SAMPLEForm W-2 Wage and Tax Statement2026For informational / sample purposes only — not an official IRS document.a Employee's SSN—b Employer identification number (EIN)—1 Wages, tips, other compensation$0.002 Federal income tax withheld$0.00c Employer's name, address, and ZIP code Employer Name , CA 3 Social security wages$0.004 Social security tax withheld$0.005 Medicare wages and tips$0.006 Medicare tax withheld$0.00d Control number—7 Social security tips$0.008 Allocated tips$0.00e Employee's name, address, and ZIP code Employee Name , CA 10 Dependent care benefits$0.0011 Nonqualified plans$0.0012 Codes—13 Statutory employee Retirement plan Third-party sick pay14 Other—15 State / Employer's state ID numberCA —16 State wages, tips, etc.$0.0017 State income tax$0.0018 Local wages, tips, etc.$0.0019 Local income tax$0.0020 Locality name—