Welcome to the Walt Disney World Resort! - Disney Careers

Congratulations on your new role at The Walt Disney World® Resort!
Paperwork Instructions
This packet contains the paperwork that must be completed prior to employment with any subsidiary of The Walt
Disney Company. Please print this form and then complete the documents according to the instructions
below and bring them with you to your scheduled paperwork appointment.
Instructions for completing paperwork:
Note: Each time you write the date, please use the following format: Month/Day/Year
1. I-9, Employment Eligibility Verification –This form documents your eligibility to work in the United States. You
will be required to provide documents to support your eligibility.
Be prepared to present either one original, unexpired document from List A or one unexpired document
from both List B and List C. (See List of Acceptable Documents.)
Complete only Section 1. Your name must appear exactly as it appears on the A or C document from the
Lists of Acceptable Documents.
Sign your name in the box labeled “Employee’s Signature” and write the date in the box labeled “Date”.
STOP after Section 1. Do not complete the remaining information.
2. FDLE VECHS Waiver Agreement and Statement - This form authorizes the Walt Disney World Co. to submit
your fingerprints for criminal history records from the Florida Department of Law Enforcement and the FBI.
Complete the information requested on the form.
Be sure to write your full address including your City, State and Zip Code.
3. New Employee Self-Identification Form – The Walt Disney Company is an equal opportunity employer. We
collect this information for required government reporting purposes.
Make the appropriate selection in each section. Choose only one classification in each section.
Print your name, social security number, date, and date of birth.
4. The Walt Disney Company and Associated Companies Acknowledgment – This form documents your receipt
of the Standards of Business Conduct booklet. You will receive a copy of this booklet at your paperwork
appointment. If you wish, you may wait to sign this form until you receive the booklet at your appointment.
Sign and print your name, the date and your social security number at the bottom of the form.
5. Confidentiality Agreement – This form documents your agreement to keep proprietary information confidential.
Sign and print your name and the date at the bottom of the form.
6. Agreement Cast Member Ideas & Suggestions – This form outlines the company’s policy on ideas and
suggestions from employees.
Sign and print your name, the date and your social security number at the bottom of the form.
7. Walt Disney World Co. Cast Member Policies, Procedures & Terms – This form gives examples of forbidden
conduct and related terms.
Sign and print your name, the date and your social security number at the bottom of the form.
8. Acknowledgement of Policy-Computer Usage and Security – This form outlines our computer usage and
security policies for the Walt Disney World Company.
Sign and print your name, the date and your social security number at the bottom of the form.
9. Costuming Issue & Return Policy – This form states the return policy of Company Issued Costumes, Company
Nametags, and Company identification cards.
Sign and print your name, the date and your social security number at the bottom of the form.
10. W-4 Form – This form determines the amount withheld from your paycheck for income taxes.
Complete boxes 1, 2, 3 & 5. For box 1, use your permanent address.
Sign and date the form next to the triangles at the bottom.
Do not complete boxes 8, 9, or 10
What’s Next?
Attend your scheduled in-person paperwork appointment.
Be sure to bring these completed forms with you in addition to the required forms of identification.
During your appointment, you will be scheduled for your orientation class, which is your first day of work.
Welcome to the Walt Disney World Resort!
Revised: 11/23/09

Florida Department of Law Enforcement
Criminal Justice Information Services Division/User Services Bureau
VECHS WAIVER AGREEMENT AND STATEMENT
Volunteer & Employee Criminal History System (VECHS)
for Criminal History Record Checks
under the National Child Protection Act of 1993, as amended,
and Section 943.0542, Florida Statutes
Pursuant to the National Child Protection Act of 1993, as amended, and section 943.0542, Florida Statutes, this
form must be completed and signed by every current or prospective employee, volunteer, and contractor/vendor,
for whom criminal history records are requested by a qualified entity under these laws.
I hereby authorize (enter Name of Qualified Entity)_ Walt Disney World Co. and Its Affiliated Companies
to submit a set of my fingerprints and this form to the Florida Department of Law Enforcement for the purpose of
accessing and reviewing Florida and national criminal history records that may pertain to me. I understand that I
would be able to receive any national criminal history record that may pertain to me directly from the FBI, pursuant
to 28 CFR Sections 16.30-16.34, and that I could then freely disclose any such information to whomever I chose.
By signing this Waiver Agreement, it is my intent to authorize the dissemination of any national criminal history
record that may pertain to me to the Qualified Entity with which I am or am seeking to be employed or to serve as
a volunteer, pursuant to the National Child Protection Act of 1993, as amended, and Section 943.0542, Florida
Statutes.
I understand that, until the criminal history background check is completed, you may choose to deny me
unsupervised access to children, the elderly, or individuals with disabilities. I further understand that, upon
request, you will provide me a copy of the criminal history background report, if any, you receive on me and that I
am entitled to challenge the accuracy and completeness of any information contained in any such report. I may
obtain a prompt determination as to the validity of my challenge before you make a final decision about my status
as an employee, volunteer, contractor, or subcontractor.
A national criminal history background check on me has previously been requested by:
(Name and Address of Previous Qualified Entity)
(Year of Request)
I
___have OR ___have not been convicted of a crime.
If convicted, describe the crime(s) and the particulars of the conviction(s) in the space below:
___________________________________________________________________________________________
___________________________________________________________________________________________
I ___do OR ___do not authorize you to release my criminal history records, if any, to other qualified entities.
I am a current or prospective (check one): Employee X Volunteer Contractor/Vendor
Signature: __________________________________________
Date: _____________________
Printed Name: _______________________________________
Address: _______________________________________________________________________
Date of Birth: ___________________________
TO BE COMPLETED BY QUALIFIED ENTITY:
Entity Name: Walt Disney Co. and Its Affiliated Companies
Address: 1375 Buena Vista Drive, Lake Buena Vista, FL 38320-1000
Telephone: (407)828-3046 Fax: (407)934-7019
FDLE Assigned Qualified Entity Number: F48030018 & V48030018
ORIGINAL - MUST BE RETAINED BY QUALIFIED ENTITY
COPY - SEND TO FDLE WITH FINGERPRINT CARD
NCPA-3-E (revised 01-2001).doc

NEW EMPLOYEE SELF-IDENTIFICATION FORM
It is the policy of the Company to provide equal opportunity for all employees and applicants for employment without
regard to race, religion, color, sex, sexual orientation, gender identity, national origin, age, marital status, covered veteran
status, mental or physical disability, pregnancy, or any other basis prohibited by state or federal law.
To help the Company comply with federal/state equal employment opportunity record keeping, reporting and other legal
requirements, please fill out the following information:
GENDER: Male
Female
ETHNICITY (Select only one category that most closely represents your ethnic group):
Are you Hispanic or Latino?
NO (Not Hispanic or Latino)
YES
RACE (Select the category that most closely represents your ethnic group):
NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (Not Hispanic or Latino)
ASIAN (Not Hispanic or Latino)
BLACK OR AFRICAN AMERICAN (Not Hispanic or Latino)
AMERICAN INDIAN OR ALASKAN NATIVE (Not Hispanic or Latino)
WHITE (Not Hispanic or Latino)
TWO OR MORE RACES (Not Hispanic or Latino)
DO NOT WISH TO DISCLOSE
NAME (Please Print or Type)
DATE
SOCIAL SECURITY NUMBER
DATE OF BIRTH

Important Document – Please Read
The Walt Disney Company and Affiliated Companies
Acknowledgement
I acknowledge that the “Standards of Business Conduct” booklet sets forth the policies of
the Walt Disney Company and Affiliated Companies. The “Standards of Business
Conduct” apply to my employment and legal standards that must be observed to protect
the Company and myself. I have received a copy of the “Standards of Business Conduct
booklet.
Signature
Date
Name (Print)
Social Security Number

THE WALT DISNEY COMPANY AND ASSOCIATED COMPANIES
CONFIDENTIALITY AGREEMENT
In consideration for my employment and for the compensation to be paid to me by The Walt Disney Company or a
division, subsidiary, or affiliate thereof, or any successor of the foregoing (hereinafter termed the “Company”), and in
addition to any other obligation, at all times during the term of my employment and thereafter, I do hereby agree:
1. To hold in strictest confidence, and not disclose to any person, firm, or corporation without express authorization
of a corporate officer of the Company, any confidential information or trade secret relating to the products, sales,
or business of the Company and not to use any such confidential information or trade secret for my own benefit
during the term of my employment or thereafter.
2. To fully and promptly disclose to the Company and to hold in trust for the sole right and benefit of the Company,
any and all intellectual property, discoveries, or trade secrets which I may solely or jointly conceive, design,
develop, create or suggest or cause to be conceived, designed, developed or created during the period of time I
am in the employ of the Company, which relate to or are connected with my employment or the business of the
Company, whether or not conceived or created during my regular working hours. For purposes of this
agreement, the term intellectual property shall include, without limitation, any ideas, concepts, literary material,
designs, drawings, illustrations and photographs.
3. That right, title, and interest in and to the intellectual property, discoveries and trade secrets referred to in
Paragraph 2 above, shall be the sole and absolute property of the Company, subject to the limitations set forth in
Paragraph 4 below.
4. That I will assign to the Company all my right, title, and interest in and to the intellectual property, discoveries
and trade secrets referred to in Paragraph 2 above; provided, however, that no provision in this agreement is
intended to require assignment of any of my rights in any intellectual property or discovery if (i) no equipment,
supplies, facilities, trade secret or confidential information of the Company was used; and 9ii) such discovery or
intellectual property does not related to any business of the Company or the Company’s actual or demonstrably
anticipated research or development or does not result from any work performed by me for the Company.
5. I will execute any documents necessary to evidence the Company’s proprietary interest in any discovery,
intellectual property or trade secret referred to in Paragraph 2 above. In the event the Company is unable, for
any reason whatsoever, to secure my signature to any lawful and necessary document required to apply for
protection of, or enforce any action with respect to, copyright, trademark or other proprietary rights, I hereby
irrevocably designate and appoint the Company, and its duly authorized officers and agents, as my agent and
attorney-in-fact whose power is coupled with an interest, to act for and in my behalf and stead, to execute such
documents and to do all other lawfully permitted acts to protect the Company’s interest in any copyright,
trademark or other proprietary right with the same legal force and effect as if executed by me.
6. That at the time of leaving the employ of the Company, I will deliver to the Company, and will not keep in my
possession nor deliver to anyone else, any and all drawings, notes, notebooks, memoranda, treatments, scripts,
documents or any other material connected with my employment by the Company or with the business of the
Company.
7. In case of interruption of my employment with the Company, by lay-off or otherwise, this agreement, upon reemployment,
will be in full force and effect unless specifically superseded by a new agreement.
8. This agreement shall not embrace or include any copyrights or trademarks or other proprietary rights owned or
controlled wither jointly or separately by me prior to the time of my employment by the Company. I am listing
on a separate attached sheet each copyrights, trademark or other proprietary right which I claim to be exempt
from this agreement.
9. This agreement supersedes any prior agreement with the Company relating to the subject matter set forth herein.
I HAVE READ AND UNDERSTAND THE POLICY LISTED ABOVE. I ACKNOWLEDGE THAT I HAVE
RECEIVED A COPY OF THIS POLICY AND AGREE TO ABIDE BY IT.
___________________________________________________
Signature
___________________________________________________
Name (Print)
_____________________________
Date
______________________________
Social Security Number

AGREEMENT
CAST MEMBER IDEAS AND SUGGESTIONS
The Disney tradition and culture is rooted in a legacy of excellence - excellence in exceeding our
guests’ needs and expectations, excellence in fostering a fun and enriching working environment
and excellence in creating value for our shareholders.
Each member of the WALT DISNEY WORLD® Resort cast plays an important role in this
commitment to excellence. Each cast member helps to make the dreams come true and create the
magical memories our guests will cherish forever. To continue our success, each of us, as part of
our day-to-day responsibilities as cast members, can help WALT DISNEY WORLD Resort
maintain its position as the premier vacation destination in the world by paying attention to the
details and searching for new ways to improve guest satisfaction and our working environment,
not for financial reward, but as part of a team which is committed to improvement.
I understand that this Agreement allows me to have the opportunity to share my thoughts on ways
to improve the experience of WALT DISNEY WORLD Resort guests, increase operational
efficiencies or otherwise enhance the WALT DISNEY WORLD Resort. I further understand that
this is a limited exception to The Walt Disney Company’s policy regarding the submission of
unsolicited ideas and in consideration of this I agree that the following terms and conditions shall
govern with respect to any ideas or suggestions I submit or otherwise communicate to The Walt
Disney Company or any of its related, subsidiary or affiliated companies (each, a “Disney
Company”) at any time during my employment by a Disney Company, whether or not such ideas
or suggestions are related to matters that are included within my regular job responsibilities:
I agree that all ideas or suggestions I submit or otherwise communicate shall immediately become
the sole property of The Walt Disney Company, and I hereby assign all rights (including, without
limitation, copyright and patent) that I might have or acquire therein to The Walt Disney
Company. I understand and agree that no payment or other compensation shall be payable by any
Disney Company in connection with any ideas or suggestions I submit or otherwise
communicate, whether or not the ideas or suggestions are implemented, and that any idea or
suggestion I submit or otherwise communicate may be used in any manner (or not used at all) and
for any purpose by any Disney Company. I shall only submit or otherwise communicate ideas or
suggestions that have been created and developed solely by me and I agree that no other party
holds any rights with respect to these ideas and suggestions. I further acknowledge and agree that
I shall continue to be bound by the terms of my confidentiality agreement with The Walt Disney
Company and that, for purposes of that confidentiality agreement, the ideas or suggestions I
submit or otherwise communicate relate to the business of a Disney Company and/or result from
work performed by me for a Disney Company. I agree that no variation, modification, waiver,
change or amendment of this Agreement shall be binding upon any Disney Company unless such
variation, modification, change or amendment is in writing and duly authorized and executed by a
corporate officer of The Walt Disney Company.
Signature
Date
Name (Print)
Social Security Number

WALT DISNEY WORLD CO. AND AFFILIATED COMPANIES
CAST MEMBER POLICIES, PROCEDURES AND TERMS
The following are examples of expressly forbidden conduct that you cannot do, even one time, and which may
lead to disciplinary action, not excluding termination:
• Our Guests may not always be right, but they will always be our Guests. You may never insult, argue
with, be discourteous to, or use profane language in the presence of our Guests.
• Fighting at the WALT DISNEY WORLD® Resort, regardless of who started it, may result in termination
of the parties involved.
• Falsification of any documents or records, such as medical forms, payroll records, or employment applications,
may lead to dismissal.
• Personally using, being in possession of, or being under the influence of any controlled substance,
intoxicants, drugs, or hallucinatory agents on Company property, or reporting to work under such
conditions, may result in dismissal.
• Walt Disney World Co. and affiliated companies, as responsible vendors of alcoholic beverages, wish
to advise all Cast Members that Florida law prohibits the purchase, possession, and consumption of
alcoholic beverages by persons under the age of 21 years, as outlined in the form titled “Mandatory
Requirements for Sale and Service of Alcoholic Beverages by Employees.” Further, it is unlawful for
a person of legal drinking age to purchase or provide alcoholic beverages to a person under the age of
21 years. Therefore, any Cast Member who violates this law on our property at any time commits a
serious breach of Company policy and will be subject to termination.
• Conviction of, plea of no contest, plea of guilty, or acceptance of any pre-trial diversion in lieu of charge
of, any morals charge, felony, or misdemeanor other than minor traffic offenses, may result in termination.
• Violations of operating rules and procedures that could result in bodily injury to Guests or Cast Members,
or damage to Company property, may result in termination.
• Gambling or sleeping while on duty are not allowed.
• Only tipped employees may accept tips, but they may not solicit tips or gratuities in any way.
• Willful insubordination may result in dismissal.
• Dishonesty or misconduct that is detrimental to the Company, or a Cast Member’s conduct outside of
work while on Company property that proves to be a serious infraction, may result in termination.
• Continued violation of the WALT DISNEY WORLD Appearance Policy may result in dismissal.
• Excessive tardiness or absenteeism, three days of unreported absence, or failure to return to work from
a leave or vacation may result in termination.
• Violation of the Company’s Substance Abuse Policy may result in dismissal.
• Theft of any food, beverage, merchandise (including items earmarked for disposal), services, or
property belonging to Walt Disney World Co., its affiliated and related companies, a guest, or fellow employee,
may result in termination.
Please remember that whether you are at work, on your way to or from work, or at the WALT DISNEY WORLD
Resort as a Guest, you are still a Cast Member and should conduct yourself accordingly. Any violation of
Company policy on or off property at any time may result in disciplinary action, not excluding termination.
I have read and understand the above policies and have received a copy of this document.
Signature:
Name (Print):
Date:
Social Security Number:

ACKNOWLEDGMENT OF POLICY
COMPUTER USAGE AND SECURITY
It is the policy of the Company that its computer systems be used appropriately and in a secure environment.
CONFIDENTIAL INFORMATION AND SECURITY
(Employee Policy Manual P. 13-14)
A. Any access to any proprietary or confidential Company information by anyone without a need to know is
prohibited.
B. Any disclosure of any proprietary or confidential information, including employee, customer, or vendor
information, to anyone without a need to know is prohibited.
C. All employees are required to ensure that the Company’s assets are protected against improper use,
disclosure, theft, compromise or destruction. Employees must:
• Follow all Security Policies and Standards issued by the Information Technology Department.
• Not subvert or disable password, virus detection, or other security protections.
• Not disclose or share passwords or other security features.
• Not attempt unauthorized access to any Company computer system, device, site or asset.
• Not attempt to access any Company computer system, device, network, site or other asset from any
unauthorized device, location, or software.
• Report incidents of any attempted information security breach or security lapse to management.
• Participate in periodic security awareness training.
D. The use of computer passwords does not constitute any promise of confidentiality to any employee
regarding any communications or material created, accessed or stored through the use of such passwords.
E. Management, in its sole discretion and without further notice, may periodically access, monitor, review,
disclose, and control any aspect of access to or use of Company computer resources (e.g., equipment,
software, systems, networks, data, documentation, or files, including individual employee computer files,
electronic mail, or Internet usage).
F. Employees whose employment with the Company has terminated or whose duties no longer require use of
Company computer systems or access to Company data must return to their supervisor all Company
property and equipment used in connection with Company computer systems. Such items include, without
limitation, keys, access badges and computer equipment.
I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE ABOVE POLICY.
Signature
Date
Name (Print)
Social Security Number

COSTUMING
Costuming Issue and Return Policy
Cast Member Understanding and Authorization for Payroll Deduction
The costumes issued to you by the Company will remain the property of Walt Disney World Co. It is your
obligation to return the costumes issued to you by the specified due date if it is on a short term basis (special
issue), or upon termination of your employment. You will be financially responsible through payroll
deduction for any costumes that are not returned to Walt Disney World Co. as requested or are damaged in
excess of normal wear and tear. Costumes may be returned to any WDW Costuming location.
Specifically, if at any time you exceed the number of costumes you are allotted or you are issued a costume
on a short term basis (i.e., a special issue costume and/or accessory causing you to exceed your authorized
costume allotment,) it is your responsibility to return it by the specified due date, which is one (1) week from
the issue date. IMPORTANT: If a costume or accessory is not returned by the required due date, you
will be subject to payroll deduction(s) for the amount of the costume and/or accessory. Your pay will
be automatically deducted up to twenty-five dollars ($25.00) per week until the cost of the item is
recovered.
Cast Members replacing lost name tags will also be subject to an automatic payroll deduction for the
replacement cost of the name tag.
Upon termination from the Company, it is your responsibility to return all costume items issued to you. If you
fail to do so you will be subject to payroll deduction from your final paycheck. Your pay will be deducted for
the total dollar value of all costume items issued to you.
In addition, the costumes issued to you are not to be given, sold, loaned, leased, rented or transferred to any
other person. Furthermore, failure to return the costumes issued to you may be considered theft of Company
property and may result in disciplinary action, up to and including termination. Additionally, your use of the
costumes issued to you is governed by the policies set forth by the Walt Disney World Co. relating to the use
of your costumes off property.
I certify that I have read, understand and acknowledge this document.
I understand and authorize that when I do not return any costumes or accessories
by the designated Company due date, I will be subject to an automatic payroll
deduction up to twenty-five ($25.00) dollars per week until the total cost of the
item(s) is recovered. I also understand that if I terminate from the Company and
do not return any costume items issued to me, a deduction will be made from my
final paycheck for the total dollar value of these costume items.
Employee Signature
Date
Name (Print)
Social Security Number
Rev. 4-17-09

Form W-4 (2010)
Deductions and Adjustments Worksheet
Note. Use this worksheet only if you plan to itemize deductions or claim certain credits or adjustments to income.
Page 2
1 Enter an estimate of your 2010 itemized deductions. These include qualifying home mortgage interest,
charitable contributions, state and local taxes, medical expenses in excess of 7.5% of your income, and
miscellaneous deductions
1 $
2 Enter:
$11,400 if married filing jointly or qualifying widow(er)
$8,400 if head of household
$5,700 if single or married filing separately
2 $
3 Subtract line 2 from line 1. If zero or less, enter “-0-” 3 $
4 Enter an estimate of your 2010 adjustments to income and any additional standard deduction. (Pub. 919)
4 $
5 Add lines 3 and 4 and enter the total. (Include any amount for credits from Worksheet 6 in Pub. 919.) 5 $
6 Enter an estimate of your 2010 nonwage income (such as dividends or interest)
6 $
7 Subtract line 6 from line 5. If zero or less, enter “-0-”
7 $
8 Divide the amount on line 7 by $3,650 and enter the result here. Drop any fraction
8
9 Enter the number from the Personal Allowances Worksheet, line H, page 1
9
10 Add lines 8 and 9 and enter the total here. If you plan to use the Two-Earners/Multiple Jobs Worksheet,
also enter this total on line 1 below. Otherwise, stop here and enter this total on Form W-4, line 5, page 1 10
Two-Earners/Multiple Jobs Worksheet (See Two earners or multiple jobs on page 1.)
Note. Use this worksheet only if the instructions under line H on page 1 direct you here.
1 Enter the number from line H, page 1 (or from line 10 above if you used the Deductions and Adjustments Worksheet) 1
2 Find the number in Table 1 below that applies to the LOWEST paying job and enter it here. However, if
you are married filing jointly and wages from the highest paying job are $65,000 or less, do not enter more
than “3.” 2
3 If line 1 is more than or equal to line 2, subtract line 2 from line 1. Enter the result here (if zero, enter
“-0-”) and on Form W-4, line 5, page 1. Do not use the rest of this worksheet 3
Note. If line 1 is less than line 2, enter “-0-” on Form W-4, line 5, page 1. Complete lines 4–9 below to figure the additional
withholding amount necessary to avoid a year-end tax bill.
4 Enter the number from line 2 of this worksheet
4
5 Enter the number from line 1 of this worksheet
5
6 Subtract line 5 from line 4
6
7 Find the amount in Table 2 below that applies to the HIGHEST paying job and enter it here
7 $
8 Multiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed 8 $
9 Divide line 8 by the number of pay periods remaining in 2010. For example, divide by 26 if you are paid
every two weeks and you complete this form in December 2009. Enter the result here and on Form W-4,
line 6, page 1. This is the additional amount to be withheld from each paycheck
9 $
Table 1
Table 2
Married Filing Jointly
All Others
Married Filing Jointly
All Others
If wages from LOWEST
paying job are—
$0 - $7,000 -
7,001 - 10,000 -
10,001 - 16,000 -
16,001 - 22,000 -
22,001 - 27,000 -
27,001 - 35,000 -
35,001 - 44,000 -
44,001 - 50,000 -
50,001 - 55,000 -
55,001 - 65,000 -
65,001 - 72,000 -
72,001 - 85,000 -
85,001 -105,000 -
105,001 -115,000 -
115,001 -130,000 -
130,001 - and over
Enter on
line 2 above
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
If wages from LOWEST
paying job are—
$0 - $6,000 -
6,001 - 12,000 -
12,001 - 19,000 -
19,001 - 26,000 -
26,001 - 35,000 -
35,001 - 50,000 -
50,001 - 65,000 -
65,001 - 80,000 -
80,001 - 90,000 -
90,001 -120,000 -
120,001 and over
Enter on
line 2 above
Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this
form to carry out the Internal Revenue laws of the United States. Internal Revenue Code
sections 3402(f)(2) and 6109 and their regulations require you to provide this
information; your employer uses it to determine your federal income tax withholding.
Failure to provide a properly completed form will result in your being treated as a single
person who claims no withholding allowances; providing fraudulent information may
subject you to penalties. Routine uses of this information include giving it to the
Department of Justice for civil and criminal litigation, to cities, states, the District of
Columbia, and U.S. commonwealths and possessions for use in administering their tax
laws, and using it in the National Directory of New Hires. We may also disclose this
information to other countries under a tax treaty, to federal and state agencies to
enforce federal nontax criminal laws, or to federal law enforcement and intelligence
agencies to combat terrorism.
0
1
2
3
4
5
6
7
8
9
10
If wages from HIGHEST
paying job are—
$0 - $65,000
65,001 - 120,000
120,001 - 185,000
185,001 - 330,000
330,001 and over
Enter on
line 7 above
$550
910
1,020
1,200
1,280
If wages from HIGHEST
paying job are—
$0 - $35,000
35,001 - 90,000
90,001 - 165,000
165,001 - 370,000
370,001 and over
Enter on
line 7 above
$550
910
1,020
1,200
1,280
You are not required to provide the information requested on a form that is
subject to the Paperwork Reduction Act unless the form displays a valid OMB
control number. Books or records relating to a form or its instructions must be
retained as long as their contents may become material in the administration of
any Internal Revenue law. Generally, tax returns and return information are
confidential, as required by Code section 6103.
The average time and expenses required to complete and file this form will vary
depending on individual circumstances. For estimated averages, see the
instructions for your income tax return.
If you have suggestions for making this form simpler, we would be happy to hear
from you. See the instructions for your income tax return.