W4 (For Rehire; making changes; etc.)


Please fill out the W4 section below and, upon hire, we will use the information for payroll purposes. The information you provide will be submitted to the IRS upon their request. For complete instructions to filling out your W4 please see the W4 IRS.gov form here.

You may notice some of the information below has already been submitted in this form. Please fill it out again as the fields correspond with fields inputted into your W4 form.

Step 1: Enter Personal Information
Select One: *
Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5.
See Page 2 for more information on each step, who can claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works

Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs.

  • (a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3–4); or
  • (b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment income, including as an independent contractor, use the estimator.
Complete Steps 3–4(b) on Form W-4 for only ONE of these jobs.
Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3–4(b) on the Form W-4 for the highest paying job.)

Step 3: Claim Dependents

If your income will be $200,000 or less ($400,000 or less if married filing jointly):

Step 4: (optional) Other Adjustments
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.

-End of Form-

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