Online Form 941-X Form Generator

Create Form 941-X online with Pay-Stubs.com. Use the Tax Year dropdown below, enter your details, preview the official IRS PDF, and complete checkout for a watermark-free file.

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  1. Select the tax year
  2. Complete the form fields
  3. Generate preview
  4. Checkout to receive your PDF by email

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Part 1 — Select one process

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Part 2 — Complete the certifications

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This checks the Form 941-X certification that you are correcting underreported amounts only. Review Part 2 of the IRS form before filing.

Part 3 — Enter the corrections for this quarter

Enter the amount originally reported and the correct amount. The difference is calculated for you and can be edited.

6. Wages, tips, and other compensation

7. Federal income tax withheld from wages, tips, and other compensation

8. Taxable social security wages

9. Qualified sick leave wages

10. Qualified family leave wages

11. Taxable social security tips

12. Taxable Medicare wages & tips

13. Taxable wages & tips subject to Additional Medicare Tax withholding

14. Section 3121(q) Notice and Demand — tax due on unreported tips

15. See Form 941-X instructions

16. Qualified small business payroll tax credit for increasing research activities

17. Nonrefundable portion of credit for qualified sick and family leave wages

18a. Nonrefundable portion of employee retention credit

18b. Nonrefundable portion of credit for qualified sick and family leave wages

18c. Nonrefundable portion of COBRA premium assistance credit

19. Special addition to wages for federal income tax

20. Special addition to wages for social security taxes

21. Special addition to wages for Medicare taxes

22. Special addition to wages for Additional Medicare Tax

24. Deferred amount of social security tax

25. Refundable portion of credit for qualified sick and family leave wages

26a. Refundable portion of employee retention credit

26b. Refundable portion of credit for qualified sick and family leave wages

26c. Refundable portion of COBRA premium assistance credit

28. Qualified health plan expenses allocable to qualified sick leave wages

29. Qualified health plan expenses allocable to qualified family leave wages

30. Qualified wages for the employee retention credit

31a. Qualified health plan expenses for the employee retention credit

32. Credit from Form 5884-C, line 11, for this quarter

33a. Qualified wages paid March 13 through March 31, 2020, for the employee retention credit

33b. Deferred amount of the employee share of social security tax

34. Qualified health plan expenses allocable to wages reported on Form 941 or 941-SS

35. Qualified sick leave wages for leave taken after March 31, 2021

36. Qualified health plan expenses allocable to those sick leave wages

37. Amounts under certain collectively bargained agreements allocable to qualified sick leave wages

38. Qualified family leave wages for leave taken after March 31, 2021

39. Qualified health plan expenses allocable to those family leave wages

40. Amounts under certain collectively bargained agreements allocable to qualified family leave wages

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