Fill out Form 4852 online
Substitute for Form W-2, Wage and Tax Statement, or Form 1099-R
Used to report your income and withholding when a Form W-2 or Form 1099-R is missing or incorrect.
Opens in the DocZap editor. What you type stays in your browser.
- Published by
- IRS
- Version
- Rev. September 2020
- Length
- 2 pages
- Fillable fields
- 40
40 fillable fields
Have these ready
- Your legal name and address
- Your Social Security number or EIN, whichever the form asks for
- The name of whoever requested the form, so it goes to the right person
What's on Form 4852
This is the Rev. September 2020 version, 2 pages long, with 40 fillable fields, including 30 text boxes and 4 checkboxes. In the editor, the fillable fields are highlighted so you can see where to type.
How filling it in works
- 1
Open the form
Choose "Fill this form". The blank Form 4852 opens in the editor.
- 2
Type into it
Click a field and type, or click a box to tick it. Use Text for anything that isn't a field.
- 3
Download your copy
Press Done to save the filled-in PDF to your device. Nothing is uploaded.
After you fill it in
Frequently asked questions
Is this the official Form 4852?+
It is the blank PDF published by the IRS (Rev. September 2020). DocZap hosts a copy and isn't affiliated with the IRS. Before you submit it, check the IRS forms and instructions page for a newer version.
How do I fill out Form 4852 online?+
Choose "Fill this form" and the blank form opens in the DocZap editor with 40 fillable fields. Click a field to type, or click a box to tick it. For anything that isn't a field, use the Text tool to type anywhere on the page, or the Image tool to add a picture of your signature. Press Done to download your copy.
Is what I type uploaded anywhere?+
No. The blank form loads from this site, then everything you type stays in your browser tab. Nothing is sent to a server and nothing is saved when you close the tab, so download your finished PDF before you leave.
Where do I send Form 4852 once it's filled in?+
It depends on the form and your situation. The instructions for Form 4852 explain who receives it and how to submit it, so read them first. They are on the IRS forms and instructions page.
How long is Form 4852?+
This PDF (Rev. September 2020) is 2 pages long and has 40 fillable fields, including 30 text boxes and 4 checkboxes.
Does it cost anything?+
No. There is no account, no watermark, and no limit on how many forms you fill in.
More withholding and taxpayer id forms
- Form W-4Employee's Withholding Certificate
- Form W-4PWithholding Certificate for Periodic Pension or Annuity Payments
- Form W-4VVoluntary Withholding Request
- Form W-9Request for Taxpayer Identification Number and Certification
- Form W-7Application for IRS Individual Taxpayer Identification Number
- Form W-8BENCertificate of Foreign Status of Beneficial Owner for United States Tax Withholding and Reporting (Individuals)
DocZap isn't affiliated with the IRSor any government agency, and this page isn't legal or tax advice. Find the latest version, instructions and submission details on the IRS forms and instructions page.