Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section A, enter the Social Security Number, name, and wage information for each worker whose wages require correction. It is crucial to provide a reason for the adjustment, as failure to do so will result in rejection of your report. If additional space is necessary for your explanation, continue on the reverse side of the printed form.
3. In Section B, complete this section only if you are making corrections that apply to taxable wages and amounts due totals, not solely Social Security Numbers.
4. Ensure you complete the certifier information in Section C. This includes entering the preparer's name, date, verifying individual’s name and date, hand-signing the form, providing your title, and phone number.
5. Double-check all entries for accuracy and completeness. An unsigned form will be rejected.
6. If you have questions about the process, refer to the contact information provided on the form for assistance.
7. After reviewing your completed form, you can save changes, download, print, or share the form as needed.

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