| A |
Uncollected Social Security or RRTA tax on tips |
| B |
Uncollected Medicare tax on tips |
| C |
Taxable cost of group-term life insurance over $50,000 |
| D |
Elective deferrals to a section 401(k) cash or deferred arrangement. Also includes deferrals under a SIMPLE retirement account that is part of a section 401(k) arrangement |
| E |
Elective deferrals under section 403(b) salary reduction agreement with your employer |
| F |
Elective deferrals under a section 408(k)(6) salary reduction SEP |
| G |
Elective deferrals and employer contributions (including non-elective deferrals) to a section 457(b) deferred compensation plan |
| H |
Elective deferrals to a section 501c(18)(D) tax-exempt organization plan |
| J |
Nontaxable sick pay (information only, not included in boxes 1, 3, or 5) |
| K |
Twenty percent (20%) excise tax on excess golden parachute payments |
| L |
Substantiated employee business expense reimbursements (nontaxable) |
| M |
Uncollected social security or RRTA tax on taxable cost of group-term life insurance over $50,000 (former employees only) |
| N |
Uncollected Medicare tax on taxable cost of group-term life insurance over $50,000 (former employees only) |
| P |
Excludable moving expense reimbursements paid directly to member of US Armed Forces for military orders (not included in boxes 1, 3, or 5) |
| Q |
Nontaxable combat pay |
| R |
Employer contributions to your Archer MSA. |
| S |
Employee salary reduction contributions under a section 408(p) SIMPLE plan |
| T |
Adoption benefits (not included in box 1) |
| V |
Income from exercise of non-statutory stock option(s) (included in boxes 1, 3 (up to social security wage base), and 5) |
| W |
Employer contributions (including amounts the employee elected to contribute using a section 125 (cafeteria plan) to your health savings account (HSA) |
| Y |
Deferrals under a section 409A nonqualified deferred compensation plan |
| Z |
Income under a nonqualified deferred compensation plan that fails to satisfy section 409A. This amount is also included in box 1. It is subject to an additional 20% tax plus interest. |
| AA |
Designated Roth contributions under section 401(k) plan |
| BB |
Designated Roth contributions under section 403(b) plan |
| DD |
Cost of employer-sponsored health coverage (this is not taxable when Code DD) |
| EE |
Designated Roth contributions under a governmental section 457(b) plan. This amount does not apply to contributions under a tax-exempt organization section 457(b) plan. |
| FF |
Permitted benefits under a qualified small employer health reimbursement arrangement. |
| GG |
Income from qualified equity grants under section 83(i) |
| HH |
Aggregate deferrals under section 83(i) elections as of the close of the calendar year. |
| II |
Medicaid waiver payments not included in box 1 of Form W-2 (The amount entered will be included in income on Form 1040 and will also generate a negative adjustment in Other Income on Schedule 1. If you want it included in earned income for the EIC calculation, you will indicate that separately.) |