Electronic W‑4 Form Form W‑4 — Employee’s Withholding Certificate Step 1: Personal Information First Name Last Name Social Security Number Address City State ZIP Code Filing Status Select Single or Married filing separately Married filing jointly Head of household Step 2: Multiple Jobs I have more than one job or my spouse works Step 3: Claim Dependents Total Dependents Amount ($) Step 4: Other Adjustments Other Income (not from jobs) Deductions Extra Withholding Each Pay Period Step 5: Electronic Signature Sign below using your finger, mouse, or stylus: Clear Signature Submit W‑4 Your W‑4 has been submitted successfully.
