Form 4852 serves as a substitute for Form W-2, Form W-2c, and Form 1099-R (original or corrected), and is completed by taxpayers or their representatives when: Their employer or payer does not give them a Form W-2 or Form 1099-R. An employer or payer has issued an incorrect Form W-2 or Form 1099-R. Current revision Form 4852 PDF Recent developments None at this time. Other items you may find useful All Revisions for Form 4852 About Publication 15, (Circular E), Employer's Tax Guide Other Current Products Related About Form 1040, U.S. Individual Income Tax Return About Form 1040-SR, U.S. Tax Return for Seniors About Form 1040-X, Amended U.S. Individual Income Tax Return About Form 1099-R, Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. About Form 4972, Tax on Lump-Sum Distributions About Form W-2, Wage and Tax Statement