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                                                                                          Department of the Treasury
                                                                                          Internal Revenue Service
Instructions for Form 5884-A

(Rev. March 2021)
Employee Retention Credit for Employers Affected by Qualified Disasters

Section references are to the Internal Revenue Code           principal place of employment with the employer 
unless otherwise noted.                                       immediately before the incident period of the qualified 
                                                              disaster was in the 2018 through 2019 qualified disaster 
Future Developments                                           zone.
For the latest information about developments related to              An employee isn’t an eligible employee for any 
Form 5884-A and its instructions, such as legislation         !       period during which the eligible employer is 
enacted after they were published, go to IRS.gov/             CAUTION allowed a work opportunity credit for wages paid 
Form5884A.                                                    to or incurred for the employee.

General Instructions                                          Qualified wages. For this purpose, qualified wages are 
                                                              wages you paid to or incurred for eligible employees at 
Purpose of Form                                               any time on or after the date your trade or business first 
Use Form 5884-A to claim the employee retention credit        became inoperable at the employee’s principal place of 
for employers affected by qualified disasters. The current    employment (determined immediately before the first day 
year employee retention credit for employers affected by      of the incident period of the qualified disaster) and before 
qualified disasters may consist of the following two          the earlier of:
credits.                                                      1. The date your trade or business resumed significant 
2018 through 2019 qualified disaster employee               operations at that place, or
retention credit.                                             2. The date 150 days after the last day of the incident 
2020 qualified disaster employee retention credit.          period.
  Partnerships, S corporations, cooperatives, estates,        The amount of qualified wages that may be taken into 
and trusts must file this form to claim the credit. All other account is limited to $6,000 per employee. This includes 
taxpayers aren’t required to complete or file this form if    wages paid or incurred whether the employee performs 
their only source for this credit is a partnership, S         no services, performs services at a place of employment 
corporation, cooperative, estate, or trust. Instead, they     other than the principal place of employment, or performs 
can report this credit directly on Form 3800, General         services at the principal place of employment before 
Business Credit.                                              significant operations have resumed.
Which Revision To Use                                         Wages qualifying for the credit generally have the same 
                                                              meaning as wages subject to the Federal Unemployment 
Use the March 2021 revision of Form 5884-A for tax years 
                                                              Tax Act (FUTA). Qualified wages also include amounts 
beginning in 2018 or later, until a later revision is issued. 
                                                              you paid or incurred for medical or hospitalization 
Use prior revisions of the form for earlier tax years. All 
                                                              expenses in connection with sickness or accident 
revisions are available at IRS.gov/Form5884A.
                                                              disability. Qualified wages don’t include wages paid to or 
2018 Through 2019 Qualified Disaster                          incurred for your dependent or wages paid to or incurred 
                                                              for an employee related to you.
Employee Retention Credit (Form                               For agricultural employees, if the work performed by 
5884-A, Line 1a)                                              any employee during more than half of any pay period 
An eligible employer who continued to pay or incur wages      qualifies under FUTA as agricultural labor, the first $6,000 
after the employer’s business became inoperable               of that employee’s wages subject to social security and 
because of damage from a 2018 through 2019 qualified          Medicare taxes are qualified wages.
disaster may be able to claim a credit equal to 40% of up     For purposes of this credit, qualified wages paid by a 
to $6,000 of qualified wages paid to or incurred for each     third-party payer (including an employee leasing 
eligible employee.                                            company, a professional employer organization, or a 
Eligible employer. For this purpose, an eligible              Certified Professional Employer Organization) to eligible 
employer is an employer who conducted an active trade         employees of an eligible employer are considered 
or business in a 2018 through 2019 qualified disaster         qualified wages incurred by the eligible employer. Only 
zone at any time during the applicable incident period and    the eligible employer, and not the third-party payer, can 
whose trade or business was inoperable at any time on or      take into account such qualified wages in claiming the 
after the first day of the incident period and on or before   credit.
December 20, 2019, because of damage sustained from           More information. For more information about the 2018 
the qualified disaster.                                       through 2019 qualified disaster employee retention credit, 
Eligible employee. For this purpose, an eligible              see Public Law 116-94, Division Q, sections 201 and 203.
employee is an employee of an eligible employer whose 

Mar 25, 2021                                          Cat. No. 71046G



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2018 Through 2019 Qualified Disaster Zones                  Counties in qualified disaster zone. Butte, Los 
The following qualified disasters resulted in the           Angeles, and Ventura.
designation of 2018 through 2019 qualified disaster 
zones. The information needed for credit purposes is        Florida Hurricane Michael
provided below.
                                                            The applicable incident period began on October 7 and 
                                                            ended on October 19, 2018. The date 150 days after the 
Alabama Severe Storms, Straight-Line Winds, and             last day of the incident period was March 18, 2019.
Tornadoes
                                                            Counties in qualified disaster zone. Bay, Calhoun, 
The applicable incident period began and ended on           Franklin, Gadsden, Gulf, Holmes, Jackson, Leon, Liberty, 
March 3, 2019. The date 150 days after the last day of the  Taylor, Wakulla, and Washington.
incident period was July 31, 2019.
Counties in qualified disaster zone.    Lee.                Georgia Hurricane Michael
                                                            The applicable incident period began on October 9 and 
Alabama Severe Storms and Tornadoes                         ended on October 23, 2018. The date 150 days after the 
The applicable incident period began on March 19 and        last day of the incident period was March 22, 2019.
ended on March 20, 2018. The date 150 days after the        Counties in qualified disaster zone. Baker, Calhoun, 
last day of the incident period was August 17, 2018.        Clay, Crisp, Decatur, Dougherty, Early, Grady, Laurens, 
Counties in qualified disaster zone.    Calhoun,            Lee, Miller, Mitchell, Randolph, Seminole, Sumter, Terrell, 
Cullman, and Etowah.                                        Thomas, Tift, Turner, and Worth.

Alaska Earthquake                                           Hawaii Severe Storms, Flooding, Landslides, and 
The applicable incident period began and ended on           Mudslides
November 30, 2018. The date 150 days after the last day     The applicable incident period began on April 13 and 
of the incident period was April 29, 2019.                  ended on April 16, 2018. The date 150 days after the last 
                                                            day of the incident period was September 13, 2018.
Counties in qualified disaster zone.    Anchorage 
(Borough), Kenai Peninsula (Borough), and                   Counties in qualified disaster zone. Honolulu and 
Matanuska-Susitna (Borough).                                Kauai.

American Samoa Tropical Storm Gita                          Hawaii Kilauea Volcanic Eruption and Earthquakes
The applicable incident period began on February 7 and      The applicable incident period began on May 3 and ended 
ended on February 12, 2018. The date 150 days after the     on August 17, 2018. The date 150 days after the last day 
last day of the incident period was July 12, 2018.          of the incident period was January 14, 2019.
Counties in qualified disaster zone.    Eastern (District), Counties in qualified disaster zone. Hawaii.
Manu’a (District), Rose Island (Island) 
(County-equivalent), Swains Island (Island)                 Indiana Severe Storms and Flooding
(County-equivalent), and Western (District).
                                                            The applicable incident period began on February 14 and 
                                                            ended on March 4, 2018. The date 150 days after the last 
Arkansas Severe Storms and Flooding                         day of the incident period was August 1, 2018.
The applicable incident period began on May 21 and          Counties in qualified disaster zone. Carroll, Clark, 
ended on June 14, 2019. The date 150 days after the last    Dearborn, Elkhart, Floyd, Fulton, Harrison, Jasper, 
day of the incident period was November 11, 2019.           Jefferson, Kosciusko, LaPorte, Lake, Marshall, Ohio, 
Counties in qualified disaster zone.    Arkansas,           Porter, Pulaski, Spencer, St. Joseph, Starke, Switzerland, 
Conway, Crawford, Desha, Faulkner, Jefferson, Lincoln,      Vanderburgh, and White.
Logan, Perry, Pope, Pulaski, Sebastian, and Yell.
                                                            Iowa Severe Storms and Flooding
California Wildfires and High Winds                         The applicable incident period began on March 12 and 
The applicable incident period began on July 23 and         ended on June 15, 2019. The date 150 days after the last 
ended on September 19, 2018. The date 150 days after        day of the incident period was November 12, 2019.
the last day of the incident period was February 16, 2019.  Counties in qualified disaster zone. Fremont, 
Counties in qualified disaster zone.    Lake and Shasta.    Harrison, Louisa, Mills, Monona, Muscatine, 
                                                            Pottawattamie, Scott, Shelby, and Woodbury.
California Wildfires
The applicable incident period began on November 8 and 
ended on November 25, 2018. The date 150 days after 
the last day of the incident period was April 24, 2019.

                                                            -2-      Instructions for Form 5884-A (March 2021)



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Mississippi Severe Storms, Straight-Line Winds,               Counties in qualified disaster zone. Rota 
Tornadoes, and Flooding                                       (Municipality), Saipan (Municipality), and Tinian 
The applicable incident period began on February 22 and       (Municipality).
ended on August 23, 2019. The date 150 days after the 
last day of the incident period was January 20, 2020.         Northern Mariana Islands Super Typhoon Yutu
Counties in qualified disaster zone. Clay, Humphreys,         The applicable incident period began on October 24 and 
Issaquena, Lowndes, Monroe, Sharkey, Warren, and              ended on October 26, 2018. The date 150 days after the 
Yazoo.                                                        last day of the incident period was March 25, 2019.
                                                              Counties in qualified disaster zone. Northern Islands 
Missouri Severe Storms, Tornadoes, and Flooding               (Municipality), Rota (Municipality), Saipan (Municipality), 
The applicable incident period began on April 29 and          and Tinian (Municipality).
ended on July 5, 2019. The date 150 days after the last 
day of the incident period was December 2, 2019.              Ohio Severe Storms, Straight-Line Winds, 
                                                              Tornadoes, Flooding, Landslides, and Mudslide
Counties in qualified disaster zone. Andrew, Atchison, 
Boone, Buchanan, Callaway, Carroll, Chariton, Cole,           The applicable incident period began on May 27 and 
Greene, Holt, Jackson, Jasper, Jefferson, Lafayette,          ended on May 29, 2019. The date 150 days after the last 
Lewis, Lincoln, Livingston, McDonald, Miller, Newton,         day of the incident period was October 26, 2019.
Osage, Pike, Platte, Pulaski, Saline, and St. Charles.        Counties in qualified disaster zone. Auglaize, Darke, 
                                                              Greene, Hocking, Mahoning, Mercer, Miami, 
Nebraska Severe Winter Storm, Straight-Line                   Montgomery, Muskingum, Perry, and Pickaway.
Winds, and Flooding
The applicable incident period began on March 9 and           Oklahoma Severe Storms, Straight-Line Winds, 
ended on July 14, 2019. The date 150 days after the last      Tornadoes, and Flooding
day of the incident period was December 11, 2019.             The applicable incident period began on May 7 and ended 
Counties in qualified disaster zone. Antelope, Boone,         on June 9, 2019. The date 150 days after the last day of 
Boyd, Buffalo, Burt, Butler, Cass, Colfax, Cuming, Custer,    the incident period was November 6, 2019.
Dawson, Dodge, Douglas, Hall, Holt, Howard, Knox,             Counties in qualified disaster zone. Alfalfa, Canadian, 
Madison, Nance, Nemaha, Pierce, Platte, Richardson,           Cherokee, Craig, Creek, Delaware, Garfield, Kay, 
Saline, Santee Indian Reservation, Sarpy, Saunders,           Kingfisher, Le Flore, Logan, Mayes, Muskogee, Noble, 
Stanton, Thurston, and Washington.                            Nowata, Okmulgee, Osage, Ottawa, Pawnee, Payne, 
                                                              Pottawatomie, Rogers, Sequoyah, Tulsa, Wagoner, 
North Carolina Tornado and Severe Storms                      Washington, and Woods.
The applicable incident period began and ended on April 
15, 2018. The date 150 days after the last day of the         South Carolina Hurricane Florence
incident period was September 12, 2018.                       The applicable incident period began on September 8 and 
Counties in qualified disaster zone. Guilford and             ended on October 8, 2018. The date 150 days after the 
Rockingham.                                                   last day of the incident period was March 7, 2019.
                                                              Counties in qualified disaster zone. Chesterfield, 
North Carolina Hurricane Florence                             Darlington, Dillon, Florence, Georgetown, Horry, Marion, 
The applicable incident period began on September 7 and       and Marlboro.
ended on September 29, 2018. The date 150 days after 
the last day of the incident period was February 26, 2019.    South Dakota Winter Storm, Snowstorm, and 
Counties in qualified disaster zone. Anson, Beaufort,         Flooding
Bladen, Brunswick, Carteret, Chatham, Columbus,               The applicable incident period began on March 13 and 
Craven, Cumberland, Duplin, Durham, Greene, Guilford,         ended on April 26, 2019. The date 150 days after the last 
Harnett, Hoke, Hyde, Johnston, Jones, Lee, Lenoir,            day of the incident period was September 23, 2019.
Moore, New Hanover, Onslow, Orange, Pamlico, Pender, 
                                                              Counties in qualified disaster zone. Bennett, Bon 
Pitt, Richmond, Robeson, Sampson, Scotland, Union, 
                                                              Homme, Charles Mix, Cheyenne River Indian 
Wayne, and Wilson.
                                                              Reservation, Dewey, Hutchinson, Jackson, Mellette, 
                                                              Minnehaha, Oglala Lakota, Oglala Sioux Tribe of the Pine 
Northern Mariana Islands Typhoon Mangkhut                     Ridge Reservation, Rosebud Indian Reservation, Todd, 
The applicable incident period began on September 10          Turner, Yankton, and Ziebach.
and ended on September 11, 2018. The date 150 days 
after the last day of the incident period was February 8, 
2019.

Instructions for Form 5884-A (March 2021)                  -3-



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South Dakota Severe Storms, Tornadoes, and                 Eligible employer. For this purpose, an eligible 
Flooding                                                   employer is an employer who conducted an active trade 
The applicable incident period began on September 9 and    or business in a 2020 qualified disaster zone at any time 
ended on September 26, 2019. The date 150 days after       during the applicable incident period and whose trade or 
the last day of the incident period was February 23, 2020. business was inoperable at any time on or after the first 
                                                           day of the incident period and on or before December 27, 
Counties in qualified disaster zone. Aurora,               2020, because of damage sustained from the qualified 
Brookings, Charles Mix, Davison, Flandreau Indian          disaster.
Reservation, Hanson, Hutchinson, Lake, Lincoln, 
McCook, Minnehaha, Moody, Yankton, and Yankton             Eligible employee. For this purpose, an eligible 
Indian Reservation.                                        employee is an employee of an eligible employer whose 
                                                           principal place of employment with the employer 
                                                           immediately before the incident period of the qualified 
Texas Severe Storms and Flooding
                                                           disaster was in the 2020 qualified disaster zone.
The applicable incident period began on June 19 and 
ended on July 13, 2018. The date 150 days after the last   Qualified wages. For this purpose, qualified wages are 
day of the incident period was December 10, 2018.          wages you paid to or incurred for eligible employees at 
                                                           any time on or after the date your trade or business first 
Counties in qualified disaster zone. Cameron,              became inoperable at the employee’s principal place of 
Hidalgo, and Jim Wells.                                    employment (determined immediately before the first day 
                                                           of the incident period of the qualified disaster) and before 
Texas Severe Storms and Flooding                           the earlier of:
The applicable incident period began on June 24 and              1. The date your trade or business resumed significant 
ended on June 25, 2019. The date 150 days after the last   operations at that place, or
day of the incident period was November 22, 2019.                2. The date 150 days after the last day of the incident 
Counties in qualified disaster zone. Cameron,              period.
Hidalgo, and Willacy.                                            The amount of qualified wages that may be taken into 
                                                           account is limited to $6,000 per employee. This includes 
Texas Tropical Storm Imelda                                wages paid or incurred whether the employee performs 
The applicable incident period began on September 17       no services, performs services at a place of employment 
and ended on September 23, 2019. The date 150 days         other than the principal place of employment, or performs 
after the last day of the incident period was February 20, services at the principal place of employment before 
2020.                                                      significant operations have resumed.
                                                                 Wages qualifying for the credit generally have the same 
Counties in qualified disaster zone. Chambers, Harris, 
                                                           meaning as wages subject to the Federal Unemployment 
Jefferson, Liberty, Montgomery, Orange, and San Jacinto.
                                                           Tax Act (FUTA). Qualified wages also include amounts 
                                                           you paid or incurred for medical or hospitalization 
Wisconsin Severe Storms, Tornadoes,                        expenses in connection with sickness or accident 
Straight-Line Winds, Flooding, and Landslides              disability. Qualified wages don’t include wages paid to or 
The applicable incident period began on August 17 and      incurred for your dependent or wages paid to or incurred 
ended on September 14, 2018. The date 150 days after       for an employee related to you.
the last day of the incident period was February 11, 2019.       Qualified wages do not include the following wages.
Counties in qualified disaster zone. Crawford, Dane,           Any wages used to figure a coronavirus-related 
Juneau, La Crosse, Marquette, Monroe, Richland, Sauk,      employee retention credit on an employment tax return, 
and Vernon.                                                such as Form 941, Employer's QUARTERLY Federal Tax 
                                                           Return.
2020 Qualified Disaster Employee                               Any wages used to figure a credit on Form 5884-D, 
                                                           Employee Retention Credit for Certain Tax-Exempt 
Retention Credit (Form 5884-A,                             Organizations Affected by Qualified Disasters.
Line 1b)                                                         For agricultural employees, if the work performed by 
An eligible employer who continued to pay or incur wages   any employee during more than half of any pay period 
after the employer’s business became inoperable            qualifies under FUTA as agricultural labor, the first $6,000 
because of damage from a 2020 qualified disaster may be    of that employee’s wages subject to social security and 
able to claim a credit equal to 40% of up to $6,000 of     Medicare taxes are qualified wages.
qualified wages paid to or incurred for each eligible            For purposes of this credit, qualified wages paid by a 
employee.                                                  third-party payer (including an employee leasing 
      Certain tax-exempt organizations can use Form        company, a professional employer organization, or a 
TIP   5884-D to claim the 2020 qualified disaster          Certified Professional Employer Organization) to eligible 
      employee retention credit against certain            employees of an eligible employer are considered 
employment taxes. See Form 5884-D and its separate         qualified wages incurred by the eligible employer. Only 
instructions for details.                                  the eligible employer, and not the third-party payer, can 

                                                           -4-            Instructions for Form 5884-A (March 2021)



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take into account such qualified wages in claiming the        Counties in qualified disaster zone. Benton, Boone, 
credit.                                                       Cedar, Clinton, Jasper, Linn, Marshall, Polk, Poweshiek, 
More information. For more information about the 2020         Scott, Story, and Tama.
qualified disaster employee retention credit, see Public 
Law 116-260, Division EE, sections 301 and 303.               Louisiana Hurricane Laura
                                                              The applicable incident period began on August 22 and 
2020 Qualified Disaster Zones
                                                              ended on August 27, 2020. The date 150 days after the 
The following qualified disasters resulted in the             last day of the incident period was January 24, 2021.
designation of the 2020 qualified disaster zones. The 
information needed for credit purposes is provided below.     Parishes in qualified disaster zone. Acadia, Allen, 
                                                              Beauregard, Caddo, Calcasieu, Cameron, Grant, 
Alabama Hurricane Sally                                       Jackson, Jefferson Davis, La Salle, Lincoln, Morehouse, 
                                                              Natchitoches, Ouachita, Rapides, Sabine, St. Landry, 
The applicable incident period began on September 14          Union, Vermilion, Vernon, and Winn.
and ended on September 16, 2020. The date 150 days 
after the last day of the incident period was February 13,    Louisiana Hurricane Delta
2021.
                                                              The applicable incident period began on October 6 and 
Counties in qualified disaster zone. Baldwin,                 ended on October 10, 2020. The date 150 days after the 
Escambia, and Mobile.                                         last day of the incident period was March 9, 2021.
Alabama Hurricane Zeta                                        Parishes in qualified disaster zone. Acadia, Allen, 
                                                              Beauregard, Calcasieu, Cameron, Iberia, Jefferson Davis, 
The applicable incident period began on October 28 and        Lafayette, Rapides, St. Landry, St. Martin, and Vermilion.
ended on October 29, 2020. The date 150 days after the 
last day of the incident period was March 28, 2021.           Louisiana Hurricane Zeta
Counties in qualified disaster zone. Clarke, Dallas,          The applicable incident period began on October 26 and 
Marengo, Mobile, Perry, Washington, and Wilcox.               ended on October 29, 2020. The date 150 days after the 
                                                              last day of the incident period was March 28, 2021.
California Wildfires
                                                              Parishes in qualified disaster zone. Jefferson, 
The applicable incident period began on August 14 and         Lafourche, Orleans, Plaquemines, St. Bernard, and 
ended on September 26, 2020. The date 150 days after          Terrebonne.
the last day of the incident period was February 23, 2021.
Counties in qualified disaster zone. Butte, Lake,             Michigan Severe Storms and Flooding
Lassen, Mendocino, Monterey, Napa, San Mateo, Santa           The applicable incident period began on May 16 and 
Clara, Santa Cruz, Solano, Sonoma, Stanislaus, Trinity,       ended on May 22, 2020. The date 150 days after the last 
Tulare, and Yolo.                                             day of the incident period was October 19, 2020.
California Wildfires                                          Counties in qualified disaster zone. Arenac, Gladwin, 
                                                              Iosco, Midland, and Saginaw.
The applicable incident period began on September 4 and 
ended on November 17, 2020. The date 150 days after           Mississippi Severe Storms, Tornadoes, 
the last day of the incident period was April 16, 2021.
                                                              Straight-Line Winds, and Flooding
Counties in qualified disaster zone. Fresno, Los 
                                                              The applicable incident period began and ended on April 
Angeles, Madera, Mendocino, Napa, San Bernardino, 
                                                              12, 2020. The date 150 days after the last day of the 
San Diego, Shasta, Siskiyou, and Sonoma.
                                                              incident period was September 9, 2020.
Florida Hurricane Sally                                       Counties in qualified disaster zone. Clarke, 
                                                              Covington, Grenada, Jasper, Jefferson Davis, Jones, 
The applicable incident period began on September 14          Lawrence, Panola, and Walthall.
and ended on September 28, 2020. The date 150 days 
after the last day of the incident period was February 25, 
                                                              Mississippi Hurricane Zeta
2021.
                                                              The applicable incident period began on October 28 and 
Counties in qualified disaster zone. Bay, Escambia, 
                                                              ended on October 29, 2020. The date 150 days after the 
Okaloosa, Santa Rosa, and Walton.
                                                              last day of the incident period was March 28, 2021.
Iowa Severe Storms                                            Counties in qualified disaster zone. George, Greene, 
                                                              Hancock, Harrison, Jackson, and Stone.
The applicable incident period began and ended on 
August 10, 2020. The date 150 days after the last day of 
the incident period was January 7, 2021.

Instructions for Form 5884-A (March 2021)                  -5-



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Oregon Severe Storms, Flooding, Landslides, and            Counties in qualified disaster zone. Davidson, 
Mudslides                                                  Putnam, and Wilson.
The applicable incident period began on February 5 and 
ended on February 9, 2020. The date 150 days after the     Tennessee Severe Storms, Tornadoes, 
last day of the incident period was July 8, 2020.          Straight-Line Winds, and Flooding
Counties in qualified disaster zone. Umatilla and          The applicable incident period began on April 12 and 
Umatilla Indian Reservation.                               ended on April 13, 2020. The date 150 days after the last 
                                                           day of the incident period was September 10, 2020.
Oregon Wildfires and Straight-Line Winds                   Counties in qualified disaster zone. Bradley and 
The applicable incident period began on September 7 and    Hamilton.
ended on November 3, 2020. The date 150 days after the 
last day of the incident period was April 2, 2021.         Utah Earthquake and Aftershocks
Counties in qualified disaster zone. Clackamas,            The applicable incident period began on March 18 and 
Douglas, Jackson, Klamath, Lane, Lincoln, Linn, and        ended on April 17, 2020. The date 150 days after the last 
Marion.                                                    day of the incident period was September 14, 2020.
                                                           Counties in qualified disaster zone. Davis and Salt 
Puerto Rico Earthquakes                                    Lake.
The applicable incident period began on December 28, 
2019, and ended on July 3, 2020. The date 150 days after   Member of Controlled Group or 
the last day of the incident period was November 30,       Business Under Common Control
2020.                                                      For purposes of figuring the credit, all members of a 
Municipalities in qualified disaster zone. Adjuntas,       controlled group of corporations (as defined in section 
Aguada, Añasco, Arecibo, Barceloneta, Cabo Rojo,           52(a)) and all members of a group of businesses under 
Ciales, Coamo, Corozal, Guánica, Guayanilla,               common control (as defined in section 52(b)), are treated 
Hormigueros, Jayuya, Juana Díaz, Lajas, Lares, Las         as a single employer. As a member, figure your credit 
Marías, Maricao, Mayagüez, Moca, Morovis, Naranjito,       based on your proportionate share of qualified wages 
Orocovis, Peñuelas, Ponce, Sabana Grande, Salinas,         giving rise to the group’s employee retention credit for 
San Germán, San Sebastián, Santa Isabel, Utuado,           employers affected by qualified disasters. Enter your 
Villalba, and Yauco.                                       share of the credit on line 2. Attach a statement showing 
                                                           how your share of the credit was figured, and enter “See 
Puerto Rico Tropical Storm Isaias                          attached” next to the entry space for line 2.
The applicable incident period began on July 29 and 
ended on July 31, 2020. The date 150 days after the last   Specific Instructions
day of the incident period was December 28, 2020.
                                                           Lines 1a and 1b
Municipalities in qualified disaster zone. Aguada, 
Hormigueros, Mayagüez, and Rincón.                         Enter the total qualified wages (defined earlier) paid or 
                                                           incurred during your tax year. Don’t enter more than 
                                                           $6,000 for each qualified employee (reduced by the 
Puerto Rico Severe Storm and Flooding                      amount of qualified wages taken into account for each 
The applicable incident period began and ended on          qualified employee for any prior tax year).
September 13, 2020. The date 150 days after the last day 
of the incident period was February 10, 2021.              Line 2
Municipality in qualified disaster zone. Arecibo.          In general, you must reduce your deduction for salaries 
                                                           and wages by the amount on line 2. You must make this 
                                                           reduction even if you can’t take the full credit this year 
South Carolina Severe Storms, Tornadoes, and               because of the tax liability limit on Form 3800. If you 
Straight-Line Winds                                        capitalized any costs on which you figured the credit, 
The applicable incident period began on April 12 and       reduce the amount capitalized by the amount of the credit 
ended on April 13, 2020. The date 150 days after the last  attributable to these costs.
day of the incident period was September 10, 2020.
                                                           Line 3
Counties in qualified disaster zone. Aiken, Barnwell,      Enter total employee retention credits for employers 
Berkeley, Colleton, Hampton, Marlboro, Oconee,             affected by qualified disasters from:
Orangeburg, and Pickens.                                         Schedule K-1 (Form 1065), Partner’s Share of Income, 
                                                               
                                                           Deductions, Credits, etc., box 15 (code P);
Tennessee Severe Storms, Tornadoes,                            Schedule K-1 (Form 1120-S), Shareholder’s Share of 
Straight-Line Winds, and Flooding                          Income, Deductions, Credits, etc., box 13 (code P);
The applicable incident period began and ended on              Schedule K-1 (Form 1041), Beneficiary’s Share of 
March 3, 2020. The date 150 days after the last day of the Income, Deductions, Credits, etc., box 13 (code Z); or
incident period was July 31, 2020.

                                                           -6-      Instructions for Form 5884-A (March 2021)



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Page 7 of 7        Fileid: … s/I5884A/202103/A/XML/Cycle03/source                                                                     10:36 - 25-Mar-2021

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Form 1099-PATR, Taxable Distributions Received                                        activities disallowed for prior years and carried forward to 
From Cooperatives, box 12 (box 11 for 2019; box 10                                      this year. Complete Form 8810, Corporate Passive 
before 2019), or other notice of credit allocation.                                     Activity Loss and Credit Limitations, to determine the 
  Partnerships, S corporations, cooperatives, estates,                                  allowed credit that must be allocated to patrons. For 
and trusts report the above credits on line 3. All other filers                         details, see the Instructions for Form 8810.
figuring a separate credit on earlier lines also report the                             Estates and trusts.               Allocate the employee retention 
above credits on line 3. All others not using earlier lines to                          credit for employers affected by qualified disasters on 
figure a separate credit can report the above credits                                   line 4 between the estate or trust and the beneficiaries in 
directly on Form 3800, Part III, line 1aa.                                              the same proportion as income was allocated and enter 
                                                                                        the beneficiaries’ share on line 5.
Line 5
                                                                                            If the estate or trust is subject to the passive activity 
Cooperatives. A cooperative described in section                                        rules, include on line 3 any Form 5884-A credit from 
1381(a) must allocate to its patrons the credit in excess of                            passive activities disallowed for prior years and carried 
its tax liability limit. Therefore, to figure the unused amount                         forward to this year. Complete Form 8582-CR, Passive 
of the credit allocated to patrons, the cooperative must                                Activity Credit Limitations, to determine the allowed credit 
first figure its tax liability. While any excess is allocated to                        that must be allocated between the estate or trust and the 
patrons, any credit recapture applies as if the cooperative                             beneficiaries. For details, see the Instructions for Form 
had claimed the entire credit.                                                          8582-CR.
  If the cooperative is subject to the passive activity rules, 
include on line 3 any Form 5884-A credit from passive 

Paperwork Reduction Act Notice.                 We ask for the information on this form to carry out the Internal Revenue laws of the 
United States. You are required to give us the information. We need it to ensure that you are complying with these laws 
and to allow us to figure and collect the right amount of tax.
  You are 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 its instructions must be 
retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax 
returns and return information are confidential, as required by section 6103.
  The time needed to complete and file this form will vary depending on individual circumstances. The estimated burden 
for individual and business taxpayers filing this form is approved under OMB control number 1545-0074 and 1545-0123 
and is included in the estimates shown in the instructions for their individual and business income tax return. The 
estimated burden for all other taxpayers who file this form is shown below.

Recordkeeping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 hr., 23 min.
Learning about the law or the form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .         18 min.
Preparing and sending the form to the IRS         . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      21 min.

  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. See the instructions for the tax return with which this form is filed.

Instructions for Form 5884-A (March 2021)                                         -7-






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