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Form W-4, Employee’s Withholding Certificate

Before You Begin

IRS Form W-4 for 2026. OMB No. 1545-0074.

Purpose of Form

Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Give Form W-4 to your employer. Your withholding is subject to review by the IRS.

If too little is withheld, you will generally owe tax when you file your tax return and may owe a penalty. If too much is withheld, you will generally be due a refund. Complete a new Form W-4 when changes to your personal or financial situation would change the entries on the form.

Your privacy

Steps 2(c) and 4(a) ask for information regarding income you received from sources other than the job associated with this Form W-4. If you have concerns with providing the information asked for in Step 2(c), you may choose Step 2(b) as an alternative; if you have concerns with providing the information asked for in Step 4(a), you may enter an additional amount you want withheld per pay period in Step 4(c) as an alternative.

Nonresident alien

If you’re a nonresident alien, see Notice 1392, Supplemental Form W-4 Instructions for Nonresident Aliens, before completing this form.

The two worksheets are not part of this page

Steps 2(b) and 4(b) refer to a Multiple Jobs Worksheet and a Deductions Worksheet, printed on pages 3 and 4 of Form W-4. The IRS marks both “Keep for your records” — they are not given to your employer, and nothing on them is submitted. They are not reproduced here.

If you need them, use the IRS estimator at irs.gov/W4App, which the form recommends first in any case, or ask Apex Health Solutions LLC for a copy of the full form. Only the totals go on this page.