In Connecticut, the Workers' Compensation Act (WCA) provides benefits to employees who are injured or become ill as a result of their job. The act covers most types of injuries, including those that occur on the job and those that are occupational illnesses. To be eligible for benefits under the WCA, you must file a claim with the Workers' Compensation Commission (WCC). Learn more about workers' compensation in Connecticut in this overview.
| Question | Answer |
|---|---|
| Form Name | Form Ct W3 Hhe |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | ew2, CT-941X, TSC, 3 |
Department of Revenue Services
State of Connecticut
PO Box 2930
Hartford CT
(Rev. 12/11)
Form |
2011 |
Connecticut Annual Reconciliation of Withholding for
Household Employers
General Instructions
Complete this return in blue or black ink only.
Form
A household employer not registered with the Department of Revenue Services (DRS) for Connecticut income tax withholding purposes should enter the words “HOUSEHOLD EMPLOYER” in the space reserved for the Connecticut Tax Registration Number on this return.
When to File
If filing electronically, you will file a Form
If the due date falls on a Saturday, Sunday, or legal holiday, the next business day is the due date.
Employers must file every Copy 1 of federal Form
Where to File
Use the Taxpayer Service Center (TSC)
to electronically file this return. You must have a Connecticut household employer Tax Registration Number to file through the TSC. See TSC on back. If filing by paper, mail
completed return including Forms
Rounding Off to Whole Dollars
You must round off cents to the nearest whole dollar on your returns and schedules. If you do not round, DRS will disregard the cents.
Round down to the next lowest dollar all amounts that include 1 through 49 cents. Round up to the next highest dollar all amounts that include 50 through 99 cents. However, if you need to add two or more amounts to compute the amount to enter on a line, include cents and round off only the total.
Example: Add two amounts ($1.29 + $3.21) to compute the total ($4.50) to enter on a line. $4.50 is rounded to $5.00 and entered on the line.
Line Instructions
Line 1
Enter total Connecticut income tax withheld from wages during calendar year 2011. This should equal the Total line on the back of this return.
Line 2
Enter total Connecticut wages reported during calendar year 2011. Connecticut wages are all wages paid to employees who are residents of Connecticut, even if those wages are paid for work performed outside Connecticut by those resident employees, and wages paid to employees who are nonresidents of Connecticut if those wages are paid for work performed in Connecticut by those nonresident employees.
Line 3
Enter the number of
Reminders
Complete all requested information on the front and back of this return.
Do not send a payment with this return. Payments are made using Form
Sign and date the return in the space provided.
Separate here and mail return to DRS. Make a copy for your records.
Connecticut Annual Reconciliation of Withholding for Household Employers
2011
Connecticut Tax Registration Number |
Federal Employer ID Number |
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Due date |
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February 29, 2012 |
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Enter name and address below. Please print or type. |
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1. Connecticut tax withheld from wages |
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Name |
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2. Total Connecticut wages reported |
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Address |
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3. Number of |
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City |
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ZIP code |
Check if you are a household employer and you withhold Connecticut income tax from the wages of household employees.
Check if you are a household employer and you do not withhold Connecticut income tax from the wages of household employees.
Do not send payment with this return.
Mail to: |
Department of Revenue Services |
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State of Connecticut |
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PO Box 2930 |
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Hartford CT |
I declare under penalty of law that I have examined this return (including any accompanying schedules and statements) and, to the best of my knowledge and belief, it is true, complete, and correct. I understand the penalty for willfully delivering a false return or document to DRS is a fine of not more than $5,000, or imprisonment for not more than five years, or both.
Signature ______________________________________________________
Title ____________________________________ Date _________________
Electronic Reporting Information
Connecticut taxpayers can either key in or upload their Form
Electronic reporting requirements are available on the DRS website at www.ct.gov/DRS/ew2 or by calling DRS at
Taxpayer Service Center
T h e T S C a l l o w s t a x p a y e r s t o
electronically file, pay, and manage state tax responsibilities. To make electronic
transactions or administer your tax account online visit www.ct.gov/TSC and select Business.
Amending Form
Do not use Form
To amend Form
The total gross Connecticut wages on Form
Complete for Each Period
Separate here and mail return to DRS. Make a copy for your records. |
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Include Copy 1 of all wage and tax statements reporting Connecticut wages paid during the calendar year with this return.
Period |
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Connecticut Income |
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Tax Withheld From Wages |
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January 1 - |
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1st Quarter |
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March 31 |
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April 1 - |
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2nd Quarter |
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June 30 |
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July 1 - |
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3rd Quarter |
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September 30 |
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October 1 - |
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4th Quarter |
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December 31 |
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Total |
00 |
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Electronic Reporting Information
Connecticut taxpayers can either key in or upload their Form
Electronic reporting requirements are available on the DRS website at www.ct.gov/DRS/ew2 or by calling DRS at
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This should equal Line 1 on the front of this return. |
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