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Do Not Submit For Informational Purposes ONLY OMB No.: 06070998Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligationApproval Expires: 05/31/2020HC62140 Outpatient
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How to fill out full-andpart-timeemployeesworkingatthisestablishmentwhosepayrollwasreportedoninternalrevenueserviceform941employersquarterly

01
To fill out the Form 941 Employers Quarterly, follow these steps:
02
Enter your business name and address.
03
Provide the Employer Identification Number (EIN) for your business.
04
Indicate the tax period for which you are filing the form.
05
Enter the total number of full-time and part-time employees working at your establishment during the quarter.
06
Report the total wages, tips, and other compensation paid to these employees during the quarter.
07
Calculate and report the federal income tax withheld from your employees' wages.
08
Report the total Social Security and Medicare taxes withheld from your employees' wages.
09
Calculate and report the employer's portion of Social Security and Medicare taxes.
10
Enter any adjustments or corrections to previously reported amounts.
11
Calculate the total tax liability based on the information provided.
12
Sign and date the form.
13
Keep a copy of the completed form for your records.
14
15
Make sure to review the instructions provided by the Internal Revenue Service (IRS) for detailed guidance on filling out the Form 941 Employers Quarterly.

Who needs full-andpart-timeemployeesworkingatthisestablishmentwhosepayrollwasreportedoninternalrevenueserviceform941employersquarterly?

01
Employers who have full-time and part-time employees working at their establishment and whose payroll was reported on the Internal Revenue Service Form 941 Employers Quarterly need to fill out this form. The Form 941 is used to report employment taxes, such as federal income tax withholding, Social Security taxes, and Medicare taxes, to the IRS.
02
Businesses and organizations that meet the criteria mentioned above are required to submit Form 941 on a quarterly basis to ensure compliance with federal tax regulations and to accurately report their employees' wages and tax withholdings.
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