Numbered Form Inputs

Component Information

Description:: Root component for numeric form fields
Content Type:: NumberedInputs
Score:: 0

Child Components

Name	Type	Description	Actions
Label: Employer Identification Number (EIN)	Label	Unique number assigned to the employer for tax purposes	Edit Details Confirm Delete Are you sure you want to delete the component "Label: Employer Identification Number (EIN)"?
Input: Employer Identification Number (EIN)	Input	Input for Employer Identification Number (EIN)	Edit Details Confirm Delete Are you sure you want to delete the component "Input: Employer Identification Number (EIN)"?
Label: Employee's Social Security Number	Label	Identification number of the employee for tax purposes	Edit Details Confirm Delete Are you sure you want to delete the component "Label: Employee's Social Security Number"?
Input: Employee's Social Security Number	Input	Input for Employee's Social Security Number	Edit Details Confirm Delete Are you sure you want to delete the component "Input: Employee's Social Security Number"?
Label: Wages, Tips, and Other Compensation (Box 1)	Label	Total taxable income paid to the employee	Edit Details Confirm Delete Are you sure you want to delete the component "Label: Wages, Tips, and Other Compensation (Box 1)"?
Input: Wages, Tips, and Other Compensation (Box 1)	Input	Input for Wages, Tips, and Other Compensation (Box 1)	Edit Details Confirm Delete Are you sure you want to delete the component "Input: Wages, Tips, and Other Compensation (Box 1)"?
Label: Federal Income Tax Withheld (Box 2)	Label	Amount of federal tax withheld from the employee's pay	Edit Details Confirm Delete Are you sure you want to delete the component "Label: Federal Income Tax Withheld (Box 2)"?
Input: Federal Income Tax Withheld (Box 2)	Input	Input for Federal Income Tax Withheld (Box 2)	Edit Details Confirm Delete Are you sure you want to delete the component "Input: Federal Income Tax Withheld (Box 2)"?
Label: Social Security Wages (Box 3)	Label	Total wages subject to Social Security taxes	Edit Details Confirm Delete Are you sure you want to delete the component "Label: Social Security Wages (Box 3)"?
Input: Social Security Wages (Box 3)	Input	Input for Social Security Wages (Box 3)	Edit Details Confirm Delete Are you sure you want to delete the component "Input: Social Security Wages (Box 3)"?
Label: Social Security Tax Withheld (Box 4)	Label	Amount of Social Security tax withheld	Edit Details Confirm Delete Are you sure you want to delete the component "Label: Social Security Tax Withheld (Box 4)"?
Input: Social Security Tax Withheld (Box 4)	Input	Input for Social Security Tax Withheld (Box 4)	Edit Details Confirm Delete Are you sure you want to delete the component "Input: Social Security Tax Withheld (Box 4)"?
Label: Medicare Wages and Tips (Box 5)	Label	Total wages subject to Medicare taxes	Edit Details Confirm Delete Are you sure you want to delete the component "Label: Medicare Wages and Tips (Box 5)"?
Input: Medicare Wages and Tips (Box 5)	Input	Input for Medicare Wages and Tips (Box 5)	Edit Details Confirm Delete Are you sure you want to delete the component "Input: Medicare Wages and Tips (Box 5)"?
Label: Medicare Tax Withheld (Box 6)	Label	Amount of Medicare tax withheld	Edit Details Confirm Delete Are you sure you want to delete the component "Label: Medicare Tax Withheld (Box 6)"?
Input: Medicare Tax Withheld (Box 6)	Input	Input for Medicare Tax Withheld (Box 6)	Edit Details Confirm Delete Are you sure you want to delete the component "Input: Medicare Tax Withheld (Box 6)"?
Label: Social Security Tips (Box 7)	Label	Reported tips subject to Social Security taxes	Edit Details Confirm Delete Are you sure you want to delete the component "Label: Social Security Tips (Box 7)"?
Input: Social Security Tips (Box 7)	Input	Input for Social Security Tips (Box 7)	Edit Details Confirm Delete Are you sure you want to delete the component "Input: Social Security Tips (Box 7)"?
Label: Allocated Tips (Box 8)	Label	Tips allocated by the employer to the employee	Edit Details Confirm Delete Are you sure you want to delete the component "Label: Allocated Tips (Box 8)"?
Input: Allocated Tips (Box 8)	Input	Input for Allocated Tips (Box 8)	Edit Details Confirm Delete Are you sure you want to delete the component "Input: Allocated Tips (Box 8)"?
Label: Dependent Care Benefits (Box 10)	Label	Amount of benefits for dependent care assistance provided by the employer	Edit Details Confirm Delete Are you sure you want to delete the component "Label: Dependent Care Benefits (Box 10)"?
Input: Dependent Care Benefits (Box 10)	Input	Input for Dependent Care Benefits (Box 10)	Edit Details Confirm Delete Are you sure you want to delete the component "Input: Dependent Care Benefits (Box 10)"?
Label: Nonqualified Plans (Box 11)	Label	Deferred compensation distributions not included in taxable wages	Edit Details Confirm Delete Are you sure you want to delete the component "Label: Nonqualified Plans (Box 11)"?
Input: Nonqualified Plans (Box 11)	Input	Input for Nonqualified Plans (Box 11)	Edit Details Confirm Delete Are you sure you want to delete the component "Input: Nonqualified Plans (Box 11)"?
Label: State Wages, Tips, etc. (Box 17)	Label	Total taxable income paid to the employee in the state	Edit Details Confirm Delete Are you sure you want to delete the component "Label: State Wages, Tips, etc. (Box 17)"?
Input: State Wages, Tips, etc. (Box 17)	Input	Input for State Wages, Tips, etc. (Box 17)	Edit Details Confirm Delete Are you sure you want to delete the component "Input: State Wages, Tips, etc. (Box 17)"?
Label: Local Wages, Tips, etc. (Box 19)	Label	Total taxable income paid to the employee in the locality	Edit Details Confirm Delete Are you sure you want to delete the component "Label: Local Wages, Tips, etc. (Box 19)"?
Input: Local Wages, Tips, etc. (Box 19)	Input	Input for Local Wages, Tips, etc. (Box 19)	Edit Details Confirm Delete Are you sure you want to delete the component "Input: Local Wages, Tips, etc. (Box 19)"?