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TREASURY/IRS AND OMB USE ONLY DRAFT
Form
943-X:
(Rev. February 2026)
Adjusted Employer’s Annual Federal Tax Return for Agricultural Employees
or Claim for Refund
Department of the Treasury — Internal Revenue Service
Employer identification number
(EIN)
OMB No. 1545-0029
Return You’re Correcting...
—
Enter the calendar year of the return
you’re correcting:
(YYYY)
Name (not your trade name)
Trade name (if any)
Enter the date you discovered errors:
Address
/
/
(MM / DD / YYYY)
Number
Street
Suite or room number
Aggregate Return Filers Only
Foreign country name
State
Foreign province/county
ZIP code
Foreign postal code
Section 3504 Agent
Certified Professional Employer
Organization (CPEO)
Other Third Party
Read the separate instructions before completing this form. Use this form to correct errors you made on Form 943, Employer’s Annual Federal
Tax Return for Agricultural Employees. Use a separate Form 943-X for each year that needs correction. Type or print within the boxes. You
MUST complete all five pages. Don’t attach this form to Form 943 unless you’re reclassifying workers; see the instructions for line 40.
Part 1: Select ONLY one process. See page 6 for additional guidance, including information on how to treat
employment tax credits.
1. Adjusted employment tax return. Check this box if you underreported tax amounts. Also check this box if you overreported tax
amounts and you would like to use the adjustment process to correct the errors. You must check this box if you’re correcting both
underreported and overreported tax amounts on this form. The amount shown on line 25, if less than zero, may only be applied as
a credit to your Form 943 for the tax period in which you’re filing this form.
2. Claim. Check this box if you overreported tax amounts only and you would like to use the claim process to ask for a refund or
abatement of the amount shown on line 25. Don’t check this box if you’re correcting ANY underreported tax amounts on this form.
Part 2: Complete the certifications.
3. I certify that I’ve filed or will file Forms W-2, Wage and Tax Statement, or Forms W-2c, Corrected Wage and Tax Statement,
as required.
Note: If you’re correcting underreported tax amounts only, go to Part 3 on page 2 and skip lines 4 and 5. If you’re correcting overreported
tax amounts, for purposes of the certifications on lines 4 and 5, Medicare tax doesn’t include Additional Medicare Tax. Form 943-X can’t
be used to correct overreported amounts of Additional Medicare Tax unless the amounts weren’t withheld from employee wages.
4. If you checked line 1 because you’re adjusting overreported federal income tax, social security tax, Medicare tax, or
Additional Medicare Tax, check all that apply. You must check at least one box.
I certify that:
a. I repaid or reimbursed each affected employee for the overcollected social security tax and Medicare tax for prior years. I
have a written statement from each affected employee stating that they haven’t claimed (or the claim was rejected) and won’t
claim a refund or credit for the overcollection.
b. The adjustments of social security tax and Medicare tax are for the employer’s share only. I couldn’t find the affected
employees or each affected employee didn’t give me a written statement that they haven’t claimed (or the claim was rejected)
and won’t claim a refund or credit for the overcollection.
c. The adjustment is for federal income tax, social security tax, Medicare tax, or Additional Medicare Tax that I didn’t withhold
from employee wages.
5. If you checked line 2 because you’re claiming a refund or abatement of overreported federal income tax, social security
tax, Medicare tax, or Additional Medicare Tax, check all that apply. You must check at least one box.
I certify that:
a. I repaid or reimbursed each affected employee for the overcollected social security tax and Medicare tax for prior years. I
have a written statement from each affected employee stating that they haven’t claimed (or the claim was rejected) and won’t
claim a refund or credit for the overcollection.
b. I have a written consent from each affected employee stating that I may file this claim for the employee’s share of social
security tax and Medicare tax overcollected in prior years. I also have a written statement from each affected employee
stating that they haven’t claimed (or the claim was rejected) and won’t claim a refund or credit for the overcollection.
c. The claim for social security tax and Medicare tax is for the employer’s share only. I couldn’t find the affected employees; or
each affected employee didn’t give me a written consent to file a claim for the employee’s share of social security tax and
Medicare tax; or each affected employee didn’t give me a written statement that they haven’t claimed (or the claim was
rejected) and won’t claim a refund or credit for the overcollection.
d. The claim is for federal income tax, social security tax, Medicare tax, or Additional Medicare Tax that I didn’t withhold from
employee wages.
For Paperwork Reduction Act Notice, see the separate instructions.
www.irs.gov/Form943X
Cat. No. 20332F
Form 943-X (Rev. 2-2026) Created 4/10/25
DRAFT — DO NOT FILE
DRAFT — DO NOT FILE
City
Type of filer (check one):
TREASURY/IRS AND OMB USE ONLY DRAFT
Name (not your trade name)
Correcting Calendar Year (YYYY)
Employer identification number (EIN)
–
Part 3: Enter the corrections for the calendar year you’re correcting. If any line doesn’t apply, leave it blank.
Column 1
Total corrected amount —
(for ALL employees)
6.
Wages subject to social
security tax (Form 943, line 2)
.
Column 2
Column 3
Column 4
Amount originally
reported or as
previously corrected
(for ALL employees)
Difference
(If this amount is a
negative number,
use a minus sign.)
Tax correction
—
=
=
.
× 0.124* =
.
.
* If you’re correcting your employer share only, use 0.062. See instructions.
7.
Qualified sick leave wages*
(Form 943, line 2a)
.
—
=
.
× 0.062 =
.
.
* Use line 7 only for qualified sick leave wages paid after March 31, 2020, for leave taken before April 1, 2021.
8.
Qualified family leave wages*
(Form 943, line 2b)
.
—
=
.
× 0.062 =
.
.
9.
Wages subject to Medicare
tax (Form 943, line 4)
.
—
=
.
× 0.029* =
.
.
* If you’re correcting your employer share only, use 0.0145. See instructions.
10.
Wages subject to Additional
Medicare Tax withholding
(Form 943, line 6)
.
—
=
.
× 0.009* =
.
.
* Certain wages reported in Column 3 shouldn’t be multiplied by 0.009. See instructions.
11.
Federal income tax withheld
(Form 943, line 8)
.
—
.
=
.
Copy Column
3 here
.
12.
Tax adjustments (Form 943,
line 10)
.
—
.
=
.
See
instructions
.
13.
Qualified small business
payroll tax credit for
increasing research activities
(See instructions; you must
attach Form 8974)
.
—
.
=
.
See
instructions
.
14.
Nonrefundable portion of
credit for qualified sick and
family leave wages for leave
taken before April 1, 2021
(Form 943, line 12b)
.
—
.
=
.
See
instructions
.
15a.
Reserved for future use
.
—
.
=
.
15b.
Nonrefundable portion of
credit for qualified sick and
family leave wages for leave
taken after March 31, 2021,
and before October 1, 2021
(Form 943, line 12d)
.
—
.
=
.
See
instructions
.
15c.
Nonrefundable portion of
COBRA premium assistance
credit (Form 943, line 12e)
.
—
.
=
.
See
instructions
.
15d.
Number of individuals
provided COBRA premium
assistance (Form 943, line 12f)
16.
Special addition to wages for
federal income tax
.
—
.
=
.
See
instructions
.
17.
Special addition to wages for
social security taxes
.
—
.
=
.
See
instructions
.
18.
Special addition to wages for
Medicare taxes
.
—
.
=
.
See
instructions
.
19.
Special addition to wages for
Additional Medicare Tax
.
—
.
=
.
See
instructions
.
20.
Subtotal. Combine the amounts on lines 6 through 19 of Column 4 .
Page 2
.
=
—
.
.
.
.
.
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.
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.
.
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.
Form 943-X (Rev. 2-2026)
DRAFT — DO NOT FILE
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* Use line 8 only for qualified family leave wages paid after March 31, 2020, for leave taken before April 1, 2021.
TREASURY/IRS AND OMB USE ONLY DRAFT
Name (not your trade name)
Employer identification number (EIN)
Correcting Calendar Year (YYYY)
–
Part 3: Enter the corrections for the calendar year you’re correcting. If any line doesn’t apply, leave it blank. (continued)
Column 1
Column 3
Column 4
Difference
(If this amount is a
negative number,
use a minus sign.)
Tax correction
=
21.
Reserved for future use
22.
Reserved for future use
23.
Refundable portion of credit
for qualified sick and family
leave wages for leave taken
before April 1, 2021 (Form 943,
line 14d)
24a.
Reserved for future use
24b.
Refundable portion of credit
for qualified sick and family
leave wages for leave taken
after March 31, 2021, and
before October 1, 2021 (Form
943, line 14f)
24c.
Refundable portion of COBRA
premium assistance credit
(Form 943, line 14g)
25.
Total. Combine the amounts on lines 20 through 24c of Column 4 . . . . . . . . . . . . . . . .
If line 25 is less than zero:
• If you checked line 1, this is the amount you want applied as a credit to your Form 943 for the tax period in which
you’re filing this form.
.
—
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=
.
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.
—
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=
.
.
.
—
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=
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—
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=
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—
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=
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See
instructions
.
.
—
.
=
.
See
instructions
.
See
instructions
.
.
.
• If you checked line 2, this is the amount you want refunded or abated.
If line 25 is more than zero, this is the amount you owe. Pay this amount by the time you file this return. For
information on how to pay, see Amount you owe in the instructions.
26.
Qualified health plan
expenses allocable to
qualified sick leave wages for
leave taken before April 1,
2021 (Form 943, line 18)
27.
Qualified health plan
expenses allocable to
qualified family leave wages
for leave taken before April 1,
2021 (Form 943, line 19)
28.
Reserved for future use
29.
Reserved for future use
30.
Reserved for future use
Page 3
.
—
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=
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.
—
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=
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—
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=
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.
—
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=
.
.
—
.
=
.
Form 943-X (Rev. 2-2026)
DRAFT — DO NOT FILE
DRAFT — DO NOT FILE
Total corrected amount —
(for ALL employees)
Column 2
Amount originally
reported or as
previously corrected
(for ALL employees)
TREASURY/IRS AND OMB USE ONLY DRAFT
Name (not your trade name)
Employer identification number (EIN)
Correcting Calendar Year (YYYY)
–
Part 3: Enter the corrections for the calendar year you’re correcting. If any line doesn’t apply, leave it blank. (continued)
Column 1
Column 2
Total corrected amount —
(for ALL employees)
Column 3
Amount originally
reported or as
previously corrected
(for ALL employees)
=
Difference
(If this amount is a
negative number,
use a minus sign.)
31.
Qualified sick leave wages for
leave taken after March 31,
2021, and before October 1,
2021 (Form 943, line 22)
32.
Qualified health plan
expenses allocable to
qualified sick leave wages for
leave taken after March 31,
2021, and before October 1,
2021 (Form 943, line 23)
33.
Amounts under certain
collectively bargained
agreements allocable to
qualified sick leave wages for
leave taken after March 31,
2021, and before October 1,
2021 (Form 943, line 24)
34.
Qualified family leave wages
for leave taken after March 31,
2021, and before October 1,
2021 (Form 943, line 25)
35.
Qualified health plan
expenses allocable to
qualified family leave wages
for leave taken after March 31,
2021, and before October 1,
2021 (Form 943, line 26)
36.
Amounts under certain
collectively bargained
agreements allocable to
qualified family leave wages
for leave taken after March 31,
2021, and before October 1,
2021 (Form 943, line 27)
37.
Reserved for future use
38.
Reserved for future use
Page 4
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=
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=
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=
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—
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=
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=
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—
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=
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DRAFT — DO NOT FILE
Caution: Lines 31–38 don’t apply to years beginning before January 1, 2021.
Form 943-X (Rev. 2-2026)
TREASURY/IRS AND OMB USE ONLY DRAFT
Name (not your trade name)
Correcting Calendar Year (YYYY)
Employer identification number (EIN)
–
Part 4: Explain your corrections for the calendar year you’re correcting.
Check here if any corrections you entered on a line include both underreported and overreported amounts.
Explain both your underreported and overreported amounts on line 41.
40.
Check here if any corrections involve reclassified workers. Explain on line 41.
41.
You must give us a detailed explanation of how you determined your corrections. See the instructions.
DRAFT — DO NOT FILE
DRAFT — DO NOT FILE
39.
Part 5: Sign here. You must complete all five pages of this form and sign it.
Under penalties of perjury, I declare that I have filed an original Form 943 and that I have examined this adjusted return or claim, including
accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer
(other than taxpayer) is based on all information of which preparer has any knowledge.
Print your
name here
Sign your
name here
Date
Print your
title here
/
/
Paid Preparer Use Only
Best daytime phone
Check if you’re self-employed .
Preparer’s name
PTIN
Preparer’s signature
Date
Firm’s name (or yours
if self-employed)
EIN
Address
Phone
City
Page 5
State
.
.
/
.
.
.
.
.
/
ZIP code
Form 943-X (Rev. 2-2026)
TREASURY/IRS AND OMB USE ONLY DRAFT
Type of errors
you’re correcting
Unless otherwise specified in the separate instructions, an underreported employment tax credit should be
treated like an overreported tax amount. An overreported employment tax credit should be treated like an
underreported tax amount. For more information, including which process to select on lines 1 and 2, see
Correcting an employment tax credit in the separate instructions.
Underreported
tax amounts
ONLY
Use the adjustment process to correct underreported tax amounts.
• Check the box on line 1.
• Pay the amount you owe from line 25 by the time you file Form 943-X.
Overreported
tax amounts
ONLY
The process you
use depends on
when you file
Form 943-X.
If you’re filing Form 943-X
MORE THAN 90 days before the
period of limitations on credit or
refund for Form 943 expires...
Choose either the adjustment process or the claim
process to correct the overreported tax amounts.
Choose the adjustment process if you want the
amount shown on line 25 credited to your Form
943 for the period in which you file Form 943-X.
Check the box on line 1.
OR
Choose the claim process if you want the
amount shown on line 25 refunded to you or
abated. Check the box on line 2.
BOTH
underreported
and
overreported
tax amounts
The process you
use depends on
when you file
Form 943-X.
If you’re filing Form 943-X
WITHIN 90 days of the expiration
of the period of limitations on
credit or refund for Form 943...
You must use the claim process to correct the
overreported tax amounts. Check the box on
line 2.
If you’re filing Form 943-X
MORE THAN 90 days before the
period of limitations on credit or
refund for Form 943 expires...
Choose either the adjustment process or both the
adjustment process and the claim process when
you correct both underreported and overreported
tax amounts.
Choose the adjustment process if combining
your underreported tax amounts and overreported
tax amounts results in a balance due or creates a
credit that you want applied to Form 943.
• File one Form 943-X, and
• Check the box on line 1 and follow the
instructions on line 25.
OR
Choose both the adjustment process and the
claim process if you want the overreported tax
amount refunded to you or abated.
File two separate forms.
1. For the adjustment process, file one Form
943-X to correct the underreported tax amounts.
Check the box on line 1. Pay the amount you
owe from line 25 by the time you file Form 943-X.
2. For the claim process, file a second Form
943-X to correct the overreported tax amounts.
Check the box on line 2.
If you’re filing Form 943-X
WITHIN 90 days of the expiration
of the period of limitations on
credit or refund for Form 943...
You must use both the adjustment process
and the claim process.
File two separate forms.
1. For the adjustment process, file one Form
943-X to correct the underreported tax amounts.
Check the box on line 1. Pay the amount you
owe from line 25 by the time you file Form 943-X.
2. For the claim process, file a second Form
943-X to correct the overreported tax amounts.
Check the box on line 2.
Page 6
Form 943-X (Rev. 2-2026)
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Form 943-X: Which process should you use?
| File Type | application/pdf |
| File Title | Form 943-X (Rev. February 2026) |
| Subject | Adjusted Employer's Annual Federal Tax Return for Agricultural Employees or Claim for Refund |
| Author | C:DC:TS:CAR:MP |
| File Modified | 2026-01-16 |
| File Created | 2025-04-10 |