 General Instructions
 Future Developments
 What’s New
 Qualified 2021 and later disaster distributions (also known as qualified disaster recovery distributions).
 Dollar limit.
 Determining the qualified disaster distribution period, in Part I, for a disaster.
 Determining the qualified distribution repayment period, in Part IV, for a disaster.
 Determining the disaster's FEMA number and other information.
 New line 1a.
 New Worksheet 1B.
 Helpful Hints
 Who Must File
 When and Where To File
 What Is a Qualified Disaster Distribution?
 Qualified Disaster Distribution
 Qualified Distribution for the Purchase or Construction of a Main Home in Qualified Disaster Areas
 Amending Form 8915F
 Specific Instructions
 Married filers.
 Name and social security number (SSN).
 Attach your completed worksheets.
 Required General Information
 Part I—Total Distributions From All Retirement Plans (Including IRAs)
 Coronavirusrelated distributions.
 Part I disasters.
 List of disasters.
 Lines 1a through 1d.
 When to leave lines 1a through 1d blank.
 Line 1a.
 Line 1b.
 Line 1d.
 Line 1e.
 Examples for lines 1a through 1e.
 Column (a).
 Lines 2 through 4 in column (a).
 Column (b).
 Lines 2 through 5 in column (b).
 Are You Claiming Qualified Disaster Distributions on Part I of more than one Form 8915 for this year?
 Filledin Worksheet 1A1. Example 1A1 for column (a).
 Worksheet 1B
 Example 1 for Worksheet 1B: Use if you are directed on line 1a of your Form 8915F to use Worksheet 1B or if you choose to use Worksheet 1B.
 Example 2 for Worksheet 1B: Use if you are directed on line 1a of your Form 8915F to use Worksheet 1B or if you choose to use Worksheet 1B.
 Example 3 for Worksheet 1B: Use if you are directed on line 1a of your Form 8915F to use Worksheet 1B or if you choose to use Worksheet 1B.
 Line 7.
 If completing both Part I and Part IV or filing more than one Form 8915.
 Part II—Qualified Disaster Distributions From Retirement Plans (Other Than IRAs)
 Part III—Qualified Disaster Distributions From Traditional, SEP, SIMPLE, and Roth IRAs
 Line 25.
 Part IV—Qualified Distributions for the Purchase or Construction of a Main Home in Qualified Disaster Areas
 Privacy Act and Paperwork Reduction Act Notice
 Appendix A, Which Lines Should I Use?
 Appendix B, Worksheets
 Worksheet 1A1.
 Worksheet 1A2.
 Worksheet 1B: Use if you are directed on line 1a of your Form 8915F to use Worksheet 1B.
 Worksheet 2 for Line 12. Total Income From Other ThanIRA Distributions Made in Prior Years
 Worksheet 2: Supplemental Information
 Worksheet 3
 Worksheet 4 for Line 23. Total Income From IRA Distributions Made in Prior Years
 Worksheet 4: Supplemental Information
 Worksheet 5
Instructions for Form 8915F (01/2023)
Qualified Disaster Retirement Plan Distributions and Repayments
Revised: 01/2023
Future Developments
For the latest information about developments related to Form 8915F and its instructions, such as legislation enacted after they were published, go to IRS.gov/Form8915F.
What’s New
Qualified 2021 and later disaster distributions (also known as qualified disaster recovery distributions).
As a result of section 331 of the Secure 2.0 Act of 2022, enacted December 29, 2022, you are now eligible for the benefits of Form 8915F if you were adversely affected by a qualified 2021 or later disaster and you received a distribution described in Qualified Disaster Distribution Requirements or Qualified Distribution Requirements, later. Qualified disaster distributions (such as qualified 2021 disaster distributions, qualified 2022 disaster distributions, qualified 2023 disaster distributions, etc.) are also called qualified disaster recovery distributions.
Dollar limit.
For qualified 2021 and later disasters, the dollar limit on Form 8915F for retirement plan distributions is $22,000 per disaster. It was $100,000 but that was for qualified 2020 disasters.
Determining the qualified disaster distribution period, in Part I, for a disaster.
The qualified disaster distribution period for each disaster still begins on the day the disaster began. The last day of the qualified disaster distribution period for most qualified 2021 disasters and many qualified 2022 disasters is June 26, 2023. But the last day of the qualified disaster distribution period for qualified 2023 and later disasters, some qualified 2022 disasters, and perhaps even a few qualified 2021 disasters will have to be separately calculated. See Qualified disaster distribution period, later.
Determining the qualified distribution repayment period, in Part IV, for a disaster.
The qualified distribution repayment period for each disaster still begins on the day the disaster began. The last day of the qualified distribution repayment period for most qualified 2021 disasters and many qualified 2022 disasters is June 27, 2023. But the last day of the qualified distribution repayment period for qualified 2023 and later disasters, some qualified 2022 disasters, and perhaps even a few qualified 2021 disasters will have to be separately calculated. See Qualified disaster distribution period, later.
Determining the disaster's FEMA number and other information.
Appendix B, Qualified Disaster Areas by Year, is being discontinued. See Qualified disaster area, later, for information on where to find a disaster’s FEMA number, beginning date, and declaration date.
New line 1a.
New Line 1a explains the criteria set forth in Form 8915F, line 1a, including “If all of the distributions for this year occurred within the qualified disaster distribution period for each of the disasters listed” in the table at the top of Part I.
New Worksheet 1B.
New Worksheet 1B is a tool you may have to use in figuring amounts for lines 1a through 5 of Form 8915F. See Worksheet 1B, later, to determine whether you must use Worksheet 1B. You can choose to use Worksheet 1B even if you are not required to do so.
Helpful Hints
Form 8915F can be efiled.
Form 8915F can be completed electronically and efiled with your tax return.
Form 8915F is a forever form.
Form 8915F is a redesigned Form 8915. Beginning in 2021, additional alphabetical Forms 8915 (that is, Form 8915G, Form 8915H, etc.) will not be issued. The same Form 8915F will be used for distributions for qualified 2020 disasters (and qualified 2021 and later disasters, if enacted) and for each year of reporting of income and repayments of those distributions. The boxes you check in items A and B will help us determine the exact year of the form you are filing, and the year of the qualified disasters, qualified disaster distributions, and qualified distributions you are reporting. Earlier Forms 8915 had a different alphabetical Form 8915 for each year of disasters and a different form for each year the alphabetical form existed. See How Do I Distinguish My Form 8915F and Its Disasters From Other Forms 8915F and When Should I Not Use a Form 8915F , later.
This year.
"This year" (as used on Form 8915F and in these instructions) is the year of the form you check in item A of your Form 8915F. For example, if you check 2022, "this year" is 2022.
How Do I Distinguish My Form 8915F and Its Disasters From Other Forms 8915F?
Name of form.
These instructions will use different names to refer to your Form 8915F depending on the boxes you check in items A and B at the top of page 1 of your Form 8915F. For example, if you checked the 2022 box in item A and the 2021 box in item B, your form will be referred to in these instructions and elsewhere as “2022 Form 8915F (2021 disasters).” See Names of disasters and distributions next.
Names of disasters and distributions.
Except when referring to them generally, these instructions will refer to the different qualified disasters and qualified disaster distributions by their specific names using the year(s) you checked in item A and item B at the top of page 1 of your Form 8915F. For example, if you checked 2022 in item B, your qualified disasters are referred to as “qualified 2022 disasters” and your qualified disaster distributions are referred to as “qualified 2022 disaster distributions.”
Purpose of Form
If you were adversely affected by a qualified 2021 or later disaster, use Form 8915F to report:

A qualified disaster distribution described in Qualified disaster distribution requirements, later, that was made to you this year;

A repayment of, or income from, a qualified disaster distribution reported on Part I of a Form 8915F from this or an earlier year; or

Income in 2021 and later years from qualified 2020 and later disaster distributions; and

A qualified distribution described in Qualified 2021 and later disaster areas under Qualified Distribution for the Purchase or Construction of a Main Home in Qualified Disaster Areas, later, that you received this year.
If you were adversely affected by a qualified 2020 disaster, use Form 8915F to report:

A qualified disaster distribution described in Qualified disaster distribution requirements, later, that was made to you in 2021 (coronavirusrelated distributions can't be made after December 30, 2020);

A repayment of, or income from, a qualified disaster distribution (including a coronavirusrelated distribution) in this year; or

A qualified distribution described in Qualified 2021 and later disaster areas under Qualified Distribution for the Purchase or Construction of a Main Home in Qualified Disaster Areas, later, that you received on January 1, 2021, for the Washington (8593DRWA) disaster.
See Amending Form 8915F, later.
Purpose of These Instructions
These instructions provide detailed information for use with your Form 8915F. For your convenience, Appendix A, Which Lines Should I Use , later, provides, as well, the lines you should complete on your Form 8915F for all tax years applicable to 2020 and later disasters.
When Should I Not Use a Form 8915F?
Reporting coronavirusrelated and other distributions for qualified 2020 disasters made or received in 2020.
This form replaces Form 8915E for tax years beginning after 2020. Do not use a Form 8915F to report, in Part I, qualified 2020 disaster distributions made in 2020 or, in Part IV, qualified distributions received in 2020 for qualified 2020 disasters.
You will still use 2020 Form 8915E to report coronavirusrelated and other qualified disaster distributions made in 2020 and to report qualified distributions received in 2020 for qualified 2020 disasters.
Qualified 2019 and earlier disasters.
Do not use Form 8915F to report repayments or income from qualified disaster distributions for 2019 and earlier disasters.
Who Must File
File Form 8915 F for the year you checked in item A at the top of page 1 of the form if any of the following apply to you for that year for the disasters listed in items C and D.

A qualified disaster distribution was made to you from an eligible retirement plan.

You received a qualified distribution.

A qualified disaster distribution was made to you in a prior year that you are including in income in equal amounts over 3 years and the 3year period has not yet lapsed.

You made a repayment of a qualified disaster distribution.
Which Lines Should I Complete?
If you efile your return, the software you use may determine which lines you need.
Fill in your name and social security number at the top of page 1 of your Form 8915F. As indicated earlier, complete items A and B, selecting the item A tax year and the item B disaster year. Also, complete items C and D, as applicable.
You might not need to enter amounts on each line of your Form 8915F. Appendix A, Which Lines Should I Use , later, provides the lines you need to complete on Form 8915F for each year relating to your disasters. The lines you use will depend on:

Whether qualified disaster distributions were made to you,

Whether you have received qualified distributions,

Whether you are recognizing income from distributions, and

Whether you are repaying distributions.
When and Where To File
File your Form 8915F with your Form 1040, 1040SR, or 1040NR for the year checked in item A at the top of page 1 of your Form 8915F. For example, you will file your 2023 Form 8915F (2021 disasters) with your 2023 Form 1040, 1040SR, or 1040NR.
The timing of your distributions and repayments will determine whether you need to file an amended return to claim them. To determine whether you need to amend your Form 8915F, see Amending Form 8915F , later.
What Is a Qualified Disaster Distribution?
The distributions that are a qualified disaster distributions for tax years 2021 or later follow.
For 2021, qualified disaster distributions are:

The qualified 2019 disaster distributions for the Puerto Rico Earthquakes (DR4473PR) reported on 2021 Form 8915D,

The qualified 2020 disaster distributions for qualified 2020 disasters reported on 2021 Form 8915F (2020 disasters), and

The qualified 2021 disaster distributions for qualified 2021 disasters reported on 2021 Form 8915F (2021 disasters).
For 2022, qualified disaster distributions are:

The qualified 2021 disaster distributions for qualified 2021 disasters reported on 2022 Form 8915F (2021 disasters), or

The qualified 2022 disaster distributions for qualified 2022 disasters reported on 2022 Form 8915F (2022 disasters).
For 2023, qualified disaster distributions are:

The qualified 2021 disaster distributions for qualified 2020 disasters reported on 2023 Form 8915F (2021 disasters),

The qualified 2022 disaster distributions for qualified 2022 disasters reported on 2023 Form 8915F (2022 disasters), and

The qualified 2023 disaster distributions for qualified 2023 disasters reported on 2023 Form 8915F (2023 disasters).
Qualified disaster distributions for 2024 and later years are the distributions reported, like those for other years, in Part I of a Form 8915F for the year because they meet the criteria in the next section. In all cases, the year checked in item B of your Form 8915F is the year in which the disaster began. There are always qualified disaster distributions that can be made for a disaster in the year the disaster began and, for certain disasters, in the year or 2 after the disaster began.
Qualified Disaster Distribution
How Is a Qualified Disaster Distribution Taxed?
Generally, a qualified disaster distribution is included in your income in equal amounts over 3 years. However, if you elect, you can include the entire distribution in your income in the year of the distribution.
Any repayments made before you file your return and by the due date (including extensions) reduce the amount of the distribution included in your income.
Also, qualified disaster distributions aren't subject to the additional 10% tax (or the 25% additional tax for certain distributions from SIMPLE IRAs) on early distributions.
If a taxpayer who spread the income from a qualified disaster distribution over 3 years dies before the last tax year of that 3year period, the distribution may no longer be spread over 3 years. The remainder of the distribution must be reported on the return of the deceased taxpayer. Include the remainder in the line 13 and/or line 24 totals, as applicable, of the Form 8915F for the year of their last tax return.
Qualified Disaster Distribution Requirements
A coronavirusrelated distribution can't be made after 2020. See Qualified disaster distribution period, later, to figure when your qualified disaster distribution can be made. Also, a distribution is not a qualified disaster distribution if it is listed in Distributions that are not qualified disaster distributions, later. See Limit, later, for the dollar limit on qualified disaster distributions.
Qualified disaster distribution requirements.
Qualified disaster distributions must meet the following criteria. (Coronavirusrelated distributions can't be made in 2021 or later years.) You must meet these requirements separately for each of your disasters that you are reporting on Form 8915F.

The distribution was made:

For 2020 disasters (other than the coronavirus), no later than June 24, 2021; or

For 2021 and later disasters, within the disaster's qualified disaster distribution period. See Qualified disaster distribution period, later.


Your main home was located in a qualified disaster area at any time during the disaster period shown for that area. See Main home , later. The qualified disaster area is the state, territory, or tribal government in which the disaster occurs.

You sustained an economic loss because of the disaster(s) in (2) above. Examples of an economic loss include, but aren't limited to, (a) loss, damage to, or destruction of real or personal property from fire, flooding, looting, vandalism, theft, wind, or other cause; (b) loss related to displacement from your home; or (c) loss of livelihood due to temporary or permanent layoffs.
If (1) through (3) apply, you can generally designate any distribution (including periodic payments and required minimum distributions) from an eligible retirement plan as a qualified disaster distribution, regardless of whether the distribution was made on account of a qualified disaster. Qualified disaster distributions are permitted without regard to your need or the actual amount of your economic loss. See Eligible retirement plan, later, for the list of plans from which qualified disaster distributions can be made.
A reduction or offset of your account balance in an eligible retirement plan (other than an IRA) in order to repay a loan can also be designated as a qualified disaster distribution. See Distribution of plan loan offsets, later.
Qualified disaster distribution period.
As a result of the Secure 2.0 Act of 2022, enacted December 29, 2022, the period for making qualified disaster distributions for qualified disasters that begin after 2020 does not have a set ending date based on the year of the disaster, but must be separately calculated for each of your qualified disasters. The qualified disaster distribution period for a qualified disaster will begin on the date the disaster begins and will end 179 days after whichever of the following occurs the latest.

Disaster beginning date.

Disaster declaration date.

December 29, 2022.
All 2020 disasters.
For 2020 disasters, these instructions replace Form 8915E for 2021 and later tax years. The distribution period for all qualified 2020 disasters (other than coronavirusrelated distributions) ended on June 24, 2021. The distribution period for coronavirusrelated distributions ended December 30, 2020.
Most, but not all, 2021 and 2022 disasters.
If your disaster began in 2021 (or 2022 on or before December 30, 2022) and your disaster was declared as a major disaster on or before December 29, 2022, then the period for making qualified disaster distributions for that disaster will end on June 26, 2023. June 26, 2023, is exactly 179 days after December 29, 2022.
Example.
Mosley was eligible for qualified 2022 disaster distributions for the following 2022 disaster. Disaster: Virginia Severe Winter Storm and Snowstorm disaster (DR4644VA) (beginning date January 2, 2022). Qualified disaster distributions can be made through June 26, 2023, for that disaster.
All other disasters, including some 2022 disasters.
For all other disasters, the qualified disaster distribution period will end 179 days after the disaster beginning date or the disaster declaration date, whichever is later.
Example 1.
Mosley was eligible for qualified 2022 disaster distributions for the Washington Severe Winter Storm, Straightline Winds, Flooding, Landslides, and Mudslides disaster (DR4682WA) (beginning date November 3, 2022) (declaration date January 12, 2023). Qualified disaster distributions can be made for this disaster through July 10, 2023, even though this is a 2022 disaster. July 10, 2023, is exactly 179 days after January 12, 2023.
Example 2.
Alex was eligible for qualified 2022 disaster distributions for the Havasupai Tribe Flooding Event disaster (DR4681) (beginning date Oct 1, 2022) (declaration date December 30, 2022). Qualified disaster distributions can be made for this disaster through June 27, 2023, even though this is a 2022 disaster. June 27, 2023, is exactly 179 days after December 30, 2022.
Example 3.
Sam was eligible for qualified 2023 disaster distributions for the Georgia Severe Weather disaster (DR4685GA) (beginning date January 12, 2023) (declaration date January 16, 2023). Qualified disaster distributions can be made for this disaster through July 14, 2023. July 14, 2023, is exactly 179 days after January 16, 2023.
Distributions that are not qualified disaster distributions.
The following distributions are not qualified disaster distributions.

Corrective distributions of elective deferrals and employee contributions that are returned to the employee (together with the income allocable thereto) in order to comply with the section 415 limitations.

Excess elective deferrals under section 402(g), excess contributions under section 401(k), and excess aggregate contributions under section 401(m).

Loans that are treated as deemed distributions pursuant to section 72(p).

Dividends paid on applicable employer securities under section 404(k).

The cost of current life insurance protection.

Prohibited allocations that are treated as deemed distributions pursuant to section 409(p).

Distributions that are permissible withdrawals from an eligible automatic contribution arrangement within the meaning of section 414(w).

Distributions of premiums for accident or health insurance under Treasury Regulations section 1.402(a)1(e)(1)(i).
Limit.
For each qualified 2020 disaster, the total of your qualified disaster distributions from all plans is limited to $100,000. For each qualified 2021 or later disaster, the total of your qualified disaster distributions from all plans is limited to $22,000. You may allocate the amount among the plans by any reasonable method when determining the amounts on lines 2, 3, and 4 of column (b) if all three of the following apply.

You are not using Worksheet 1B.

You have distributions from more than one type of plan, such as a 401(k) plan and an IRA.

The total on line 5, column (a), of your Form 8915F exceeds your total available qualified disaster distribution amount from line 1e of your Form 8915F.
Distribution of plan loan offsets.
A distribution of a plan loan offset is a distribution that occurs when, under the terms of a plan, the participant’s accrued benefit is reduced (offset) in order to repay a loan. A distribution of a plan loan offset amount can occur for a variety of reasons, such as when a participant terminates employment or doesn’t comply with the terms of repayment. Plan loan offsets are treated as actual distributions and are reported in box 1 of Form 1099R.
Main home.
Generally, your main home is the home where you live most of the time. A temporary absence due to special circumstances, such as illness, education, business, military service, evacuation, or vacation, won’t change your main home.
Qualified disaster area.
For qualified 2020 disasters, the list of qualified disaster areas is in Appendix B in the Instructions for Form 8915F (Rev. February 2022). For qualified 2021 and later disasters, the qualified disaster area is the state, territory, or tribal government in which a qualified disaster, described next, occurred.
Qualified disaster.
A qualified disaster is a disaster that the President has declared as a major disaster. It is also know as a federally declared major disaster. The FEMA numbers for these major disasters include the letters "DR" in capital letters. To determine whether the President has declared a disaster as a major disaster, go to FEMA.gov/disaster/declarations. On that page, make the four selections below and then click the Search and Filter Disasters box. The Declared Disasters table in these instructions displays how that FEMA page appears.

In the State/Tribe box, select the state, territory, or tribal government in which your disaster occurred.

In the Year(s) box, select the year in which your disaster began (and the 2 years after that to the extent available).

In the Declaration Type box, select Major Disaster Declaration.

In the Incident Type box, select Any, or the type of disaster if you want to be more specific.
Declared Disasters
State/Tribe  Year(s)  
–Any–  ▲  2023 x  2022 x  2021 x  ▲  
▼  2020 x  2019 x  ▼  
TIP: Add years to broaden search.  
Declaration Type  Incident Type  
–Any–  ▲  –Any–  ▲  
▼  ▼  
Search and Filter Disasters  
The Additional Tax and Qualified Disaster Distributions
Qualified disaster distributions aren’t subject to the additional 10% tax (or the 25% additional tax for certain distributions from SIMPLE IRAs) on early distributions and aren’t required to be reported on Form 5329. However, the amount on line 7 of your Form 8915F may be subject to the additional tax. See the Instructions for Form 5329 on how to figure the additional tax on your distributions.
Note.
If you choose to treat a distribution as a qualified disaster distribution, it is not eligible for the 20% capital gain election or the 10year tax option. For information on those options, see the instructions for Form 4972.
Repayment of a Qualified Disaster Distribution
If you choose, you can generally repay any portion of a qualified disaster distribution that is eligible for taxfree rollover treatment to an eligible retirement plan. Also, you can repay a qualified disaster distribution made on account of hardship from a retirement plan. However, see Exceptions, later, for qualified disaster distributions you can’t repay.
Your repayment can't be made any earlier than the day after the date you received the qualified disaster distribution. You have 3 years from the day after the date you received the distribution to make a repayment. The amount of your repayment cannot be more than the amount of the original distribution. Amounts that are repaid are treated as a trusteetotrustee transfer and are not included in income. Also, for purposes of the onerolloverperyear limitation for IRAs, a repayment to an IRA is not considered a rollover.
Include on this year's Form 8915F any repayments you made before filing this year's return. Any repayments you made will reduce the amount of qualified disaster distributions reported on this year's return. Do not include on this year's Form 8915F any repayments you made later than the due date (including extensions) for filing this year's return. However, you may report those repayments on next year's return or carry the repayments back to this on an earlier year as applicable. See Carrybacks under Amending Form 8915F, later.
Example 1.
In 2021, Rudy made a qualified 2021 disaster distribution from their traditional IRA. Rudy did not check the box on line 22, choosing instead to spread the income from the distribution over 3 years (2021, 2022, and 2023). Rudy didn't repay any portion of the distribution until 2023 when Rudy made a repayment of that distribution before timely filing their 2022 return. Rudy includes those repayments on their 2022 Form 8915F (2021 disasters). Those repayments reduced the amount of qualified 2021 disaster distributions reported on Rudy's return for 2022 and any excess may be carried back to 2021 on an amended 2021 Form 8915F or forward to 2023.
Example 2.
The facts are the same as in Example 1, except Rudy made the repayments in 2023, after the due date (including extensions) of their 2022 return. Rudy cannot include those repayments on their 2022 Form 8915F (2021 disasters). The repayments will reduce the amount of their qualified 2021 disaster distributions made for 2023 and included in income on their 2023 return and any excess may be carried back on an amended 2021 or 2022 Form 8915F to reduce income on their 2021 or 2022 return.
Eligible retirement plan.
An eligible retirement plan can be any of the following.

A qualified pension, profitsharing, or stock bonus plan (including a 401(k) plan).

A qualified annuity plan.

A taxsheltered annuity contract.

A governmental section 457 deferred compensation plan.

A traditional, SEP, SIMPLE, or Roth IRA.
Exceptions.
You cannot repay the following types of distributions.

Qualified disaster distributions received as a beneficiary (other than a surviving spouse).

Required minimum distributions.

Any distribution (other than from an IRA) that is one of a series of substantially equal periodic payments made (at least annually) for:

A period of 10 years or more,

Your life or life expectancy, or

The joint lives or joint life expectancies of you and your beneficiary.

Qualified Distribution for the Purchase or Construction of a Main Home in Qualified Disaster Areas
How Is a Qualified Distribution Taxed?
A qualified distribution is included in your income in the year of the distribution. Any repayments made before you timely file your return for that year (including extensions) reduce the amount of the distribution included in your income on that return. Repayments made during the qualified distribution repayment period for the disaster, but after the year of the distribution, can be carried back to reduce the income from the distribution. Unlike with qualified disaster distributions, the income can't be spread over 3 years and the repayment period is much shorter than 3 years. See Qualified distribution repayment period, later.
Also, qualified distributions aren't subject to the additional 10% tax (or the 25% additional tax for certain distributions from SIMPLE IRAs) on early distributions.
Qualified Distribution Requirements
Qualified 2020 disaster areas.
The earliest tax year in item A on Form 8915F is 2021. Qualified distributions for only one 2020 disaster can be made in 2021, the Alaska Severe Storm, Flooding, Landslides, and Mudslides (4585DRAK). To be a qualified distribution on 2021 Form 8915F (2020 disasters) for the purchase or construction of a main home in a qualified 2020 disaster area, the distribution must meet all of the following requirements.

The disaster was the Alaska Severe Storm, Flooding, Landslides, and Mudslides (4585DRAK). Leave 2021 Form 8915F (2020 disasters), Part IV, blank if your only qualified 2020 disaster was any other 2020 disaster (including the coronavirus).

The distribution is a hardship distribution from a 401(k) plan, a hardship distribution from a taxsheltered annuity contract, or a qualified firsttime homebuyer distribution from an IRA.

The distribution was received on January 1, 2021.

The distribution was to be used to purchase or construct a main home in Alaska and the main home was not purchased or constructed because of the disaster. See Main home , earlier. The disaster area is the state, territory, or tribal government in which the disaster occurs.
Qualified 2021 and later disaster areas.
A qualified distribution for the purchase or construction of a main home in a qualified 2021 or later disaster area must meet all of the following requirements. See Main home and Qualified disaster area, earlier.

For qualified 2021 disasters, the first day of the disaster can be no earlier than January 26, 2021. For disasters with beginning dates after 2021, there is no restriction on when the disaster must begin.

The distribution was a hardship distribution from a 401(k) plan, a hardship distribution from a taxsheltered annuity contract, or a qualified firsttime homebuyer distribution from an IRA.

The distribution was received no more than 180 days before the first day of the disaster and no later than 30 days after the last day of the disaster.

The distribution was to be used to purchase or construct a main home in the disaster's qualified disaster area and the main home must not have been purchased or constructed because of the disaster. See Main home and Qualified disaster area, earlier.
The Additional Tax and Qualified Distributions.
Qualified distributions aren't subject to the additional 10% tax (or the 25% additional tax for certain distributions from SIMPLE IRAs) on early distributions and aren't required to be reported on Form 5329. However, the amount on line 32 of your Form 8915F may be subject to the additional tax. See the Instructions for Form 5329 on how to figure the additional tax on your distributions.
If the qualified distribution was received in 2020 for a 2021 disaster, see Amending Form 8915F, later.
Repayment of a Qualified Distribution for the Purchase or Construction of a Main Home
Qualified distribution repayment period.
As a result of the Secure 2.0 Act of 2022, enacted December 29, 2022, the period for repaying a qualified distribution for a disaster that begins after 2020 does not have a set ending date, but must be calculated. The qualified distribution period for each of those qualified disasters will begin on the date the disaster begins and will end 180 days after whichever of the following occurs the latest.

Disaster beginning date.

Disaster declaration date.

December 29, 2022.
The last day of the repayment period for 2020 and later disasters is below.
2020 disasters.
The repayment period for a qualified distribution for the Alaska Severe Storm, Flooding, Landslides, and Mudslides (4585DRAK) disaster on January 1, 2021, to purchase or construct a main home in Alaska ended on June 25, 2021.
Most, but not all, 2021 and 2022 disasters.
If your disaster began in 2021 or 2022 (on or before December 30, 2022) and your disaster was declared as a major disaster on or before December 29, 2022, then the period for repaying qualified distributions for that disaster will end on June 27, 2023. June 27, 2023, is exactly 180 days after December 29, 2022.
Example.
Taylor was eligible for qualified distributions for the Virginia Severe Winter Storm and Snowstorm (DR4644VA) disaster (beginning date January 2, 2022). Taylor made a qualified distribution on December 5, 2021. Taylor has until June 27, 2023, to repay the qualified distribution.
All other disasters, including some 2022 disasters.
For all other disasters, the qualified distribution period will end 180 days after the disaster beginning date or the disaster declaration date, whichever is later.
Example 1.
Mosley was eligible for qualified distributions for the Washington Severe Winter Storm, Straightline Winds, Flooding, Landslides, and Mudslides (DR4682WA) disaster (beginning date November 3, 2022) (declaration date January 12, 2023). Qualified distributions can be repaid for this disaster through July 11, 2023, even though this is a 2022 disaster. July 11, 2023, is exactly 180 days after January 12, 2023.
Example 2.
Alex was eligible for qualified distributions for the Havasupai Tribe Flooding Event (DR4681) disaster (beginning date October 1, 2022) (declaration date December 30, 2022). Qualified distributions can be repaid for this disaster through June 28, 2023, even though this is a 2022 disaster. June 28, 2023, is exactly 180 days after December 30, 2022.
Example 3.
Sam was eligible for qualified distributions for the Georgia Severe Weather (DR4685GA) disaster (beginning date January 12, 2023) (declaration date January 16, 2023). Qualified distributions can be repaid for this disaster through July 15, 2023. July 15, 2023, is exactly 180 days after January 16, 2023.
Qualified disaster areas.
You can choose to repay your qualified distribution to an eligible retirement plan at any time during the qualified disaster repayment period for the disaster. See Eligible retirement plan and Qualified distribution repayment period, earlier. Amounts that are repaid, during the qualified distribution repayment period for the disaster are treated as a trusteetotrustee transfer and are not included in income. For purposes of the onerolloverperyear limitation for IRAs, a repayment to an IRA is not considered a rollover.
If the qualified distribution (or any portion thereof) is not repaid on or before the last day of the qualified distribution repayment period for the disaster, it may be taxable and may be subject to the additional 10% tax (or the additional 25% tax for certain SIMPLE IRAs) on early distributions. See the Instructions for Form 5329 to figure any tax.
You may be able to designate a qualified distribution for a disaster as a qualified disaster distribution if all of the following apply.

The distribution (or any portion thereof) is not repaid on or before the last day of the qualified distribution repayment period for the disaster.

The distribution can otherwise be treated as a qualified disaster distribution. See Qualified disaster distribution requirements, earlier.
Amending Form 8915F
File Form 1040X, Amended U.S. Individual Income Tax Return, to amend a return you have already filed. Generally, Form 1040X must be filed for a credit or refund within 3 years after the date the original return was filed, or within 2 years after the date the tax was paid, whichever is later.
Qualified disaster distributions.
Depending on when a repayment is made, you may need to file an amended tax return to refigure your taxable income.
Include on this year's Form 8915F any timely repayments you made before filing this year's tax return. Do not include on that Form 8915F any repayments you made later than the due date (including extensions) for filing that return.
If you make a timely repayment after timely filing this year's tax return but by the due date of that return (including extensions), include the repayment on an original or amended, as applicable, Form 8915F for this year.
If you make a timely repayment after the due date of this year's return (including extensions) but before the due date of next year's return (including extensions), include the repayment on next year's Form 8915F. However, you may file a Form 1040X amending this year's or an earlier year's Form 8915F or a 2020 Form 8915E, as applicable.
Example 1.
You received a coronavirusrelated distribution in the amount of $9,000 on November 19, 2020. You choose to spread the $9,000 over 3 years ($3,000 in income for 2020, 2021, and 2022). On November 6, 2023, you make a repayment of $4,500. For 2023, all of the $4,500 is an excess repayment. You carry back $3,000 to 2022. The remaining excess repayment of $1,500 ($4,500 − $3,000) can be carried back to 2021. Also, instead of carrying that portion of the excess repayment back to 2021, you can choose to carry it back to 2020.
Example 2.
You received a qualified 2020 disaster distribution in the amount of $90,000 in 2021. You elected to have the full income from the distribution recognized in 2021. On November 6, 2023, you make a repayment of $45,000. The entire $45,000 is carried back to 2021.
Example 3.
You received a qualified 2021 disaster distribution in the amount of $90,000 in December 2022. You choose to spread the $90,000 over 3 years ($30,000 in income for 2022, 2023, and 2024). On November 6, 2024, you make a repayment of $45,000. For 2024, none of the qualified 2021 disaster distribution is included in income. The excess repayment of $15,000 ($45,000 − $30,000) can be carried back to 2023 or 2022.
Carrybacks.
Follow Step 1 and Step 2 below when carrying back amounts. These steps are followed by examples.
Step 1. Determine the line(s) to use.
If the original distribution was not an IRA distribution and you are carrying an excess repayment back to:

2020, include the carried back amount on 2020 Form 8915E, line 10;

2021 or later, include the carried back amount on the Form 8915F, line 14 of the Form 8915F back to which you are carrying the excess payment.
If the original distribution was an IRA distribution and you are carrying an excess repayment back to:

2020, include the carried back amount on 2020 Form 8915E, line 18;

2021 or later, include the carried back amount on the Form 8915F, line 25 of the Form 8915F back to which you are carrying the excess payment.
Step 2. Add this sentence.
Write "$_______ carryback from [enter here the year the excess carryback occurred] Form 8915[E or F, as applicable]" on the dotted line to the left of the line on which you are including the carried back amount.
Example 1.
On your 2020 Form 8915E, you reported a coronavirusrelated distribution of $9,000 made to you from your traditional IRA on April 14, 2020. You spread the income over 3 years ($3,000 in each of 2020, 2021, and 2022). You made no repayments of the distribution in 2020 or 2021. In 2022, you made a repayment of $4,500. You will report $3,000 of the repayment on your 2022 Form 8915F (2020 disasters). The excess repayment of $1,500 can be carried back to 2021 and reported on your 2021 Form 8915F (2020 disasters), line 25, or carried back to 2020 and reported on your 2020 Form 8915E, line 18. On the dotted line to the left of your 2021 Form 8915F (2020 disasters), line 25, or your 2020 Form 8915E, line 18, whichever is applicable, you write "$1,500 excess repayment from 2022 Form 8915F (2020 disasters)."
Example 2.
You suffered economic losses in 2022 as the result of DR4649PR. Your main home was in Puerto Rico when that disaster occurred. You received a qualified 2022 disaster distribution from your traditional IRA in the amount of $75,000 on April 29, 2022 spreading the income over 3 years (2022, 2023, and 2024). You filed your 2023 tax return on April 10, 2024. You made a repayment of $65,000 on April 29, 2024. You report $25,000 of the repayment on your 2024 Form 8915F (2022 disasters). You report the excess repayment of $40,000 as follows. You carry back $25,000 to 2023 Form 8915F (2022 disasters), line 25, and $15,000 back to 2022 Form 8915F (2022 disasters), line 25. On the dotted line to the left of line 25 of your:

2023 Form 8915F (2022 disasters), you write "$25,000 excess repayment from 2024 Form 8915F (2022 disasters)."; and

2022 Form 8915F (2022 disasters), you write "$15,000 excess repayment from 2024 Form 8915F (2022 disasters)."
Example 3.
You suffered economic losses in 2022 as the result of DR4649PR. Your main home was in Puerto Rico when that disaster occurred. You received a qualified 2022 disaster distribution from your 401(k) plan in the amount of $75,000 on April 29, 2023. On your 2023 Form 8915F, you elected to recognize the income from the full $75,000 in 2023, checking the check box on line 11 of that form. You filed your 2023 tax return on April 10, 2024. You made a repayment of $65,000 on April 29, 2024. You report the full $65,000 of the repayment on your 2024 Form 8915F (2022 disasters). It is all excess repayment, as you have no income from the distribution for that year. You carry back the full $65,000 to 2023 Form 8915F (2022 disasters), line 14. On the dotted line to the left of 2023 Form 8915F (2022 disasters), line 14, you write "$65,000 excess repayment from 2024 Form 8915F (2022 disasters)."
Qualified distributions for qualified 2021 and later disasters.
You may reduce the amount of a qualified distribution included in income for a qualified disaster by the amount of a repayment made during the qualified distribution repayment period. (See Part IV—Qualified Distributions for the Purchase or Construction of a Main Home in Qualified Disaster Areas, later, for details on qualified distributions for qualified 2021 and later disasters.)
Qualified distributions received in 2020 for qualified 2021 disasters.
If, in 2020, you received a qualified distribution for a qualified 2021 disaster, you may reduce the amount of a qualified distribution included in income in 2020 by the amount of a repayment made before June 28, 2023. (See Part IV—Qualified Distributions for the Purchase or Construction of a Main Home in Qualified Disaster Areas, later, for details on 2020 qualified distributions for qualified 2021 disasters.) Because a qualified distribution can be received up to 180 days before the disaster began and repayments for that distribution can be made from the beginning date of the disaster and up to June 27, 2023, you may have a qualified distribution received in 2020 for which you are making repayments in 2021, 2022, or 2023. If you have already filed your 2020 return on which you reported the distribution, you should file an amended 2020 return to report the repayment. On your amended return (Form 1040X), you will enter 2020 as the calendar year or the 2020 fiscal year at the top of page 1 and enter, in parentheses in column B of line 1, the amount of the repayment. In the Explanation of Changes section enter: "The amount I reported on [2020 Form 1040 or 1040NR, line 4b, as applicable] is being reduced by a contribution made [mm/dd/2021, 2022, or 2023] to an eligible retirement plan in repayment of a qualified distribution made [mm/dd/2020] under section 331(b) of the Secure 2.0 Act of 2022. The disaster was the [name of the qualified 2021 disaster from FEMA.gov/disaster/declarations.] " Use the full name of the disaster. Include the state, territory, or tribal government and the FEMA DR number from FEMA.gov/disaster/declarations.
Example.
You received a distribution from a traditional IRA on December 14, 2020, to construct a home in the Mississippi Severe Winter Storms (DR4598MS) disaster area which you did not construct because of that disaster. The disaster began February 11, 2021, and the distribution now qualifies as a qualified distribution. On April 14, 2022, you made a contribution that qualifies as a repayment of the distribution. You have already filed your 2020 return, a Form 1040. You will need to file a Form 1040X for 2020 to claim the repayment. On your Form 1040X, you enter "2020" on the line for the calendar year at the top of page 1 because you are a calendar year filer and, in parentheses in column B of line 1, you enter the amount of the repayment. In the Explanation of Changes section of your amended return, enter "The amount I reported on 2020 Form 1040, line 4b, is being reduced by a contribution made 04/14/2022 to an eligible retirement plan in repayment of a qualified distribution made 12/14/2020 under section 331(b) of the Secure 2.0 Act of 2022. The disaster was the Mississippi Severe Winter Storms (DR4598MS) disaster."
Other qualified distributions received for qualified 2021 disasters and qualified distributions received for qualified 2022 and later disasters.
Because a qualified distribution can be received up to 180 days before the disaster began, you may have a qualified distribution received in the year before the disaster began. If that happens, you will use a Form 8915F on which the year in which the tax year of the qualified distribution was made is checked in item A, and the year in which the disaster began is checked in item B. If you need to report repayments of the distribution, you will not need to follow the special steps in Qualified distributions received in 2020 for qualified 2021 disasters, earlier, to file an amended return. However, you will need to make the repayments during the qualified distribution repayment period for the disaster. See Repayment of a Qualified Distribution for the Purchase or Construction of a Main Home in Qualified Disaster Areas, earlier.
Married filers.
If both you and your spouse are required to file Form 8915F, file a separate Form 8915F for each of you. If you and your spouse are both filing Forms 8915F, the $22,000 limits on qualified 2021 and later disaster distributions and the elections on lines 11 and 22 to include all qualified disaster distributions in income (and not spread them over 3 years) are determined separately for each spouse. Similarly, if you and your spouse are both filing Forms 8915F, the $100,000 limits on qualified 2020 disaster distributions made in 2021 and the elections on lines 11 and 22 to include all those qualified disaster distributions in income (and not spread them over 3 years) are determined separately for each spouse.
Name and social security number (SSN).
If you file a joint return, enter only the name and SSN of the spouse whose information is being reported on that Form 8915F.
Attach your completed worksheets.
There are a total of 7, applicable worksheets in these instructions. Blank worksheets are in Appendix B, Worksheets, at the end of these instructions.

Worksheet 1A1 in Part I.

Worksheet 1A2 in Part I.

Worksheet 1B in Part I.

Worksheet 2 in Part II.

Worksheet 3 in Part II.

Worksheet 4 in Part III.

Worksheet 5 in Part III.
Required General Information
Item A.
Check the box that describes the tax year of the return to which you will be attaching your Form 8915F. You can only check one box in item A. If the tax year of the return to which you are attaching your Form 8915F is 2023, check the "2023" box in item A on your Form 8915F.
Item B.
Check the box that describes the calendar year in which the disaster(s) for which you are reporting distributions on your Form 8915F began. You can only check one box in item B. The disasters for which you are reporting distributions, repayments, and/or income on your Form 8915F must have all started in the same calendar year. If the disasters all started in 2023, check the box for "2023" in item B of your Form 8915F.
Item C.
Enter the FEMA DR number from Major Disasters Declarations at FEMA.gov/disaster/declarations. See Qualified disaster, earlier, for details. For example, for the 2021 Louisiana Hurricane Ida disaster, you would enter DR4611LA.
Do not enter the coronavirus in item C.
Item D.
Check the box in item D if the coronavirus is a disaster you are reporting on your Form 8915F.
Part I—Total Distributions From All Retirement Plans (Including IRAs)
Coronavirusrelated distributions.
You can only report qualified disaster distributions for disasters listed in item C. Coronavirusrelated distributions can’t be made after December 30, 2020.
Part I disasters.
List in the table at the top of Part I all the qualified disasters in item C for which qualified disaster distributions have been made to you this year. Only those disasters and those distributions can be considered in Part I.
List of disasters.
If you are reporting no more than two disasters, list the FEMA number, the disaster declaration date, and the disaster beginning date for each disaster in the spaces provided under the Part I header. If you have more than two disasters, attach to the back of your Form 8915F a statement with your name and SSN, and, for each disaster, the FEMA number, the disaster declaration date, and the disaster beginning date.
If you are using Worksheet 1B, leave lines 1a through 1e blank and complete lines 2 through 5 as that worksheet directs. See Worksheet 1B.
Lines 1a through 1d.
You may not need to complete lines 1a through 1d. See Form 8915F, line 1; also see When to leave lines 1a through 1d blank next.
When to leave lines 1a through 1d blank.
Leave lines 1a through 1d blank on your 2021 Form 8915F (2020 disasters) if either you didn’t file 2020 Form 8915E or the only disaster you reported on 2020 Form 8915E was the coronavirus. Leave lines 1a through 1d blank on other Forms 8915F if you listed only one disaster in the table at the top of Part I and a prior year's Form 8915F doesn'tt list that disaster in item C. Also leave lines 1a through 1d blank if you are using Worksheet 1B. Otherwise, enter amounts on lines 1a through 1d as indicated later. For example, you would leave lines 1a through 1d blank when you have checked the same year in item A and item B.
Example.
You checked the 2023 checkbox in both item A and item B of your 2023 Form 8915F because $20,000 in qualified disaster distributions were made to you in 2023. You will leave lines 1a through 1d blank, and enter $20,000 on line 1e of your Form 8915F.
Line 1a.
If you are required to complete line 1a, complete line 1a as follows.

For 2020 disasters, multiply $100,000 by the disasters reported on your 2020 Form 8915E that you are reporting in the table at the top of Part I on your 2021 Form 8915F (2020 disasters). Enter that product on line 1a.

For 2021 and later disasters:
If you only list one disaster in the table at the top of Part I on this year's Form 8915F and that disaster was also reported in item C of a prior year's Form 8915F, enter, on line 1a, $22,000.
If you list more that one disaster in the table at the top of Part I and all of your distributions for this year occurred within the qualified disaster distribution period (see Qualified disaster distribution period, earlier) for each of the disasters listed in the table at the top of Part I, enter, on line 1a, $22,000 times the number of disasters you entered both in the table at the top of Part and in item C on a prior year's Form 8915F.
Line 1b.
If you are required to complete line 1b, complete line 1b as follows.

For 2020 disasters, enter, on line 1b, the amount on 2020 Form 8915E, line 4, column (c), if you completed that line (otherwise from the amount on 2020 Form 8915E, line 4, column (b)) that reflects the distributions for the disasters you reported on 2020 Form 8915E that you are now reporting in the table at the top of Part I of your 2021 Form 8915F (2020 disasters). If you used Worksheet 2 in your 2020 Instructions for Form 8915E, the amount for line 1b is figured by adding together the amounts in column (X), line 4, of that worksheet for the disasters you reported on 2020 Form 8915E that you are reporting in item C of your 2021 Form 8915F (2020 disasters).

For 2021 and later disasters, enter on line 1b, the amount the total qualified disaster distributions made to you in prior year(s) for all disasters in the table at the top of Part I.
Line 1d.
If you are required to complete line 1d, complete line 1d as follows.

Count the disasters reported in the table at the top of Part I on your 2021 Form 8915F (2020 disasters) that were not reported on your 2020 Form 8915E. Enter, on line 1d, the product of that number and $100,000.

For 2021 and later disasters, count the disasters reported in the table at the top of Part I of this year's Form 8915F that were not reported on an earlier Form 8915F. Enter, on line 1d, the product of that number and $22,000.
Line 1e.
Complete line 1e as follows.

If you have been instructed above to leave lines 1a through 1d blank, enter on line 1e the product of $22,000 ($100,000 if you checked 2020 in item B on Form 8915F) times the number of disasters you reported in the table at the top of Part I of this year’s Form 8915F.

Otherwise, enter the sum of lines 1c and 1d on line 1e.
Examples for lines 1a through 1e.
Example 1.
You had an economic loss as the result of Remnants of Tropical Storm Fred (DR4625NY) (beginning August 18, 2021). Qualified disaster distributions can be made through June 26, 2023, for that disaster. In May of 2023, qualified disaster distributions were made to you totalling $9,000 that you report on a 2023 Form 8915F (2021 disasters). Earlier, in January of 2022, qualified disaster distributions were made to you totalling $10,000 that you report on a 2022 Form 8915F (2021 disasters). On line 1a of your 2023 Form 8915F (2021 disasters), you enter $22,000. On line 1b, you enter $10,000. On line 1c, you enter $12,000 ($22,000 minus $10,000). On line 1d, you enter 0 and on line 1e you enter $12,000.
Example 2.
You had an economic loss as the result of Remnants of Tropical Storm Fred (DR4625NY) (beginning August 18, 2021) and Severe Winter Storm and Snowstorm (DR4694NY) (beginning December 23, 2022). Qualified disaster distributions can be made from August 18, 2021, through June 26, 2023, for the first disaster and December 23, 2022, through September 10, 2023, for the second disaster. You had an economic loss as the result of each of these disasters. In April of 2023 and May of 2023, a $8,000 and a $21,000 qualified disaster distribution were made to you, respectively. The distributions both occurred within the qualified disaster distribution period of each disaster and, therefore, could be qualified disaster distributions of either disaster. Earlier, in January of 2022, qualified disaster distributions were made to you totalling $10,000 that you report on a 2022 Form 8915F (2021 disasters). You had listed one disaster, the Remnants of Tropical Storm Fred, as the disaster in the table at the top of Part I of your 2022 form. On line 1a of your 2023 Form 8915F (2021 disasters), you enter $22,000 for DR4625NY. On line 1b, you enter $10,000. On line 1c, you enter $12,000 ($22,000 minus $10,000). On line 1d, you enter $22,000 for DR4694NY. On line 1e, you enter $34,000.
Example 3.
You had an economic loss as the result of Remnants of Tropical Storm Fred (DR4625NY) (beginning August 18, 2021). Qualified disaster distributions can be made through June 26, 2023, for that disaster. In May of 2023, qualified disaster distributions were made to you totalling $9,000 that you report on a 2023 Form 8915F (2021 disasters) listing the Remnants of Tropical Storm Fred as your only disaster in the table at the top of Part I. Earlier, in September of 2021, qualified disaster distributions were made to you totalling $10,000 that you report on a 2021 Form 8915F (2021 disasters) again listing the Remnants of Tropical Storm Fred as your only disaster in the table at the top of Part I. On line 1a of your 2023 Form 8915F (2021 disasters), you enter $22,000. On line 1b, you enter $10,000. On line 1c, you enter $12,000 ($22,000 minus $10,000). On line 1d, you enter 0 and, on line 1e, you enter $12,000.
Example 4.
You've only had an economic loss as the result of one qualified disaster: Remnants of Tropical Storm Fred (DR4625NY) (beginning August 18, 2021). Qualified disaster distributions can be made through June 26, 2023, for that disaster. In May of 2023, qualified disaster distributions were made to you totalling $9,000 that you report on a 2023 Form 8915F (2021 disasters). You also made qualified disaster distributions in 2021 and 2022 for this disaster. The qualified disaster distributions made to you for 2021 and 2022 for $5,000 and $2,000 are on line 6 of your 2021 Form 8915F (2021 disasters) and 2022 Form 8915F (2021 disasters), respectively. On line 1a of your 2023 Form 8915F (2021 disasters), you enter $22,000. On line 1b, you enter $7,000 ($5,000 + $2,000). On line 1c, you enter $15,000 ($22,000 minus $7,000). On line 1d, you enter 0 and, on line 1e, you enter $15,000.
Column (a).
Your available distributions for this year are the distributions you received for a retirement plan (including an IRA).
Lines 2 through 4 in column (a).
If you received a distribution from a retirement plan (including an IRA), you should receive a Form 1099R. The amount of the distribution should be shown in box 1 of Form 1099R. Enter the amounts from box 1 of all your Forms 1099R on the lines 2 through 4 in column (a), as applicable.
Column (b).
The disasters in item C that are relevant to column (b) and to all of Part I are only the disasters you listed in the table at the top of Part I .
Lines 2 through 5 in column (b).
If you are using Worksheet 1B follow the instructions for the worksheet when completing these lines.
The amounts entered on lines 2 through 5 in column (b) depend on whether the amount on line 5 in column (a) is more than the amount on line 1e. The amount on line 5, column (a), is the sum of lines 2 through 4 in column (a) reduced by the total distributions from lines 2 through 4 in column (a) that aren’t qualified disaster distributions.

If the amount on line 5 in column (a) is equal to or less than the amount on line 1e, enter the amounts on lines 2 through 5 in column (a) on lines 2 through 5 in column (b).

If the amount on line 5 in column (a) is more than the amount on line 1e, enter on lines 2 through 4 in column (b) the amounts on line 5 in column (a) adjusted by any reasonable means so that their sum on line 5 in column (b) equals the amount on line 1e.
Are You Claiming Qualified Disaster Distributions on Part I of more than one Form 8915 for this year?
This section does not apply to you unless you are completing Part I of Forms 8915F having the same date checked in item A but different dates checked in item B, or you are completing Part I of both a 2021 Form 8915D and a 2021 Form 8915F.
Have you completed Part I of more than one Form 8915F for this year? For example, you are completing a 2022 Form 8915F (2022 disasters) and a 2022 Form 8915F (2021 disasters). The forms should be completed starting with the Form 8915F for the oldest disasters and ending with the Form 8915F for the most recent disasters. Your available distributions for Part I of your 2nd Form 8915F for this year are the distributions left after completing Part I of the first Form 8915F. If you are filing three Forms 8915F for this year, which could possibly happen in 2023, your available distributions for your 3rd Form 8915F for this year are the distributions left after completing Part I of the first two Forms 8915F. See Line 7, later, for the amount to place on line 7 of your 1st Form 8915F (or your 1st and 2nd Form 8915F if you are filing three Forms 8915F for this year).
Are you completing Part I of both a 2021 Form 8915D and a 2021 Form 8915F? If so, complete your forms in this order. First, complete 2021 Form 8915D. Your available distributions for your 2021 Form 8915F (2020 disasters) are the distributions left after completing Part I of 2021 Form 8915D. See Line 7, later, for the amount to place on line 7 of your 2021 Form 8915F.
See the Filledin Worksheet 1A1 and Worksheet 1A2 examples below for guidance. A blank Worksheet 1A1 and Worksheet 1A2 are at the end of the instructions under Appendix B, Worksheets.
Example 1A1.
You suffered an economic loss as the result of Remnants of Tropical Storm Fred (DR4625NY) (beginning August 18, 2021) and Severe Winter Storm and Snowstorm (DR4694NY) (beginning December 23, 2022). Your main home was in New York during the disaster period for each disaster. Qualified disaster distributions can be made from August 18, 2021, through June 26, 2023, for the first disaster and December 23, 2022, through September 10, 2023, for the second disaster. No distributions were made until December 27, 2022, when a $40,000 qualified disaster distribution from your traditional IRA was made to you. The distribution occurred within the qualified disaster distribution period of each disaster and, therefore, could be a qualified disaster distribution of either disaster. You are completing 2022 Form 8915F (2021 disasters) and 2022 Form 8915F (2022 disasters). You must complete your Form 8915F reporting the older disasters first: 2022 Form 8915F (2021 disasters). You report $22,000 from the distribution as a qualified 2021 disaster distribution on 2022 Form 8915F (2021 disasters). You report the remaining $18,000 from the distribution as qualified 2020 disaster distributions in the 2022 Form 8915F (2022 disasters) portion of your Filledin Worksheet 1A1 for Example 1A1. On lines 2 through 4 of column (a) in Part I of your 2022 Form 8915F (2022 disasters), you enter the amounts shown in column (a), lines 2 through 4, of 2022 Form 8915F (2022 disasters) from your Filledin Worksheet 1A1 for Example 1A1. Because the $18,000 is being used on 2022 Form 8915F (2022 disasters), it should not be counted on line 7 of your 2022 Form 8915F (2021 disasters) in determining the taxable amount of distributions on that form.
Example 1A2.
Arnell suffered economic losses as a result of the Puerto Rico Earthquakes (DR4473PR) disaster in 2019 and the Puerto Rico Hurricane Isaias (DR4560PR) disaster in 2020. His main home was in Puerto Rico during the disaster period for each disaster. These events were qualified 2019 and 2020 disasters, respectively. In 2021, he received a traditional IRA distribution of $140,000. The distribution was made on May 26. He received no other distributions in 2019, 2020, or 2021. He is completing 2021 Form 8915D, and 2021 Form 8915F (2020 disasters). He must complete his Form 8915D first. He reports $100,000 from the distribution as a qualified 2019 disaster distribution on Form 8915D. He reports the remaining $40,000 from the distribution as qualified 2020 disaster distributions in the 2021 Form 8915F (2020 disasters) portion of his Filledin Worksheet 1A2 for Example 1A2. On lines 2 through 4 of column (a) in Part I of his 2021 Form 8915F (2020 disasters), Arnell enters the amounts shown in column (a), lines 2 through 4, of 2021 Form 8915F (2020 disasters) from his Filledin Worksheet 1A2 for Example 1A2. Because the $40,000 is being used on 2021 Form 8915F (2020 disasters), it should not be counted on line 7 of his 2021 Form 8915D in determining the taxable amount of his distributions on that form.
The numbers on the left border of the Filledin Worksheet are line numbers that correspond to the lines on the indicated forms.
Filledin Worksheet 1A1. Example 1A1 for column (a).
First Form 8915F  (a)  (b)  (c)  
Total distributions in this year  Qualified disaster distributions  Allocation of column (b)  
2  Distributions from retirement plans (other than IRAs) made in this year  0  0  0 
3  Distributions from traditional, SEP, and SIMPLE IRAs made in this year  $40,000  $22,000  0 
4  Distributions from Roth IRAs made this year  0  0  0 
Second Form 8915F  (a)  
Available distributions for this year  
2  Enter, in column (a), distributions from retirement plans (other than IRAs) made this year.  0 
3  Enter, in column (a), distributions from traditional, SEP, and SIMPLE IRAs made this year.  $18,000 
4  Enter, in column (a), distributions from Roth IRAs made this year.  0 
Filledin Worksheet 1A2. Example 1A2 for column (a).
Form 8915D  (a)  (b)  (c)  
Total distributions in 2021  Qualified 2019 disaster distributions  Allocation of column (b)  
2  Distributions from retirement plans (other than IRAs) made in 2021  0  0  0 
3  Distributions from traditional, SEP, and SIMPLE IRAs made in 2021  $140,000  $100,000  0 
4  Distributions from Roth IRAs made in 2021  0  0  0 
Form 8915F (2020 disasters)  (a)  
Available distributions for this year  
2  Enter, in column (a), distributions from retirement plans (other than IRAs) made this year.  0 
3  Enter, in column (a), distributions from traditional, SEP, and SIMPLE IRAs made this year.  $40,000 
4  Enter, in column (a), distributions from Roth IRAs made this year.  0 
If you use Worksheet 1B, you will leave lines 1a through 1e of this year's Form 8915F blank, but you will fill in the amounts for lines 2 through 4 in column (a) on that form.
You can choose to use Worksheet 1B if your qualified disasters began in 2021 or later years. However, you must use Worksheet 1B to determine the amounts to place on lines 1 through 5 of this year's Form 8915F if your qualified disasters began in 2021 or later years unless:

You listed only one disaster in the table at the top of Part I; or

All of the distributions for this year occurred within the qualified disaster distribution period (see Qualified disaster distribution period, earlier) for each of the disasters listed in the table at the top of Part I.
In Worksheet 1B, column (a), enter your available distributions for this year for lines 2 through 4 from this year's Form 8915F. In Worksheet 2, column (X), start by entering the amounts you are planning to claim as qualified disaster distributions for each disaster listed in the table at the top of Part I on this year's Form 8915F. A distribution will not be a qualified disaster distribution for this year unless the distribution is made within the qualified disaster distribution period for a disaster listed in the table at the top of Part I. Enter this year's distributions for each qualified disaster, from the table at the top of Part I, in a separate column. Your total qualified disaster distributions for each disaster can't exceed $22,000. For simplicity, apply your distributions in $22,000 amounts as available to each available disaster, beginning with the disaster with the earliest ending date for qualified disaster distributions. Examples 1 through 3, later, provide guidance. A blank Worksheet 1B is in Appendix B, Worksheets, at the end of the instructions.
Example 1.
You were eligible for qualified 2021 disaster distributions for the following disasters. Disaster 1: Louisiana Severe Storms, Tornadoes, and Flooding (DR4606LA) (which began May 17, 2021). Disaster 2: Louisiana Hurricane IDA (DR4611LA) (which began August 26, 2021). Qualified disaster distributions can be made from May 17, 2021, through June 26, 2023, for Disaster 1 and August 26, 2021, through June 26, 2023, for Disaster 2. In 2022, you received a traditional IRA distribution of $30,000. The distribution was made on April 30. You had no distributions for 2021 and no other distribution for 2022. You complete Worksheet 2. You apply the distributions up to the $22,000 limit against each available disaster. You apply $22,000 of the April 30 distribution to Disaster 1 and $8,000 of the April 30 distribution to Disaster 2. In column (b), lines 2 through 5, of your 2022 Form 8915F (2021 disasters), you enter the amounts from lines 2 through 5 of your filledin Worksheet 1B, column (b). See Filledin Worksheet 1B for Example 1.
Example 2.
The facts are the same as in Example 1, except you had a $20,000 qualified 2021 disaster distribution from line 3, column (b), of your 2021 Form 8915F (2021 disasters) for Disaster 1. You complete Worksheet 2. You apply the distributions up to the $22,000 limit against each available disaster. You apply $2,000 of the April 30, 2022, distribution to Disaster 1 as $20,000 of the $20,000 limit was used in 2021. You apply $22,000 of the April 30 distribution to Disaster 2. In column (b), lines 2 through 5, of your 2022 Form 8915F (2022 disasters), you enter the amounts from lines 2 through 5 of your filledin Worksheet 1B, column (b). See Filledin Worksheet 1B for Example 2.
Example 3.
You have the same disasters as in Example 1. You are filing 2021 Form 8915F (2021 disasters). In 2021, two traditional IRA distributions were made to you: one on June 17 for $30,000 and one on September 17 for $14,000. You had no other distributions in 2021. You complete Worksheet 2. You apply the distribution up to the $22,000 limit against each available disaster. You apply $22,000 of the June distribution to Disaster 1 and the entire $14,000 of the September distribution to Disaster 2. You can't apply any of the June distribution to Disaster 2 as it was not made during the qualified disaster distribution period for that disaster. In column (b), lines 2 through 5, of your 2022 Form 8915F (2021 disasters), you enter the amounts from lines 2 through 5 of your filledin Worksheet 1B, column (b). See Filledin Worksheet 1B for Example 2.
Example 1 for Worksheet 1B: Use if you are directed on line 1a of your Form 8915F to use Worksheet 1B or if you choose to use Worksheet 1B.
Worksheet 1B for Form 8915F  (a)  (X)  (b)  
Total available distributions in _____ ^{1}  Qualified 2021 ^{2}disaster distributions made in 2022 ^{1}  Qualified 2021 ^{2} disaster distributions made in 2022 ^{1}  
Disaster 1  Disaster 2  Disaster 3  Disaster 4  (Total for all disasters)  
DR4606LA ^{3}  DR4611LA ^{3}  ________^{3}  ________^{3}  
05/17/2021 ^{4}  08/26/2021 ^{4}  ________^{4}  ________^{4}  
06/26/2023 ^{5}  06/26/2023 ^{5}  ________^{5}  ________^{5}  
1  You do not need to use Worksheet 1B if you checked 2020 in item B of this year's Form 8915F.
Note. If the amount on line 1 of this worksheet is $22,000 or more for a disaster, you cannot have qualified disaster distributions in this year for that disaster. Remove that disaster from the list at the top of Part I on page 1 of this year's Form 8915F and exclude it from your calculations for Part I of this year's Form 8915F. 
0  0  0  
2  Distributions from retirement plans (other than IRAs)  0  0  0  
3  Distributions from traditional, SEP, and SIMPLE IRAs  $30,000  $22,000  $8,000  $30,000  
04/22/22  
4  Distributions from Roth IRAs  0  0  0  
5  Totals. Add lines 2 through 4.  $30,000  $22,000  $8,000  $30,000  
^{1} Enter year checked in item A. ^{2} Enter year checked in item B. ^{3} Enter the disaster's FEMA number. ^{4} Enter the date the distribution period for the disaster begins. ^{5} Enter the date the distribution period for the disaster ends. 
Example 2 for Worksheet 1B: Use if you are directed on line 1a of your Form 8915F to use Worksheet 1B or if you choose to use Worksheet 1B.
Worksheet 1B for Form 8915F  (a)  (X)  (b)  
Total available distributions in _____ ^{1}  Qualified 2021 ^{2}disaster distributions made in 2022 ^{1}  Qualified 2021 ^{2} disaster distributions made in 2022 ^{1}  
Disaster 1  Disaster 2  Disaster 3  Disaster 4  (Total for all disasters)  
DR4606LA ^{3}  DR4611LA ^{3}  ________^{3}  ________^{3}  
05/17/2021 ^{4}  08/26/2021 ^{4}  ________^{4}  ________^{4}  
06/26/2023 ^{5}  06/26/2023 ^{5}  ________^{5}  ________^{5}  
1  You do not need to use Worksheet 1B if you checked 2020 in item B of this year's Form 8915F.
Note. If the amount on line 1 of this worksheet is $22,000 or more for a disaster, you cannot have qualified disaster distributions in this year for that disaster. Remove that disaster from the list at the top of Part I on page 1 of this year's Form 8915F and exclude it from your calculations for Part I of this year's Form 8915F. 
$20,000  0  $20,000  
2  Distributions from retirement plans (other than IRAs)  0  
3  Distributions from traditional, SEP, and SIMPLE IRAs  $30,000  $2,000  $22,000  $24,000  
04/22/22  
4  Distributions from Roth IRAs  0  
5  Totals. Add lines 2 through 4.  $22,000  $22,000  $24,000  
^{1} Enter year checked in item A. ^{2} Enter year checked in item B. ^{3} Enter the disaster's FEMA number. ^{4} Enter the date the distribution period for the disaster begins. ^{5} Enter the date the distribution period for the disaster ends. 
Example 3 for Worksheet 1B: Use if you are directed on line 1a of your Form 8915F to use Worksheet 1B or if you choose to use Worksheet 1B.
Worksheet 1B for Form 8915F  (a)  (X)  (b)  
Total available distributions in _____ ^{1}  Qualified 2021 ^{2}disaster distributions made in 2021 ^{1}  Qualified 2021 ^{2} disaster distributions made in 2021 ^{1}  
Disaster 1  Disaster 2  Disaster 3  Disaster 4  (Total for all disasters)  
DR4606LA ^{3}  DR4611LA ^{3}  ________^{3}  ________^{3}  
05/17/2021 ^{4}  08/26/2021 ^{4}  ________^{4}  ________^{4}  
06/26/2023 ^{5}  06/26/2023 ^{5}  ________^{5}  ________^{5}  
1  You do not need to use Worksheet 1B if you checked 2020 in item B of this year's Form 8915F.
Note. If the amount on line 1 of this worksheet is $22,000 or more for a disaster, you cannot have qualified disaster distributions in this year for that disaster. Remove that disaster from the list at the top of Part I on page 1 of this year's Form 8915F and exclude it from your calculations for Part I of this year's Form 8915F. 
0  0  0  
2  Distributions from retirement plans (other than IRAs)  0  
3  Distributions from traditional, SEP, and SIMPLE IRAs  $30,000 04/22/22  $22,000  $14,000  $36,000  
$14,000 09/17/21  
4  Distributions from Roth IRAs  0  
5  Totals. Add lines 2 through 4.  $44,000  $22,000  $14,000  $36,000  
^{1} Enter year checked in item A. ^{2} Enter year checked in item B. ^{3} Enter the disaster's FEMA number. ^{4} Enter the date the distribution period for the disaster begins. ^{5} Enter the date the distribution period for the disaster ends. 
Line 7.
On line 7, enter the excess of the sum of lines 2 through 4 in column (a) over the amount on line 6, except if you also are completing Part IV, or are claiming qualified disaster distributions on Part I of more than one Form 8915 for this year. See If completing both Part I and Part IV or filing more than one Form 8915 below. The amount on line 7 should generally be apportioned into IRA and pension and annuity amounts, as applicable, and reported on your tax return as taxable distributions in accordance with Form 5329 and the instructions for that return. See the instructions for your tax return for reporting the distributions included on line 7. See also the Instructions for Form 5329 for this year.
Example.
You reported a total of $40,000 in distributions in 2022 on lines 3 and 5 in column (a). The entire $40,000 in distributions were traditional IRA distributions. You reported $22,000 of those distributions on lines 3 and 5 in column (b) of this year's Form 8915F. On line 7, you reported $18,000 ($40,000 minus $22,000). You are not completing Part IV. You will refer to your tax return, Form 5329, and their instructions for directions on how to treat this $18,000 in IRA distributions.
If completing both Part I and Part IV or filing more than one Form 8915.
Step 1. If you are completing both Part I and Part IV on this year's Form 8915F:

On line 7, enter the excess of the sum of lines 2 through 4 in column (a) over the amount on line 6 reduced by the amount from line 7 that is included on line 28 in Part IV.

On the dotted line to the left of line 7, write "$________ qualified distribution for Part IV, line 28."
Step 2. If you are claiming qualified disaster distributions on Part I of more than one Form 8915 for this year and you aren't completing Part IV on this year's Form 8915:

On line 7, enter 0 and use that dollar amount as your available distributions on the other Form 8915 you are filing for this year.

On the dotted line to the left of line 7, write "$________ used as available distribution on Part I of **** Form 8915F (**** disasters)."
Step 3. If you are claiming qualified disaster distributions on Part I of more than one Form 8915F for this year and you are completing Part IV on this year's Form 8915F for the earliest disasters.

If, on the Form 8915F for this year with the earliest disasters, the amount on line 30 reduced by the amount on line 31 is 0, you don't have any available distributions for the other Forms 8915F you are filing this year. However, if the amount on line 30 reduced by the amount on line 31 is a positive dollar amount, enter 0 on line 32 and use that dollar amount as your available distributions on the other Form 8915F you are filing for this year.

On the dotted line to the left of line 32, write "$________ used as available distribution on Part I of **** Form 8915F (**** disasters)."
Example.
You reported a total of $40,000 in distributions in 2022 on lines 3 and 5 in column (a). The entire $40,000 in distributions were traditional IRA distributions. You reported $22,000 of those distributions on lines 3 and 5 in column (b) of this year's Form 8915F. On line 7, you would report $18,000 ($40,000 minus $22,000), except you are also completing Part IV. In Part IV, you are claiming, as qualified distributions, $10,000 of the traditional IRA distributions that you reported in Part I. On line 7, you will only report $8,000 ($18,000 minus $10,000). On the dotted line to the left of line 7, you will write "$10,000 qualified distribution for Part IV, line 28". You will refer to your tax return, Form 5329, and their instructions for directions on how to treat this $8,000 in IRA distributions.
Part II—Qualified Disaster Distributions From Retirement Plans (Other Than IRAs)
Line 9.
Enter on line 9 your cost, if any. Your cost is generally your net investment in the plan. It does not include pretax contributions. If there is an amount in box 2a of Form 1099R, the difference between box 1 and box 2a of Form 1099R is usually your cost. Enter the difference on line 9.
If there is no amount in box 2a of Form 1099R and the first box in box 2b is checked, the issuer of Form 1099R may not have had all the facts needed to figure the taxable amount. You may want to get Pub. 575, Pension and Annuity Income, to help figure your taxable amount.
Also see Pub. 575 if you use the Simplified Method Worksheet to figure the taxable amount of your periodic payments and you designated some of these payments as qualified disaster distributions on the Form 8915F you are completing.
If you have a Form 1099R with both qualified disaster distributions and nonqualified distributions, you must separately figure the cost attributable to each distribution.
Line 11.
If you don’t check the box on line 11, you must spread the amount on line 10 over 3 years. By checking the box, you elect to include the entire amount in income in the year of distribution. You cannot make or change this election after the due date (including extensions) for your tax return. If you checked the box on line 22, you must check the box on line 11.
If the taxpayer died after receiving a qualified disaster distribution, the taxable amount of the distribution may not be spread beyond the year in which they died. The remainder of the distribution must be reported on the tax return of the deceased taxpayer.
Line 12.
Use Worksheet 2 to figure the amount to enter on line 12 of your Form 8915F.
Worksheet 2 for Line 12. Total Income From Other ThanIRA Distributions Made in Prior Years
Before you begin. From this year's form:


1.  Enter the amount from column (c) of Worksheet 2: Supplemental Information  1.  _____ 
2.  Enter the amount from column (d) of Worksheet 2: Supplemental Information  2.  _____ 
3.  Enter the total of lines 1 and 2 here and on line 12 of this year’s Form 8915F  3. 
Worksheet 2: Supplemental Information
This section provides the information you will need to complete lines 1 and 2 of Worksheet 2.
(a)  (b)  (c)  (d) 
Disaster Year (item B)  Tax Return year (item A)  Worksheet 2, line 1: Enter amount, if any, from your:  Worksheet 2, line 2: Enter amount, if any, from your: 
2020  2021  2020 Form 8915E, line 9 (if you checked the box on that line, enter 0)  0 
2022  2021 Form 8915F (2020 disasters), line 11 (if you checked the box on that line, enter 0)  2020 Form 8915E, line 9 (if you checked the box on that line, enter 0)  
2023  0  2021 Form 8915F (2020 disasters), line 11 (if you checked the box on that line, enter 0)  
2024  0  0  
Insert on the applicable line of your Worksheet 2 the amount from Form 8915F (2021 disasters), line 11, for the tax year shown. If you checked the box on that line, enter 0.  
Disaster Year (item B)  Tax Return year (item A)  Worksheet 2, line 1  Worksheet 2, line 2 
2021  2021  0  0 
2022  2021  0  
2023  2022  2021  
2024  2023  2022  
2025  0  2023  
2026  0  0  
Insert on the applicable line of your Worksheet 2 the amount from Form 8915F (2022 disasters), line 11, for the tax year shown. If you checked the box on that line, enter 0.  
Disaster Year (item B)  Tax Return year (item A)  Worksheet 2, line 1  Worksheet 2, line 2 
2022  2022  0  0 
2023  2022  0  
2024  2023  2022  
2025  2024  2023  
2026  0  2024  
2027  0  0  
For Disasters that begin after 2023  Insert on the applicable line of your Worksheet 2 the amount from Form 8915F (______ * disasters), line 11, for the tax year shown. If you checked the box on that line, enter 0.  
Disaster Year (item B)  Tax Return year (item A)  Worksheet 2, line 1  Worksheet 2, line 2 
______*  ______*  0  0 
______**  ______*  0  
______***  ______**  _____*  
______****  ______***  ______**  
______*****  0  ______***  
______******  0  0  
* The year you checked in item B.  
** Add 1 year to the year you checked in item B.  
*** Add 2 years to the year you checked in item B.  
**** Add 3 years to the year you checked in item B.  
***** Add 4 years to the year you checked in item B.  
****** Add 5 years to the year you checked in item B. 
Line 14.
Enter on line 14 of your Form 8915F your total repayments—the sum of your excess repayments carried to this year and your repayments made for this year. See Worksheet 3 , later. A repayment is made in this year if it is made before you filed your return for this year, and not later than the due date (including extensions).
At any time during the 3year period that begins the day after the date you received a qualified disaster distribution, you can repay any portion of the distribution to an eligible retirement plan that accepts rollover contributions. You cannot, however, repay more than the amount of the original distribution. See Repayment of a Qualified Disaster Distribution , earlier, for details.
Don’t use Worksheet 3 to report repayments of qualified 2018 or 2019 disaster distributions.
Worksheet 3.
1.  Enter the amount, if any, from last year's Form 8915F, line 14, except as follows. If you are completing 2021 Form 8915F (2020 disasters), enter the amount, if any, from your 2020 Form 8915E, line 10. If you are completing 2023 Form 8915F (2021 disasters), enter the amount, if any, from your 2022 Form 8915F (2021 disasters), line 14, if you completed that form. If you didn't complete that form, enter the amount, if any, from your 2021 Form 8915F (2021 disasters), line 14. 
1.  _____ 
2.  Enter the amount, if any, from last year's Form 8915F, line 13, except as follows. If you are completing 2021 Form 8915F (2020 disasters), enter the amount, if any, from your 2020 Form 8915E, line 9. If you are completing 2023 Form 8915F (2021 disasters), enter the amount, if any, from your 2022 Form 8915F (2021 disasters), line 13, if you completed that form. If you didn't complete that form enter the amount, if any, from your 2021 Form 8915F (2021 disasters), line 13. 
2.  _____ 
3a.  Subtract line 2 from line 1. If zero or less, enter 0  3a.  _____ 
b.  Enter the amount from line 3a that you have already carried back to a prior year  b.  _____ 
c.  Subtract line 3b from line 3a  c.  _____ 
4.  Enter the total amount of any repayments you made, with respect to this year's Form 8915F, before filing this year's tax return  4.  _____ 
5.  Enter the total of lines 3c and 4 here and on line 14 of this year's Form 8915F  5. 
Part III—Qualified Disaster Distributions From Traditional, SEP, SIMPLE, and Roth IRAs
Line 22.
If you don’t check the box on line 22, you must spread the amount on line 21 over 3 years. By checking the box, you elect to include the entire amount in income in the year of distribution. You cannot make or change this election after the due date (including extensions) for your tax return. If you checked the box on line 11, you must check the box on line 22.
If the taxpayer died after receiving a qualified disaster distribution, the taxable amount of the distribution may not be spread beyond the year in which they died. The remainder of the distribution must be reported on the tax return of the deceased taxpayer.
Line 23.
Use Worksheet 4 to figure the amount to enter on line 23 of your Form 8915F.
Worksheet 4 for Line 23. Total Income From IRA Distributions Made in Prior Years
Before you begin. From this year's form:


1.  Enter the amount from column (c) of Worksheet 4: Supplemental Information  1.  _____ 
2.  Enter the amount from column (d) of Worksheet 4: Supplemental Information  2.  _____ 
3.  Enter the total of lines 1 and 2 here and on line 23 of this year’s Form 8915F  3. 
Worksheet 4: Supplemental Information
This section provides the information you will need to complete lines 1 and 2 of Worksheet 4.
(a)  (b)  (c)  (d) 
Disaster Year (item B)  Tax Return year (item A)  Worksheet 4, line 1: Enter amount, if any, from your:  Worksheet 4, line 2: Enter amount, if any, from your: 
2020  2021  2020 Form 8915E, line 17 (if you checked the box on that line, enter 0)  0 
2022  2021 Form 8915F (2020 disasters), line 22 (if you checked the box on that line, enter 0)  2020 Form 8915E, line 17 (if you checked the box on that line, enter 0)  
2023  0  2021 Form 8915F (2020 disasters), line 22 (if you checked the box on that line, enter 0)  
2024  0  0  
Insert on the applicable line of your Worksheet 4 the amount from Form 8915F (2021 disasters), line 22, for the tax year shown. If you checked the box on that line, enter 0.  
Disaster Year (item B)  Tax Return year (item A)  Worksheet 4, line 1  Worksheet 4, line 2 
2021  2021  0  0 
2022  2021  0  
2023  2022  2021  
2024  2023  2022  
2025  0  2023  
2026  0  0  
Insert on the applicable line of your Worksheet 4 the amount from Form 8915F (2022 disasters), line 22, for the tax year shown. If you checked the box on that line, enter 0.  
Disaster Year (item B)  Tax Return year (item A)  Worksheet 4, line 1  Worksheet 4, line 2 
2022  2022  0  0 
2023  2022  0  
2024  2023  2022  
2025  2024  2023  
2026  0  2024  
2027  0  0  
For Disasters that begin after 2023  Insert on the applicable line of your Worksheet 4 the amount from Form 8915F (______* disasters), line 22, for the tax year shown. If you checked the box on that line, enter 0.  
Disaster Year (item B)  Tax Return year (item A)  Worksheet 4, line 1  Worksheet 4, line 2 
______*  ______*  0  0 
______**  ______*  0  
______***  ______**  ______*  
______****  ______***  ______**  
______*****  0  ______***  
______******  0  0  
* The year you checked in item B.  
** Add 1 year to the year you checked in item B.  
*** Add 2 years to the year you checked in item B.  
**** Add 3 years to the year you checked in item B.  
***** Add 4 years to the year you checked in item B.  
****** Add 5 years to the year you checked in item B. 
Line 25.
Enter on line 25 of this year’s Form 8915F your total repayments—the sum of your excess repayments carried to this year and your repayments made for this year. See Worksheet 5 , later. A repayment is made in this year if it is made before you filed your return for this year, and not later than the due date (including extensions).
At any time during the 3year period that begins the day after the date you received a qualified disaster distribution, you can repay any portion of the distribution to an eligible retirement plan that accepts rollover contributions. You cannot, however, repay more than the amount of the original distribution. See Repayment of a Qualified Disaster Distribution , earlier, for details.
Worksheet 5.
Use Worksheet 5 to figure the total repayment to enter on line 25 of your Form 8915F.
Don’t use Worksheet 5 to report repayments of qualified 2018 or 2019 disaster distributions.
Worksheet 5
1.  Enter the amount, if any, from last year's Form 8915F, line 25, except as follows. If you are completing 2021 Form 8915F (2020 disasters), enter the amount, if any, from your 2020 Form 8915E, line 18. If you are completing 2023 Form 8915F (2021 disasters), enter the amount, if any, from your 2022 Form 8915F (2021 disasters), line 25, if you completed that form. If you didn't complete that form, enter the amount, if any, from your 2021 Form 8915F (2021 disasters), line 25. 
1.  _____ 
2.  Enter the amount, if any, from last year's Form 8915F, line 24, except as follows. If you are completing 2021 Form 8915F (2020 disasters), enter the amount, if any, from your 2020 Form 8915E, line 17. If you are completing 2023 Form 8915F (2021 disasters), enter the amount, if any, from your 2022 Form 8915F (2021 disasters), line 24, if you completed that form. If you didn't complete that form enter the amount, if any, from your 2021 Form 8915F (2021 disasters), line 24. 
2.  _____ 
3a.  Subtract line 2 from line 1. If zero or less, enter 0  3a.  _____ 
b.  Enter the amount from line 3a that you have already carried back to a prior year  b.  _____ 
c.  Subtract line 3b from line 3a  c.  _____ 
4.  Enter the total amount of any repayments you made, with respect to this year's Form 8915F, before filing this year's tax return  4.  _____ 
5.  Enter the total of lines 3c and 4 here and on line 25 of this year's Form 8915F  5. 
Part IV—Qualified Distributions for the Purchase or Construction of a Main Home in Qualified Disaster Areas
2021 Form 8915F (2020 disasters).
On 2021 Form 8915F (2020 disasters), qualified distributions can only be reported for the Alaska (4585DRAK) disaster.
Complete Part IV of 2021 Form 8915F (2020 disasters) if, on January 1, 2021, you received a qualified distribution described in Qualified 2020 disaster areas under Repayment of a Qualified Distribution for the Purchase or Construction of a Main Home, earlier, for the Alaska (4585DRAK) disaster. You must complete the required lines of Part IV if you received a qualified distribution for the Alaska (4585DRAK) disaster on January 1, 2021, even if you made no repayments in 2021. Any portion of the qualified distribution not repaid before June 26, 2021, for the Alaska (4585DRAK) disaster will not be allowed the special tax benefits available to qualified distributions.
If you are required to file 2021 Form 8606, complete that form before you complete Part IV.
Note.
A distribution for the purchase or construction of a main home may be treated as a qualified 2020 disaster distribution in certain circumstances. See Qualified disaster areas under Repayment of a Qualified Distribution for the Purchase or Construction of a Main Home, earlier.
Qualified distributions for 2021 and later disasters.
Qualified distributions can be reported for qualified 2021 and later disasters. Complete Part IV of this year's Form 8915F for your disasters in item B if, this year, you received a qualified distribution described in Qualified Distribution for the Purchase or Construction of a Main Home, earlier, for the disasters you listed in the table at the top of Part IV on page 4 of this year's Form 8915F. You must complete the required lines of Part IV if you received a qualified distribution, even if you made no repayments this year. Any portion of the qualified distribution not repaid by the end of the disaster's qualified distribution repayment period will not be allowed the special tax benefits available to qualified distributions. If the repayment period for a qualified distribution for a disaster ends next year, repayments for that qualified distribution can be made in the next year and will be reported on an amended return for this year.
Example 1.
A distribution Mosley received in February 2022 is a qualified distribution for the following 2022 disaster: the Virginia Severe Winter Storm and Snowstorm disaster (DR4644VA) (beginning date January 2, 2022). Mosley can make repayments for this disaster through June 26, 2023. Mosley reports the distribution on Form 8915F, Part IV, as a qualified distribution. Mosley doesn't make a repayment until May 2023. The repayment must be reported on an original or amended 2022 Form 8915F, as applicable.
Example 2.
A distribution Mosley received in September 2021 is a qualified distribution for the following 2022 disaster: the Virginia Severe Winter Storm and Snowstorm disaster (DR4644VA) (beginning date January 2, 2022). Mosley can make repayments for this disaster through June 26, 2023. Mosley reports the distribution on Form 8915F, Part IV, as a qualified distribution. Mosley doesn't make a repayment until May 2023. The repayment must be reported on an original or amended 2022 Form 8915F, as applicable.
If you are required to file this year's Form 8606, complete that form before you complete Part IV.
Note.
A distribution for the purchase or construction of a main home may be treated as a qualified disaster distribution made in this year in certain circumstances. See Qualified disaster areas under Repayment of a Qualified Distribution for the Purchase or Construction of a Main Home, earlier.
Lines 27 through 32
You must complete lines 27 and 28 and all other applicable lines of Part IV for your qualified distribution(s).
Line 27.
If you check the “Yes” box, but are not required to complete lines 28 through 32, you must still file the required Form 8915F to show that you received a qualified distribution.
Line 28.
Enter on line 28 your qualified distributions. See Qualified Distribution for the Purchase or Construction of a Main Home in Qualified Disaster Areas, earlier.
Don't include any distributions you designated as qualified disaster distributions reported on line 8 or line 20 of your Form 8915F. Also, don't include any amounts reported on this year’s Form 8606.
If you are completing both Part I and Part IV on this year's Form 8915F, see Line 7, earlier.
Line 29.
Enter on line 29 your cost, if any. Your cost is generally your net investment in the plan. It does not include pretax contributions. If there is an amount in box 2a of Form 1099R, the difference between box 1 and box 2a of Form 1099R is usually your cost. See Pub. 575 for more information about figuring your cost in the plan.
In many cases, a hardship distribution from a 401(k) plan or a taxsheltered annuity contract will not have any cost.
If you received a firsttime homebuyer distribution from an IRA, don't enter any amount on line 29. Any cost or basis in an IRA is figured on this year’s Form 8606 if you made nondeductible contributions.
If you have a Form 1099R with both qualified distributions and nonqualified distributions, you must separately figure the cost attributable to each distribution.
Line 31.
You can repay any portion of a qualified distribution to an eligible retirement plan that accepts rollovers but the repayments must be made within the time frame specified in Repayment of a Qualified Distribution for the Purchase or Construction of a Main Home , earlier. You can't, however, repay more than the amount of the original distribution.
Enter on line 31 the amount of any repayments you make within the time frame specified. Don't include any repayments treated as rollovers on this year’s Form 8606 or any repayments of nontaxable amounts.
Line 32.
Most distributions from qualified retirement plans (including IRAs) made to you before you reach age 59½ are subject to an additional tax on early distributions and are reported on Form 5329. Qualified distributions for the purchase or construction of a main home in a qualified disaster area that were not repaid to an eligible retirement plan within the time frame specified in Qualified distribution repayment period under Repayment of a Qualified Distribution for the Purchase or Construction of a Main Home, earlier, may be subject to this additional tax unless you qualify for an exception. See the Instructions for Form 5329 for information on exceptions to this tax. If you have not repaid the distribution before the specified end date, you may be able to designate the qualified distribution as a qualified disaster distribution. See Qualified disaster areas under Repayment of a Qualified Distribution for the Purchase or Construction of a Main Home, earlier.
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Appendix A, Which Lines Should I Use?
Form 8915F (2020 Disasters): Lines To Use
Look for the year of the form you are filing.
See Qualified 2020 disaster distribution requirements, earlier, under Qualified Disaster Distribution Requirements for the cutoff dates for making these distributions and for other criteria for these distributions.
2021 Form 8915F (2020 Disasters)
IF . . .  AND . . .  THEN . . .  
Qualified 2020 disaster distributions were made to you in 2021  —  Complete Parts I, II, and III, as applicable. If you received qualified distributions for the Alaska (4585DRAK) disaster on January 1, 2021, complete Part IV.  
If you must complete Part III, complete 2021 Form 8606 if either of the following applies.  
• You received a qualified 2020 disaster distribution in 2021 from a traditional, SEP, or SIMPLE IRA, and you have a basis in the IRA.  
• You received a qualified 2020 disaster distribution from a Roth IRA.  
For more information, see 2021 Form 8606 and its instructions.  
You claimed coronavirusrelated or other qualified 2020 disaster distributions on a 2020 Form 8915E (2020 disasters), but qualified 2020 disaster distributions were NOT made to you in 2021  You did NOT check the box on line 9 or 17 on the 2020 Form 8915E  Complete lines 12 through 15 and lines 23 through 26, as applicable, of your 2021 Form 8915F (2020 disasters). If you received qualified distributions for the Alaska (4585DRAK) disaster on January 1, 2021, complete Part IV.  
You checked the box on line 9 or 17 on the 2020 Form 8915E  If you are repaying those distributions, complete lines 14 and 25, as applicable, of your 2021 Form 8915F (2020 disasters). If you received qualified distributions for the Alaska (4585DRAK) disaster on January 1, 2021, complete Part IV.  
If you aren’t repaying those distributions, but you received qualified distributions for the Alaska (DR4585AK) disaster on January 1, 2021, complete Part IV.  
If you aren’t repaying those distributions and you did NOT receive any qualified distributions, STOP. You can’t use 2021 Form 8915F (2020 disasters).  
Qualified 2020 disaster distributions were not made to you in 2021 AND you did not file a 2020 Form 8915E  You received qualified distributions for the Alaska (4585DRAK) disaster on January 1, 2021  Complete Part IV.  
You did NOT receive qualified distributions on January 1, 2021, for 4585DRAK  STOP. You can’t use 2021 Form 8915F. 
2022 Form 8915F (2020 Disasters)
IF . . .  AND . . .  THEN . . .  
You claimed qualified 2020 disaster distributions on a 2021 Form 8915F (2020 disasters) AND you claimed coronavirusrelated distributions or other qualified 2020 disaster distributions on a 2020 Form 8915E  You didn’t check the box on line 11 or 22 on the 2021 Form 8915F (2020 disasters) AND/OR on line 9 or 17 on the 2020 Form 8915E  Complete lines 12 through 15 and lines 23 through 26, as applicable, of your 2022 Form 8915F (2020 disasters).  
You checked the box on line 11 or 22 on the 2021 Form 8915F (2020 disasters) AND on line 9 or 17 on the 2020 Form 8915E  If you are repaying those distributions, complete lines 14 and 25, as applicable, of your 2022 Form 8915F.  
If you aren’t repaying those distributions, you can’t use 2022 Form 8915F (2020 disasters).  
You claimed qualified 2020 disaster distributions on a 2021 Form 8915F (2020 disasters) but you did not claim coronavirusrelated distributions or other qualified 2020 disaster distributions on a 2020 Form 8915E  You didn’t check the box on line 11 or 22 on the 2021 Form 8915F (2020 disasters)  Complete lines 12 through 15 and lines 23 through 26, as applicable, of your 2022 Form 8915F (2020 disasters).  
You claimed coronavirusrelated distributions or other qualified 2020 disaster distributions on a 2020 Form 8915E but not on a 2021 Form 8915F (2020 disasters)  You didn’t checked the box on line 9 or 17 on the 2020 Form 8915E  Complete lines 12 through 15 and lines 23 through 26, as applicable, of your 2022 Form 8915F (2020 disasters).  
You checked the box on line 9 or 17 on the 2020 Form 8915E  If you are repaying those distributions, complete lines 14 and 25, as applicable, of your 2023 Form 8915F (2020 disasters).  
If you aren’t repaying those distributions, STOP. You can’t use 2023 Form 8915F.  
You did NOT claim qualified 2020 disaster distributions on a 2021 Form 8915F (2020 disasters) AND you did not claim coronavirusrelated distributions or other qualified 2020 disaster distributions on a 2020 Form 8915E  —  STOP. You can’t use 2023 Form 8915F (2020 disasters). 
2023 Form 8915F (2020 Disasters)
IF . . .  AND . . .  THEN . . . 
You claimed qualified 2020 disaster distributions on a 2021 Form 8915F (2020 disasters)  You did not check the box on line 11 or 22 on that form  Complete lines 12 through 15 and lines 23 through 26, as applicable, of your 2023 Form 8915F (2020 disasters). 
You checked the box on line 11 or 22 on that form  If you are repaying qualified 2020 disaster distributions made in 2020 or in 2021, complete lines 14 and 25, as applicable, of your 2023 Form 8915F (2020 disasters). .  
If you aren’t repaying qualified 2020 disaster distributions made in 2020 or in 2021, you can’t use 2023 Form 8915F (2020 disasters).  
You claimed coronavirusrelated distributions or other qualified 2020 disaster distributions on a 2020 Form 8915E and you did NOT claim qualified 2020 disaster distributions on a 2021 Form 8915F (2020 disasters)  —  If you are repaying coronavirusrelated distributions or other qualified 2020 disaster distributions, complete lines 14 and 25, as applicable, of your 2023 Form 8915F (2020 disasters). 
If you aren’t repaying coronavirusrelated distributions or other qualified 2020 disaster distributions, STOP. You can’t use 2023 Form 8915F (2020 disasters).  
You did NOT claim qualified 2020 disaster distributions on a 2021 Form 8915F (2020 disasters) AND you did not claim coronavirusrelated distributions or other qualified 2020 disaster distributions on a 2020 Form 8915E  —  STOP. You can’t use 2023 Form 8915F (2020 disasters). 
Note. This is the last year in which a coronavirusrelated distribution can be repaid. You cannot repay a coronavirusrelated distribution later than 3 years and one day after the coronavirusrelated distribution was received. 
2024 Form 8915F (2020 Disasters)
IF . . .  AND . . .  THEN . . . 
You claimed qualified 2020 disaster distributions other than coronavirusrelated distributions on a 2020 Form 8915E and you did NOT claim qualified 2020 disaster distributions on a 2021 Form 8915F (2020 disasters)  —  If you are repaying qualified 2020 disaster distributions other than coronavirusrelated distributions, complete lines 14 and 25, as applicable, of your 2024 Form 8915F (2020 disasters). 
If you aren’t repaying qualified 2020 disaster distributions other than coronavirusrelated distributions, STOP. You can’t use 2024 Form 8915F (2020 disasters).  
You did NOT claim qualified 2020 disaster distributions on a 2021 Form 8915F (2020 disasters) AND you did not claim coronavirusrelated distributions or other qualified 2020 disaster distributions on a 2020 Form 8915E  —  STOP. You can’t use 2024 Form 8915F (2020 disasters). 
Note: Coronavirusrelated distributions can NOT be repaid after 2023. 
Form 8915F (2021 and Later Disasters): Lines To Use
For qualified 2021 and later disasters, follow the instructions in the numerical bullet below that best describe your situation.

Complete Part I and, as applicable, Parts II, III, and IV if qualified disaster distributions were made to you this year for a disaster listed in item C of this year’s Form 8915F.

Complete lines 12 through 15 if:

No qualified disaster distributions were made to you this year.

On an earlier Form 8915F, you did not check the box on line 11 (thus spreading the income over 3 years) and, on line 12 of this year’s Form 8915F, you must report income from those distributions.

You received no qualified distributions this year.


Complete lines 23 through 26 if:

No qualified disaster distributions were made to you this year.

On an earlier Form 8915F, you did not check the box on line 22 (thus spreading the income over 3 years) and, on line 23 of this year’s Form 8915F, you must report income from those distributions.

You received no qualified distributions this year.


Complete line 14 and/or 25, as applicable, if you are only making repayments this year.

This can occur if no qualified disaster distributions were made to you this year; on, an earlier Form 8915F, you checked the box on line 11 and/or 22 (thus not spreading the income over 3 years); the repayment period for the disaster has not ended; and you received no qualified distributions this year.

It can also occur if no qualified disaster distributions were made to you this year; on, an earlier Form 8915F, you did not check the box on line 11 and/or 22 (thus spreading the income over 3 years); the 3 years for reporting income on your distributions has passed; the repayment period for the qualified disaster distributions has not ended; and you received no qualified distributions this year.


Complete Part IV also in any of the scenarios above if you received qualified distributions this year.

Complete Part IV if you received qualified distributions this year and if you are not completing Part I, and are not required to complete any lines in Part II or III, on this year’s Form 8915F.
Appendix B, Worksheets
Blank Worksheets 1A1, 1A2,1B, 2, 3, 4, and 5 are in this appendix. If you complete any of these worksheets in determining amounts to enter on lines 1a through 5, 12, 14, 23, and 25, of this year’s Form 8915F, attach the page(s) with the completed worksheet(s) to this year’s Form 8915F.
Worksheet 1A1.
Name  Social Security No.  
First Form 8915F  (a)  (b)  (c)  
Total distributions in this year  Qualified disaster distributions  Allocation of column (b)  
2  Distributions from retirement plans (other than IRAs) made this year  
3  Distributions from traditional, SEP, and SIMPLE IRAs made this year  
4  Distributions from Roth IRAs made this year 
Second Form 8915F  (a)  
Available distributions for this year  
2  Enter, in column (a), distributions from retirement plans (other than IRAs) made this year.  
3  Enter, in column (a), distributions from traditional, SEP, and SIMPLE IRAs made this year.  
4  Enter, in column (a), distributions from Roth IRAs made this year. 
Worksheet 1A2.
Name  Social Security No.  
Form 8915D  (a)  (b)  (c)  
Total distributions in 2021  Qualified 2019 disaster distributions  Allocation of column (b)  
2  Distributions from retirement plans (other than IRAs) made in 2021  
3  Distributions from traditional, SEP, and SIMPLE IRAs made in 2021  
4  Distributions from Roth IRAs made in 2021 
Form 8915F (2020 disasters)  (a)  
Available distributions for this year  
2  Enter, in column (a), distributions from retirement plans (other than IRAs) made this year.  
3  Enter, in column (a), distributions from traditional, SEP, and SIMPLE IRAs made this year.  
4  Enter, in column (a), distributions from Roth IRAs made this year. 
Worksheet 1B: Use if you are directed on line 1a of your Form 8915F to use Worksheet 1B.
Name  Social Security No.  
Worksheet 1B for Form 8915F  (a)  (X)  (b)  
Total available distributions in _____ ^{1}  Qualified _____^{2}disaster distributions made in _____^{1}  Qualified _____^{2}disaster distributions made in _____^{1}  
Disaster 1  Disaster 2  Disaster 3  Disaster 4  (Total for all disasters)  
________^{3}  ________^{3}  ________^{3}  ________^{3}  
________^{4}  ________^{4}  ________^{4}  ________^{4}  
________^{5}  ________^{5}  ________^{5}  ________^{5}  
1  You do not need to use Worksheet 1B if you checked 2020 in item B of this year's Form 8915F.
Note. If the amount on line 1 of this worksheet is $22,000 or more for a disaster, you cannot have qualified disaster distributions in this year for that disaster. Remove that disaster from the list at the top of Part I on page 1 of this year's Form 8915F and exclude it from your calculations for Part I of this year's Form 8915F. 

2  Distributions from retirement plans (other than IRAs)  
3  Distributions from traditional, SEP, and SIMPLE IRAs  
4  Distributions from Roth IRAs  
5  Totals. Add lines 2 through 4.  
^{1} Enter year checked in item A. ^{2} Enter year checked in item B. ^{3} Enter the disaster's FEMA number. ^{4} Enter the date the distribution period for the disaster begins. ^{5} Enter the date the distribution period for the disaster ends. 
Worksheet 2 for Line 12. Total Income From Other ThanIRA Distributions Made in Prior Years
Name  SSN  
Before you begin. From this year's form:


1.  Enter the amount from column (c) of Worksheet 2: Supplemental Information  1.  _____ 
2.  Enter the amount from column (d) of Worksheet 2: Supplemental Information  2.  _____ 
3.  Enter the total of lines 1 and 2 here and on line 12 of this year’s Form 8915F  3. 
Worksheet 2: Supplemental Information
This section provides the information you will need to complete lines 1 and 2 of Worksheet 2.
(a)  (b)  (c)  (d) 
Disaster Year (item B)  Tax Return year (item A)  Worksheet 2, line 1: Enter amount, if any, from your:  Worksheet 2, line 2: Enter amount, if any, from your: 
2020  2021  2020 Form 8915E, line 9 (if you checked the box on that line, enter 0)  0 
2022  2021 Form 8915F (2020 disasters), line 11 (if you checked the box on that line, enter 0)  2020 Form 8915E, line 9 (if you checked the box on that line, enter 0)  
2023  0  2021 Form 8915F (2020 disasters), line 11 (if you checked the box on that line, enter 0)  
2024  0  0  
Insert on the applicable line of your Worksheet 2 the amount from Form 8915F (2021 disasters), line 11, for the tax year shown. If you checked the box on that line, enter 0.  
Disaster Year (item B)  Tax Return year (item A)  Worksheet 2, line 1  Worksheet 2, line 2 
2021  2021  0  0 
2022  2021  0  
2023  2022  2021  
2024  2023  2022  
2025  0  2023  
2026  0  0  
Insert on the applicable line of your Worksheet 2 the amount from Form 8915F (2022 disasters), line 11, for the tax year shown. If you checked the box on that line, enter 0.  
Disaster Year (item B)  Tax Return year (item A)  Worksheet 2, line 1  Worksheet 2, line 2 
2022  2022  0  0 
2023  2022  0  
2024  2023  2022  
2025  2024  2023  
2026  0  2024  
2027  0  0  
For Disasters that begin after 2023  Insert on the applicable line of your Worksheet 2 the amount from Form 8915F (______ * disasters), line 11, for the tax year shown. If you checked the box on that line, enter 0.  
Disaster Year (item B)  Tax Return year (item A)  Worksheet 2, line 1  Worksheet 2, line 2 
______*  ______*  0  0 
______**  ______*  0  
______***  ______**  _____*  
______****  ______***  ______**  
______*****  0  ______***  
______******  0  0  
* The year you checked in item B.  
** Add 1 year to the year you checked in item B.  
*** Add 2 years to the year you checked in item B.  
**** Add 3 years to the year you checked in item B.  
***** Add 4 years to the year you checked in item B.  
****** Add 5 years to the year you checked in item B. 
Worksheet 3
Name  SSN  
1.  Enter the amount, if any, from last year's Form 8915F, line 14, except as follows. If you are completing 2021 Form 8915F (2020 disasters), enter the amount, if any, from your 2020 Form 8915E, line 10. If you are completing 2023 Form 8915F (2021 disasters), enter the amount, if any, from your 2022 Form 8915F (2021 disasters), line 14, if you completed that form. If you didn't complete that form, enter the amount, if any, from your 2021 Form 8915F (2021 disasters), line 14 
1.  _____ 
2.  Enter the amount, if any, from last year's Form 8915F, line 13, except as follows. If you are completing 2021 Form 8915F (2020 disasters), enter the amount, if any, from your 2020 Form 8915E, line 9. If you are completing 2023 Form 8915F (2021 disasters), enter the amount, if any, from your 2022 Form 8915F (2021 disasters), line 13, if you completed that form. If you didn't complete that form, enter the amount, if any, from your 2021 Form 8915F (2021 disasters), line 13 
2.  _____ 
3a.  Subtract line 2 from line 1. If zero or less, enter 0  3a.  _____ 
b.  Enter the amount from line 3a that you have already carried back to a prior year  b.  _____ 
c.  Subtract line 3b from line 3a  c.  _____ 
4.  Enter the total amount of any repayments you made, with respect to this year’s Form 8915F, before filing this year's tax return  4.  _____ 
5.  Enter the total of lines 3c and 4 here and on line 14 of this year's Form 8915F  5. 
Worksheet 4 for Line 23. Total Income From IRA Distributions Made in Prior Years
Name  SSN  
Before you begin. From this year's form:


1.  Enter the amount from column (c) of Worksheet 4: Supplemental Information  1.  _____ 
2.  Enter the amount from column (d) of Worksheet 4: Supplemental Information  2.  _____ 
3.  Enter the total of lines 1 and 2 here and on line 23 of this year’s Form 8915F  3. 
Worksheet 4: Supplemental Information
This section provides the information you will need to complete lines 1 and 2 of Worksheet 4.
(a)  (b)  (c)  (d) 
Disaster Year (item B)  Tax Return year (item A)  Worksheet 4, line 1: Enter amount, if any, from your:  Worksheet 4, line 2: Enter amount, if any, from your: 
2020  2021  2020 Form 8915E, line 17 (if you checked the box on that line, enter 0)  0 
2022  2021 Form 8915F (2020 disasters), line 22 (if you checked the box on that line, enter 0)  2020 Form 8915E, line 17 (if you checked the box on that line, enter 0)  
2023  0  2021 Form 8915F (2020 disasters), line 22 (if you checked the box on that line, enter 0)  
2024  0  0  
Insert on the applicable line of your Worksheet 4 the amount from Form 8915F (2021 disasters), line 22, for the tax year shown. If you checked the box on that line, enter 0.  
Disaster Year (item B)  Tax Return year (item A)  Worksheet 4, line 1  Worksheet 4, line 2 
2021  2021  0  0 
2022  2021  0  
2023  2022  2021  
2024  2023  2022  
2025  0  2023  
2026  0  0  
Insert on the applicable line of your Worksheet 4 the amount from Form 8915F (2022 disasters), line 22, for the tax year shown. If you checked the box on that line, enter 0.  
Disaster Year (item B)  Tax Return year (item A)  Worksheet 4, line 1  Worksheet 4, line 2 
2022  2022  0  0 
2023  2022  0  
2024  2023  2022  
2025  2024  2023  
2026  0  2024  
2027  0  0  
For Disasters that begin after 2023  Insert on the applicable line of your Worksheet 4 the amount from Form 8915F (______* disasters), line 22, for the tax year shown. If you checked the box on that line, enter 0.  
Disaster Year (item B)  Tax Return year (item A)  Worksheet 4, line 1  Worksheet 4, line 2 
______*  ______*  0  0 
______**  ______*  0  
______***  ______**  ______*  
______****  ______***  ______**  
______*****  0  ______***  
______******  0  0  
* The year you checked in item B.  
** Add 1 year to the year you checked in item B.  
*** Add 2 years to the year you checked in item B.  
**** Add 3 years to the year you checked in item B.  
***** Add 4 years to the year you checked in item B.  
****** Add 5 years to the year you checked in item B. 
Worksheet 5
Name  SSN  
1.  Enter the amount, if any, from last year's Form 8915F, line 25, except as follows. If you are completing 2021 Form 8915F (2020 disasters), enter the amount, if any, from your 2020 Form 8915E, line 18. If you are completing 2023 Form 8915F (2021 disasters), enter the amount, if any, from your 2022 Form 8915F (2021 disasters), line 25, if you completed that form. If you didn't complete that form, enter the amount, if any, from your 2021 Form 8915F (2021 disasters), line 25 
1.  _____ 
2.  Enter the amount, if any, from last year's Form 8915F, line 24, except as follows. If you are completing 2021 Form 8915F (2020 disasters), enter the amount, if any, from your 2020 Form 8915E, line 17. If you are completing 2023 Form 8915F (2021 disasters), enter the amount, if any, from your 2022 Form 8915F (2021 disasters), line 24, if you completed that form. If you didn't complete that form, enter the amount, if any, from your 2021 Form 8915F (2021 disasters), line 24 
2.  _____ 
3a.  Subtract line 2 from line 1. If zero or less, enter 0  3a.  _____ 
b.  Enter the amount from line 3a that you have already carried back to a prior year  b.  _____ 
c.  Subtract line 3b from line 3a  c.  _____ 
4.  Enter the total amount of any repayments you made, with respect to this year's Form 8915F, before filing this year's tax return  4.  _____ 
5.  Enter the total of lines 3c and 4 here and on line 25 of this year's Form 8915F.  5. 