Create Form 941 Now!

Employer’s Quarterly Federal Tax Return.

Fillable PDF for record-keeping and printing. Not an IRS e-file submission.

Tax year

Tax Year *

Quarter *

Employer Name *

Trade name (if any)

EIN *

Address *

City

State

ZIP

Line 1 — Number of employees

Line 2 — Wages, tips, other compensation *

Line 3 — Federal income tax withheld

Line 5a — Taxable social security wages

Line 5b — Taxable social security tips

Line 5c — Taxable Medicare wages & tips

Line 5d — Additional Medicare wages

Line 12 — Total taxes after adjustments

Email *