
    behalf of the employer within Illinois, without regard to time spent 
                                                                               _______________________________________________________
    traveling, than is spent performing duties on behalf of the employer       Name
    outside of Illinois; or
•   the only service you perform on behalf of your employer on that day         
    is traveling to a destination within Illinois, and you arrive on that day. _______________________________________________________
                                                                               Mailing address
In addition, you must also complete and submit Form IL-W-6-WS, 
Worksheet to Report Days Worked in Illinois for Non-Residents to               _______________________________________________________
your employer, to report the dates and address of locations worked in          City                                  State          ZIP 
Illinois.

                                                                               _______________________________________________________
                                                                               Employee’s signature                                 Date

IL-W-6 (R-12/21)                                                                 This form is authorized under the Illinois Income Tax Act. Disclosure of this information is required. 
Printed by the authority of the State of Illinois - web only, 1 copy             Failure to provide information may result in this form not being processed and may result in a penalty.