Catalog Number 49069T
Instructions
Important Things You Should Know
Employee Details
All fields marked with an asterisk (*) are required.
Please enter SSN shown on Form 2106 / 2106-E Z
Please enter the address where you reported for work.
Please enter your occupation/title
(if you are assigned a territory, please indicate the geographic area here)
Please enter your job description and responsibilities.(if you are assigned a territory, please indicate the geographic area here)
Please explain how the figures on the return were determined.
Were you assigned to different locations during the year. If yes, please indicate the locations and dates you were there
Please indicate the locations and dates you were there
List any business trips taken or conventions attended during the year
Describe the types of records maintained for travel and transportation expenses.
Vechicle Expenses
If you deducted an amount for vehicle expenses on Form 2106 or 2106-EZ also provide the following:
Number of cars available for business and personal use and number of licensed drivers in the family
Allowed only numeric two digit value (Max value :30)
Number of cars available for business and personal use.
Please enter number of licensed drivers in the family.
Please Describe the use of the car for vacations or other personal trips.
Distance to and from your home to your job and the number of days you report to work each week
(Each week). Allowed only numeric six digit value (Max value :100000)
Please enter the one way distance to and from your home each week.
(Each week)Allowed only numeric six digit value (Max value :100000)
Please enter the number of days/week you travel to work.