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DR 0004 (11/15/22)
COLORADO DEPARTMENT OF REVENUE
Tax.Colorado.gov
2023 Colorado Employee Withholding Certificate
This Certificate Is Optional for Employees When to Complete a New Certificate
If you do not complete this certificate, then your employer You may adjust your withholding at any time. Consider
will calculate your Colorado withholding based on your completing a new certificate for the following reasons:
IRS Form W-4. That calculation is designed to withhold 1. You last completed a certificate three or more years ago;
the required Colorado income tax due on your wages
2. Your wages or other income changes significantly;
throughout the year, and it will generally result in a refund
when you file your Colorado income tax return. 3. Your number of jobs changes;
4. Your expected filing status (single, married filing
Reasons to Complete This Certificate jointly, etc.) changes;
Complete this certificate if you want to adjust your Colorado
withholding for one or more of the following reasons: 5. Your expected federal deductions change significantly;
6. You have a new qualifying child for the child tax credit; or
1. You expect to claim federal itemized deductions or the
Colorado child tax credit, 7. You or your child will no longer qualify for the Colorado
child tax credit, including if your child will turn 6 years
2. You (and your spouse, if filing jointly) earn most of
old this year.
your income from one job, or
3. You expect significant income from other sources. If You Complete This Certificate
For most taxpayers, completing this certificate will likely 1. Give it to your employer; then they must calculate your
increase your take-home pay, reduce your Colorado Colorado withholding based on the amounts you entered.
withholding, and reduce your refund when you file your 2. If you (and your spouse, if filing jointly) have multiple
Colorado income tax return. Consider the amounts you jobs, complete a separate certificate for each one.
enter carefully. If too little is withheld, then you will owe In order to prevent evasion of Colorado income tax, the
tax when you file your return, and you may owe a penalty. Department may review and adjust your withholding.
1. Personal Information
Last Name First Name Middle Initial
Mailing Address SSN or ITIN
City State ZIP Code
2. Annual Withholding Allowance. If this line is blank, your employer will use an amount based on your IRS Form W-4.
a. Enter the appropriate amount from Table 1, based on your federal standard deduction and number of jobs; OR
b. Complete Worksheet 1 and enter the result here, if you expect to claim additional federal deductions or the
Colorado child tax credit, or if you (and your spouse, if filing jointly) have multiple jobs but earn most of your
income from one job.
If you want a greater amount withheld, you may enter a smaller amount than either calculation,
including zero, and/or you may complete Line 3. $
3. Additional Withholding Per Pay Period
Enter any additional tax you want withheld from each paycheck. If you expect to receive other
income that will not have withholding, you may complete Worksheet 2 and include the result here. $
4. Sign Here. This form is not valid unless you sign this declaration: I declare that the amounts on this certificate have not
been presented to willfully evade Colorado income tax or obstruct its collection.
Employee Signature Date (MM/DD/YY)
Table 1: Standard Allowance
Go down the first column to your expected filing status from IRS Form W-4 Step 1(c).
Then go across that row to the column with the number of jobs that you (and your spouse, if filing jointly) currently have.
Standard Allowance for:
Filing Status from IRS Form W-4 Step 1(c)
1 Job 2 Jobs 3 Jobs 4 or More Jobs
Single or Married Filing Separately $11,500 $6,000 $4,000 $3,000
Head of Household $18,500 $9,500 $6,000 $4,500
Married Filing Jointly or Qualifying Widow(er) $25,500 $12,500 $8,500 $6,500
