Give this form to the third-party payer of your sick pay, such as an insurance company, if you want federal income tax withheld from the payments.
None at this time.
Other Items You May Find Useful
Form W-2, Wage and Tax Statement
Publication 505, Tax Withholding and Estimated Tax
Form 1040, U.S. Individual Income Tax Return
Form 1040-ES, Estimated Tax for Individuals
Comment on Form W-4S
Use the Comment on Tax Forms and Publications web form to provide feedback on the content of this product. Although we cannot respond individually to each comment, we do appreciate your feedback and will consider all comments submitted.
CAUTION: We cannot respond to tax-related questions submitted using this page. Instead, please see our Tax Law Questions page.