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                                                                                              Department of the Treasury
                                                                                              Internal Revenue Service
2021

Instructions for Form 7202

Credits for Sick Leave and Family Leave
for Certain Self-Employed Individuals

Section references are to the Internal Revenue Code unless       Leave Act or qualified family leave wages under the 
otherwise noted.                                                 Emergency Family and Medical Leave Expansion Act.
                                                                 Regularly carried on a trade or business.    An individual 
Future Developments                                              regularly carries on a trade or business for purposes of being 
For the latest information about developments related to         an eligible self-employed person if he or she carries on a 
Form 7202 and its instructions, such as legislation enacted      trade or business within the meaning of section 1402, or is a 
after they are published, go to IRS.gov/Form7202.                partner in a partnership carrying on a trade or business, 
                                                                 within the meaning of section 1402. For more information, 
                                                                 see section 1402(c).
What’s New
                                                                 Eligibility to receive qualified leave wages.   For Part I, if 
Extension of credits through March 31, 2021.        The          you were unable to perform services as a self-employed 
qualified sick and family leave equivalent credits that apply    individual on a day between January 1, 2021, and March 31, 
beginning April 1, 2020, were extended to include the period     2021, for one or more of the following reasons, then you 
January 1, 2021, through March 31, 2021. The limitations         meet item (2) under Eligible Self-Employed Individual for that 
that apply when figuring these credits apply to the period       day.
April 1, 2020, through March 31, 2021. Use Parts I and II to     You were subject to a federal, state, or local quarantine or 
figure these credits.                                            isolation order related to COVID-19.
New credits for leave between April 1, 2021, and Sep-            You were advised by a health care provider to 
tember 30, 2021. New qualified sick and family leave             self-quarantine due to concerns related to COVID-19.
equivalent credits apply to the period April 1, 2021, through    You were experiencing symptoms of COVID-19 and 
September 30, 2021. These credits are independent of those       seeking a medical diagnosis of COVID-19.
that apply to the period April 1, 2020, through March 31,        You were caring for an individual who was subject to a 
2021. Use Parts III and IV to figure these credits.              federal, state, or local quarantine or isolation order related to 
                                                                 COVID-19.
                                                                 You were caring for an individual who had been advised 
Reminder                                                         by a health care provider to self-quarantine due to concerns 
Recordkeeping.   You must keep records and maintain              related to COVID-19.
documentation to show that you are an eligible self-employed     You were caring for a son or daughter because the school 
individual.                                                      or place of care for that child was closed or the childcare 
                                                                 provider for that child was unavailable due to COVID-19 
                                                                 precautions.
General Instructions                                               For Part II, if you were unable to perform services as a 
                                                                 self-employed individual on a day between January 1, 2021, 
Purpose of Form 7202                                             and March 31, 2021, for the following reason, then you meet 
Use Form 7202 to figure refundable qualified sick and family     item (2) under Eligible Self-Employed Individual for that day.
leave equivalent credits if you were unable to perform           You were caring for a son or daughter because the school 
services as an eligible self-employed individual due to certain  or place of care for that child was closed or the childcare 
COVID-19 related circumstances between January 1, 2021,          provider for that child was unavailable due to COVID-19 
and September 30, 2021. Each eligible self-employed              precautions.
individual must file a separate Form 7202. If filing a joint tax 
                                                                   For Parts III and IV, if you were unable to perform 
return and both spouses are eligible self-employed 
                                                                 services as a self-employed individual on a day between 
individuals, each must attach a separate Form 7202 to the 
                                                                 April 1, 2021, and September 30, 2021, for one or more of 
joint tax return.
                                                                 the following reasons, then you meet item (2) under Eligible 
Eligible Self-Employed Individual                                Self-Employed Individual for that day.
                                                                 You were subject to a federal, state, or local quarantine or 
You must be an eligible self-employed individual to claim the    isolation order related to COVID-19.
qualified sick and family leave equivalent credit. To be an      You were advised by a health care provider to 
eligible self-employed person, both of the following must be     self-quarantine due to concerns related to COVID-19.
true.                                                            You were experiencing symptoms of COVID-19 and 
1. You regularly carried on a trade or business within the       seeking a medical diagnosis of COVID-19.
meaning of section 1402.                                         You were seeking or awaiting the results of a diagnostic 
2. You would have been eligible, had you been an                 test for, or a medical diagnosis of COVID-19.
employee of an employer (other than yourself), to receive        You were exposed to COVID-19 or were unable to work 
qualified sick leave wages under the Emergency Paid Sick         pending the results of a test or diagnosis.
                                                                 You were obtaining immunization related to COVID-19.

Jan 06, 2022                                              Cat. No. 74387I



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You were recovering from any injury, disability, illness, or        Son or daughter. A son or daughter must generally be 
condition related to such immunization.                               under 18 years of age or incapable of self-care because of a 
You were caring for an individual who was subject to a              mental or physical disability. For more information about who 
federal, state, or local quarantine or isolation order related to     is a son or daughter under the FFCRA, see DOL.gov/
COVID-19.                                                             agencies/whd/pandemic/ffcra-questions#40.
You were caring for an individual who had been advised 
by a health care provider to self-quarantine due to concerns          Lines 3a and 3b
related to COVID-19.                                                  You can claim only 10 days of sick leave for the period April 
You were caring for a son or daughter because the school            1, 2020, through March 31, 2021. If you filed Form 7202 for 
or place of care for that child was closed or the childcare           2020, enter the number of days from that form as instructed; 
provider for that child was unavailable due to COVID-19               otherwise, enter -0-.
precautions.
You were accompanying an individual to obtain                       Line 4b
immunization related to COVID-19.
You were caring for an individual who was recovering from           List each day included on line 4a using an MM/DD format. 
any injury, disability, illness, or condition related to the          For example, if line 4a includes February 17 and February 
immunization.                                                         18, enter “02/17, 02/18”.

                                                                      Line 6b
Specific Instructions                                                 List each day included on line 6a using an MM/DD format. 
                                                                      For example, if line 6a includes January 17, and February 18 
Part I—Credit for Sick Leave for                                      through February 20, enter “01/17, 02/18, 02/19, 02/20”.

Certain Self-Employed Individuals                                     Lines 7a and 7b
(January 1, 2021, Through March 31,                                   Enter your net earnings from self-employment. In most 
                                                                      cases, this is the amount from line 6 of Schedule SE (Form 
2021, Only)                                                           1040).
Line 1                                                                  When determining your net earnings from 
Enter the number of days in the period from January 1, 2021,          self-employment for purposes of this credit, do not follow the 
through March 31, 2021, that you were unable to perform               line instructions to enter zero on line 4c or line 5b of 
services as an eligible self-employed individual because of           Schedule SE if the amount would be less than $400 or $100, 
one or more of the following reasons.                                 respectively; instead, figure the amount that would be on 
You were subject to a federal, state, or local quarantine or        line 6 of a worksheet Schedule SE using the following 
isolation order related to COVID-19.                                  substitute line instructions.
You were advised by a health care provider to                       Line 4a: If line 3 is more than zero, multiply line 3 by 
self-quarantine due to concerns related to COVID-19.                  92.35% (0.9235). Otherwise, enter the amount from line 3.
You were experiencing symptoms of COVID-19 and                      Line 4c: Combine lines 4a and 4b. If zero or less, enter -0-.
seeking a medical diagnosis.                                          Line 5b: Multiply line 5a by 92.35% (0.9235).
                                                                      Don't attach this worksheet version of Schedule SE to your 
  If a day meets the requirements for both the Credit for Sick        tax return; instead, keep a copy of it for your records.
Leave for Certain Self-Employed Individuals in Part I and the 
Credit for Family Leave for Certain Self-Employed Individuals                 Make sure you only include net earnings from your 
in Part II, you can only count the day once. Don't include the          !     own Schedule SE. Don't include your spouse's net 
same day for both credits.                                            CAUTION earnings from self-employment.

Line 2                                                                Election to use prior-year net earnings from self-em-
                                                                      ployment. You may be able to use your prior-year net 
Enter the number of days in the period from January 1, 2021,          earnings from self-employment on line 7a to figure your credit 
through March 31, 2021, that you were unable to perform               for sick leave for certain self-employed individuals. You can 
services as an eligible self-employed individual because of           make this election if your prior-year net earnings from 
one or more of the following reasons.                                 self-employment were greater than your current year net 
You were caring for an individual who was subject to a              earnings from self-employment.
federal, state, or local quarantine or isolation order related to 
COVID-19.                                                               If you elect to use your prior-year net earnings from 
You were caring for an individual who was advised by a              self-employment for Part I, check the box on line 7b and 
health care provider to self-quarantine due to concerns               include your 2020 net earnings from self-employment on 
related to COVID-19.                                                  line 7a.
You were caring for a son or daughter because the school 
or place of care for that child was closed or the childcare           Line 15a
provider for that child was unavailable due to COVID-19               Enter the amount of qualified sick leave wages subject to the 
precautions.                                                          $511 per-day limit you received from an employer between 
                                                                      January 1, 2021, and March 31, 2021. If you received wages 
  If a day meets the requirements for both the Credit for Sick        as an employee in addition to your self-employment income 
Leave for Certain Self-Employed Individuals in Part I and the         and received qualified sick leave wages from your employer 
Credit for Family Leave for Certain Self-Employed Individuals         because of the reasons described earlier under Line 1, your 
in Part II, you can only count the day once. Don't include the        Form(s) W-2 should show the qualified sick leave wages 
same day for both credits. Also, don't include days that you          subject to the $511 per-day limit. This amount will either be 
included on line 1.

                                                                  -2-                              Instructions for Form 7202 (2021)



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reported separately in box 14 of your Form(s) W-2 or on a            certain coronavirus-related care you provided to a son or 
separate attached statement.                                         daughter whose school or place of care is closed or whose 
                                                                     childcare provider is unavailable for reasons related to 
For more information on the W-2 reporting of qualified sick          COVID-19. Do not enter more than 50 days. If a day meets 
leave wages, see Notice 2021-53, available at IRS.gov/irb/           the requirements for both the Credit for Sick Leave for 
2021-39_IRB#NOT-2021-53.                                             Certain Self-Employed Individuals in Part I and the Credit for 
                                                                     Family Leave for Certain Self-Employed Individuals in Part II, 
Line 15b
                                                                     you can only count the day once. Don't include the same day 
If you didn't file a 2020 Form 7202, enter the amount of             for both credits.
qualified sick leave wages subject to the $511 per-day limit 
you received from an employer between April 1, 2020, and             Son or daughter. A son or daughter must generally be 
December 31, 2020.                                                   under 18 years of age or incapable of self-care because of a 
                                                                     mental or physical disability. For more information about who 
Your 2020 Form(s) W-2 should show the 2020 qualified                 is a son or daughter under the FFCRA, see DOL.gov/
family leave subject to the $511 per-day limit. This amount          agencies/whd/pandemic/ffcra-questions#40.
will either be reported separately in box 14 of your Form(s) 
W-2 or on a separate statement. For more information on the          More information.    For more information and other 
W-2 reporting of 2020 qualified sick leave wages, see Notice         definitions related to the Emergency Family and Medical 
2020-54, available at IRS.gov/irb/                                   Leave Expansion Act, see the Families First Coronavirus 
2020-31_IRB#NOT-2020-54.                                             Response Act: Questions and Answers at DOL.gov/
                                                                     agencies/whd/pandemic/ffcra-questions.
Line 16a
                                                                     Line 25b
Enter the amount of qualified sick leave wages subject to the 
$200 per-day limit you received from an employer between             You can claim only 50 days of family leave for the period April 
January 1, 2021, and March 31, 2021. If you received wages           1, 2020, through March 31, 2021. If you filed Form 7202 for 
as an employee in addition to your self-employment income            2020, enter the number of days from that form as instructed; 
and received qualified sick leave wages from your employer           otherwise, enter -0-.
because of the reasons described earlier under Line 2, your 
Form(s) W-2 should show the qualified sick leave wages               Lines 26a and 26b
subject to the $200 per-day limit. This amount will either be        Enter your net earnings from self-employment. In most 
reported separately in box 14 of your Form(s) W-2 or on a            cases, this is the amount from line 6 of Schedule SE (Form 
separate attached statement.                                         1040).
For more information on the W-2 reporting of qualified sick            When determining your net earnings from 
leave wages, see Notice 2021-53, available at IRS.gov/irb/           self-employment for purposes of this credit, do not follow the 
2021-39_IRB#NOT-2021-53.                                             line instructions to enter zero on line 4c or line 5b of 
                                                                     Schedule SE if the amount would be less than $400 or $100, 
Line 16b                                                             respectively; instead, figure the amount that would be on 
If you didn't file a 2020 Form 7202, enter the amount of             line 6 of a worksheet Schedule SE using the following 
qualified sick leave wages subject to the $200 per-day limit         substitute line instructions.
you received from an employer between April 1, 2020, and             Line 4a: If line 3 is more than zero, multiply line 3 by 
December 31, 2020.                                                   92.35% (0.9235). Otherwise, enter the amount from line 3.
                                                                     Line 4c: Combine lines 4a and 4b. If zero or less, enter -0-.
Your 2020 Form(s) W-2 should show the 2020 qualified                 Line 5b: Multiply line 5a by 92.35% (0.9235).
family leave subject to the $200 per-day limit. This amount          Don't attach this worksheet version of Schedule SE to your 
will either be reported separately in box 14 of your Form(s)         tax return; instead, keep a copy of it for your records.
W-2 or on a separate statement. For more information on the 
W-2 reporting of 2020 qualified sick leave wages, see Notice                 Make sure you only include net earnings from your 
2020-54, available at IRS.gov/irb/                                     !     own Schedule SE. Don't include your spouse's net 
2020-31_IRB#NOT-2020-54.                                             CAUTION earnings from self-employment.

Line 24                                                              Election to use prior-year net earnings from self-em-
                                                                     ployment. You may be able to use your prior-year net 
Credit for sick leave for certain self-employed                      earnings from self-employment on line 26a to figure your 
individuals (January 1, 2021, through March 31, 2021,                credit for family leave for certain self-employed individuals. 
only). Subtract line 23 from line 14. If zero or less, enter -0-.    You can make this election if your prior-year net earnings 
Enter here and on Schedule 3 (Form 1040), line 13b.                  from self-employment were greater than your current year net 
Part II—Credit for Family Leave for                                  earnings from self-employment.
                                                                       If you elect to use your prior-year net earnings from 
Certain Self-Employed Individuals                                    self-employment for Part II, check the box on line 26b and 
(January 1, 2021, Through March 31,                                  include your 2020 net earnings from self-employment on 
                                                                     line 26a.
2021, Only)
                                                                     Line 31a
Line 25a                                                             Enter the amount of qualified family leave wages subject to 
Enter the number of days in the period from January 1, 2021,         the $200 per-day limit you received from an employer 
through March 31, 2021, that you were unable to perform              between January 1, 2021, and March 31, 2021. If you 
services as an eligible self-employed individual because of          received wages as an employee in addition to your 

Instructions for Form 7202 (2021)                                 -3-



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self-employment income and received qualified family leave            You were caring for an individual who was subject to a 
wages from your employer because of the reason described              federal, state, or local quarantine or isolation order related to 
earlier under Line 25a, your Form(s) W-2 should show the              COVID-19.
qualified family leave wages subject to the $200 per-day limit.       You were caring for an individual who was advised by a 
This amount will either be reported separately in box 14 of           health care provider to self-quarantine due to concerns 
your Form(s) W-2 or on a separate attached statement.                 related to COVID-19.
                                                                      You were caring for a son or daughter because the school 
  For more information on the W-2 reporting of qualified              or place of care for that child was closed or the childcare 
family leave wages, see Notice 2021-53, available at                  provider for that child was unavailable due to COVID-19 
IRS.gov/irb/2021-39_IRB#NOT-2021-53.                                  precautions.
Line 31b                                                              You were accompanying an individual to obtain 
                                                                      immunization.
If you didn't file a 2020 Form 7202, enter the amount of              You are caring for an individual who is recovering from any 
qualified family leave wages subject to the $200 per-day limit        injury, disability, illness, or condition related to immunization.
you received from an employer between April 1, 2020, and 
December 31, 2020.                                                      If a day meets the requirements for both Part III and Part 
                                                                      IV, you can only count the day once. Don't include the same 
  Your 2020 Form(s) W-2 should show the 2020 qualified                day for both credits. Also, don't include days you included on 
family leave subject to the $200 per-day limit. This amount           line 36.
will either be reported separately in box 14 of your Form(s) 
W-2 or on a separate statement. For more information on the           Son or daughter. A son or daughter must generally be 
W-2 reporting of 2020 qualified family leave wages, see               under 18 years of age or incapable of self-care because of a 
Notice 2020-54, available at IRS.gov/irb/                             mental or physical disability. For more information about who 
2020-31_IRB#NOT-2020-54.                                              is a son or daughter under the FFCRA, see DOL.gov/
                                                                      agencies/whd/pandemic/ffcra-questions#40.
Line 35
Credit for family leave for certain self-employed                     Line 38b
individuals (January 1, 2021, through March 31, 2021,                 List each day included on line 38a using an MM/DD format. 
only). Subtract line 34 from line 30. If zero or less, enter -0-.     For example, if line 38a includes May 17 and May 18, enter 
Enter here and include on Schedule 3 (Form 1040), line 13b.           “05/17, 05/18.”

Part III—Credit for Sick Leave for                                    Line 40b
                                                                      List each day included on line 40a using an MM/DD format. 
Certain Self-Employed Individuals 
                                                                      For example, if line 40a includes April 14, and May 18 
(April 1, 2021, Through September 30,                                 through May 20, enter “04/14, 05/18, 05/19, 05/20.”

2021, Only)                                                           Line 41a and 41b
                                                                      Enter your net earnings from self-employment. In most 
Line 36                                                               cases, this is the amount from line 6 of Schedule SE (Form 
Enter the number of days in the period from April 1, 2021,            1040).
through September 30, 2021, that you were unable to 
perform services as an eligible self-employed individual                When determining your net earnings from 
because of one or more of the following reasons.                      self-employment for purposes of this credit, do not follow the 
You were subject to a federal, state, or local quarantine or        instructions to enter zero on line 4c or 5b of Schedule SE if 
isolation order related to COVID-19.                                  the amount would be less than $400 or $100, respectively; 
You were advised by a health care provider to                       instead, figure the amount that would be on line 6 of a 
self-quarantine due to concerns related to COVID-19.                  worksheet Schedule SE using the following substitute line 
You were experiencing symptoms of COVID-19 and                      instructions.
seeking a medical diagnosis.                                          Line 4a: If line 3 is more than zero, multiply line 3 by 
You are seeking or awaiting the results of a diagnostic test        92.35% (0.9235). Otherwise, enter the amount from line 3.
for, or a medical diagnosis of COVID-19.                              Line 4c: Combine lines 4a and 4b. If zero or less, enter -0-.
You were exposed to COVID-19 or were unable to work                 Line 5b: Multiply line 5a by 92.35% (0.9235).
pending the results of a test or diagnosis.                           Don't attach this worksheet version of Schedule SE to your 
You are obtaining immunization related to COVID-19.                 tax return; instead, keep a copy of it for your records.
You are recovering from any injury, disability, illness, or                 Make sure you only include net earnings from your 
condition related to such immunization.                                 !     own Schedule SE. Don't include your spouse's net 
  If a day meets the requirements for both Part III and Part          CAUTION earnings from self-employment.
IV, you can only count the day once. Don't include the same 
day for both credits.                                                 Election to use prior-year net earnings from self-em-
                                                                      ployment. You may be able to use your prior-year net 
Line 37                                                               earnings from self-employment on line 41a to figure your 
Enter the number of days in the period from April 1, 2021,            credit for sick leave for certain self-employed individuals. You 
through September 30, 2021, that you were unable to                   can make this election if your prior-year net earnings from 
perform services as an eligible self-employed individual              self-employment were greater than your current year net 
because of one or more of the following reasons.                      earnings from self-employment.
                                                                        If you elect to use your prior-year net earnings from 
                                                                      self-employment for Part III, check the box on line 41b and 

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include your 2020 net earnings from self-employment on               mental or physical disability. For more information about who 
line 41a.                                                            is a son or daughter under the FFCRA, see DOL.gov/
                                                                     agencies/whd/pandemic/ffcra-questions#40.
Line 49
Enter the amount of qualified sick leave wages subject to the        Lines 60a and 60b
$511 per-day limit you received from an employer between             Enter your net earnings from self-employment. In most 
April 1, 2021, and September 30, 2021. If you received               cases, this is the amount from line 6 of Schedule SE (Form 
wages as an employee in addition to your self-employment             1040).
income and received qualified sick leave wages from your 
employer because of the reasons described earlier under                When determining your net earnings from 
Line 36, your Form(s) should show the qualified sick leave           self-employment for purposes of this credit, do not follow the 
wages subject to the $511 per-day limit. This amount will            instructions to enter zero on line 4c or 5b of Schedule SE if 
either be reported separately in box 14 of your Form(s) W-2          the amount would be less than $400 or $100, respectively; 
or on a separate attached statement.                                 instead, figure the amount that would be on line 6 of a 
                                                                     worksheet Schedule SE using the following substitute line 
For more information on the W-2 reporting of qualified sick          instructions.
leave wages, see Notice 2021-53, available at IRS.gov/irb/           Line 4a: If line 3 is more than zero, multiply line 3 by 
2021-39_IRB#NOT-2021-53.                                             92.35% (0.9235). Otherwise, enter the amount from line 3.
                                                                     Line 4c: Combine lines 4a and 4b. If zero or less, enter -0-.
Line 50                                                              Line 5b: Multiply line 5a by 92.35% (0.9235).
Enter the amount of qualified sick leave wages subject to the        Don't attach this worksheet version of Schedule SE to your 
$200 per-day limit you received from an employer between             tax return; instead, keep a copy of it for your records.
April 1, 2021, and September 31, 2021. If you received 
wages as an employee in addition to your self-employment                     Make sure you only include net earnings from your 
income and received qualified sick leave wages from your               !     own Schedule SE. Don't include your spouse's net 
employer because of the reasons described earlier under              CAUTION earnings from self-employment.
Line 37, your Form(s) should show the qualified sick leave 
                                                                     Election to use prior-year net earnings from self-em-
wages subject to the $200 per-day limit. This amount will 
                                                                     ployment. You may be able to use your prior-year net 
either be reported separately in box 14 of your Form(s) W-2 
                                                                     earnings from self-employment on line 60a to figure your 
or on a separate attached statement.
                                                                     credit for family leave for certain self-employed individuals. 
For more information on the W-2 reporting of qualified sick          You can make this election if your prior-year net earnings 
leave wages, see Notice 2021-53, available at IRS.gov/irb/           from self-employment were greater than your current year net 
2021-39_IRB#NOT-2021-53.                                             earnings from self-employment.
Line 58                                                                If you elect to use your prior-year net earnings from 
                                                                     self-employment for Part IV, check the box on line 60b and 
Credit for sick leave for certain self-employed                      include your 2020 net earnings from self-employment on 
individuals (April 1, 2021, through September 30, 2021,              line 60a.
only). Subtract line 57 from line 48. If zero or less, enter -0-. 
Enter here and include on Schedule 3 (Form 1040), line 13h.          Line 65
Part IV—Credit for Family Leave for                                  Enter the amount of qualified family leave wages subject to 
                                                                     the $200 per-day limit you received from an employer 
Certain Self-Employed Individuals                                    between April 1, 2021, and September 30, 2021. If you 
                                                                     received wages as an employee in addition to your 
(April 1, 2021, Through September 30,                                self-employment income and received qualified family wages 
2021, Only)                                                          from your employer because of the reasons described earlier 
                                                                     under Line 59, your Form(s) W-2 should show the qualified 
Line 59                                                              family leave wages subject to the $200 per-day limit. This 
Enter the number of days in the period from April 1, 2021,           amount will either be reported separately in box 14 of your 
through September 30, 2021, that you were unable to                  Form(s) W-2 or on a separate statement.
perform services as an eligible self-employed individual               For more information on the W-2 reporting of qualified 
because of certain coronavirus-related care you provided to          family leave wages, see Notice 2021-53, available at 
a son or daughter whose school or place of care is closed or         IRS.gov/irb/2021-39_IRB#NOT-2021-53.
whose childcare provider is unavailable for reasons related to 
COVID-19 or for any reason you may claim sick leave                  Line 69
equivalent credits.                                                  Credit for family leave for certain self-employed 
Don't include more than 60 days. If a day meets the                  individuals (April 1, 2021, through September 30, 2021, 
requirements for both Part III and Part IV, you can only count       only). Subtract line 68 from line 64. If zero or less, enter -0-. 
the day once. Don't include the same day for both credits.           Enter here and include on Schedule 3 (Form 1040), line 13h.
Son or daughter.    A son or daughter must generally be 
under 18 years of age or incapable of self-care because of a 

Instructions for Form 7202 (2021)                                 -5-






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