Attention: 

You may file Forms W-2 and W-3 electronically on the SSA’s Employer 
W-2 Filing Instructions and Information web page, which is also accessible 
at www.socialsecurity.gov/employer.  You can create fill-in versions of 
Forms W-2 and W-3 for filing with SSA. You may also print out copies for 
filing with state or local governments, distribution to your employees, and 
for your records.

Note: Copy A of this form is provided for informational purposes only. Copy A appears in 
red, similar to the official IRS form. The official printed version of this IRS form is scannable, 
but the online version of it, printed from this website, is not. Do not print and file Copy A 
downloaded from this website with the SSA; a penalty may be imposed for filing forms that 
can’t be scanned. See the penalties section in the current General Instructions for Forms 
W-2 and W-3, available at www.irs.gov/w2, for more information.

Please note that Copy B and other copies of this form, which appear in black, may be 
downloaded, filled in, and printed and used to satisfy the requirement to provide the 
information to the recipient.

To order official IRS information returns such as Forms W-2 and W-3, which include a 
scannable Copy A for filing, go to IRS’ Online Ordering for Information Returns and 
Employer Returns page, or visit www.irs.gov/orderforms and click on Employer and 
Information returns. We’ll mail you the scannable forms and any other products you order.

See IRS Publications 1141,1167  , and 1179 for more information about printing these tax 
forms.

                                                                   DO NOT STAPLE
                     a   Control number              For Official Use Only  ▶
  33333                                              OMB No. 1545-0008
b              ▲           941   Military    943          944                    ▲            None apply  501c non-govt.                        Third-party 
  Kind                                                             Kind                                                                         sick pay     
                                                                                                                                                  
  of                             Hshld.    Medicare                of                         State/local                                       (Check if 
  Payer                  CT-1    emp.      govt. emp.              Employer                   non-501c    State/local 501c Federal govt.        applicable) 
  (Check one)                                                      (Check one)
c Total number of Forms W-2        d Establishment number             1 Wages, tips, other compensation           2 Federal income tax withheld

e Employer identification number (EIN)                                3 Social security wages                     4 Social security tax withheld

f  Employer’s name                                                    5 Medicare wages and tips                   6 Medicare tax withheld

                                                                      7 Social security tips                      8 Allocated tips

                                                                      9                                           10 Dependent care benefits

                                                                   11 Nonqualified plans                          12a Deferred compensation
g Employer’s address and ZIP code
h Other EIN used this year                                         13 For third-party sick pay use only           12b

15 State    Employer’s state ID number                             14 Income tax withheld by payer of third-party sick pay

16 State wages, tips, etc.       17 State income tax               18 Local wages, tips, etc.                     19 Local income tax

  Employer’s contact person                                           Employer’s telephone number                      For Official Use Only

  Employer’s fax number                                               Employer’s email address

Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and 
complete.
Signature ▶                                                        Title ▶                                                 Date ▶
                                                                                                                                            Department of the Treasury 
Form W-3         Transmittal of Wage and Tax Statements                                            2022                                     Internal Revenue Service
Send this entire page with the entire Copy A page of Form(s) W-2 to the Social Security Administration (SSA).  
Photocopies are not acceptable. Do not send Form W-3 if you filed electronically with the SSA. 
Do not send any payment (cash, checks, money orders, etc.) with Forms W-2 and W-3.
Reminder
Separate instructions. See the 2022 General Instructions for Forms 
W-2 and W-3 for information on completing this form. Do not file Form 
W-3 for Form(s) W-2 that were submitted electronically to the SSA.
Purpose of Form
Complete a Form W-3 transmittal only when filing paper Copy A of 
Form(s) W-2, Wage and Tax Statement. Don’t file Form W-3 alone. All 
paper forms must comply with IRS standards and be machine readable. 
Photocopies are not acceptable. Use a Form W-3 even if only one 
paper Form W-2 is being filed. Make sure both the Form W-3 and 
Form(s) W-2 show the correct tax year and employer identification 
number (EIN). Make a copy of this form and keep it with Copy D (For 
Employer) of Form(s) W-2 for your records. The IRS recommends 
retaining copies of these forms for 4 years.                                  When To File Paper Forms
E-Filing                                                                      Mail Form W-3 with Copy A of Form(s) W-2 by January 31, 2023.
The SSA strongly suggests employers report Form W-3 and Forms W-2             Where To File Paper Forms
Copy A electronically instead of on paper. The SSA provides two free   
e-filing options on its Business Services Online (BSO) website.               Send this entire page with the entire Copy A page of Form(s) W-2 to:
• W-2 Online. Use fill-in forms to create, save, print, and submit up to                     Social Security Administration  
50 Forms W-2 at a time to the SSA.                                                           Direct Operations Center  
• File Upload. Upload wage files to the SSA you have created using                           Wilkes-Barre, PA 18769-0001
payroll or tax software that formats the files according to the SSA’s         Note: If you use “Certified Mail” to file, change the ZIP code to 
Specifications for Filing Forms W-2 Electronically (EFW2).                    “18769-0002.” If you use an IRS-approved private delivery service, add 
  W-2 Online fill-in forms or file uploads will be on time if submitted by    “ATTN: W-2 Process, 1150 E. Mountain Dr.” to the address and change 
January 31, 2023. For more information, go to www.SSA.gov/bso . First-        the ZIP code to “18702-7997.” See Pub. 15 (Circular E), Employer’s Tax 
time filers, select “Register”; returning filers, select “Log In.”            Guide, for a list of IRS-approved private delivery services.

                                 For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
                                                                      Cat. No. 10159Y