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Instructions for Form CT-1 X (Rev. April 2025) — Adjusted Employer's Annual Railroad Retirement Tax Return

Summary

Instructions for Form CT-1 X, Adjusted Employer's Annual Railroad Retirement Tax Return or Claim for Refund (Rev. April 2025), from the Department of the Treasury, Internal Revenue Service, dated Mar 17, 2025. The What's New section states that the period of limitations for correcting qualified compensation paid in 2020 for the employee retention credit generally expired for most employers on February 29, 2024, and for 2021 compensation on February 28, 2025, so that certain lines are now reserved for future use. It states that the COVID-19 related credit for qualified sick and family leave compensation is limited to leave taken after March 31, 2020, and before October 1, 2021, and that overreported taxes may generally be corrected within 3 years of filing or 2 years of payment, whichever is later.

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“Instructions for Form CT-1 X (Rev. April 2025) — Adjusted Employer's Annual Railroad Retirement Tax Return.” Original at www.irs.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/internal-revenue-service-form-ct-1x-instructions-march-2023-revisions-9242b4eb73/, SHA-256 5f342e032269cec71474ac39fe38303b1199115ab5b9aa72f35e04c3bc68c87c.

Full text

Instructions for Form CT-1 X
(Rev. April 2025)
Adjusted Employer's Annual Railroad Retirement Tax Return or Claim for Refund
Section references are to the Internal Revenue Code              employee retention credit and qualified health plan
unless otherwise noted.                                          expenses allocable to that compensation on a Form CT-1
                                                                 filed for 2020 and 2021. The period of limitations for
Future Developments                                              making corrections to qualified compensation paid in 2020
For the latest information about developments related to         for the employee retention credit and qualified health plan
Form CT-1 X and its instructions, such as legislation            expenses allocable to that compensation generally
enacted after they were published, go to IRS.gov/CT1X.           expired for most employers on February 29, 2024. The
                                                                 period of limitations for making corrections to qualified
        Before you proceed with these instructions and
                                                                 compensation paid in 2021 for the employee retention
 TIP completing Form CT-1 X, you'll need a copy of the           credit and qualified health plan expenses allocable to that
         Instructions for Form CT-1 because these
                                                                 compensation generally expired for most employers on
instructions don't repeat all of the information included in
                                                                 February 28, 2025. Lines 39 and 40 were used only if your
the Instructions for Form CT-1. For example, these
                                                                 business was a recovery startup business in the third or
instructions don't discuss who is eligible to claim the credit
                                                                 fourth quarter of 2021. These instructions no longer
for qualified sick and family leave compensation or the
                                                                 discuss these lines. If you think that the period of
COBRA premium assistance credit. The current
                                                                 limitations is still open for correcting your 2020 or 2021
Instructions for Form CT-1 are available at IRS.gov/CT1. If
                                                                 Form CT-1, you can still file the March 2024 revision of
you need a prior revision of the Instructions for Form CT-1,
                                                                 Form CT-1 X to use lines 20a, 25a, 31, 32, 39, and 40.
select the link for "All Form CT-1 revisions" under "Other
items you may find useful."                                      Reminders
What’s New                                                               If a line on Form CT-1 X doesn’t apply to you,
                                                                   !     leave it blank. If you’re correcting a year before
Period of limitations to make certain corrections ex-            CAUTION 2021, you must leave blank lines 20b, 20c, 20d,

pired; Form CT-1 X, lines 20a, 22, 23, 25a, 31, 32, 39,          25b, 25c, 33, 34, 35, 36, 37, and 38.
and 40 are now reserved for future use. Lines 20a, 22,
23, 25a, 31, 32, 39, and 40 are now reserved for future          The COVID-19 related credit for qualified sick and
use because the period of limitations for correcting these       family leave compensation is limited to leave taken
lines has generally expired for most employers. Generally,       after March 31, 2020, and before October 1, 2021,
you may correct overreported taxes on a previously filed         and can no longer be claimed on Form CT-1.
Form CT-1 if you file Form CT-1 X within 3 years of the          Generally, the credit for qualified sick and family leave
date Form CT-1 was filed or 2 years from the date you            compensation, as enacted under the Families First
paid the tax reported on Form CT-1, whichever is later.          Coronavirus Response Act (FFCRA) and amended and
You may correct underreported taxes on a previously filed        extended by the COVID-related Tax Relief Act of 2020, for
Form CT-1 if you file Form CT-1 X within 3 years of the          leave taken after March 31, 2020, and before April 1,
date the Form CT-1 was filed. We call each of these time         2021, and the credit for qualified sick and family leave
frames a period of limitations. For purposes of the period       compensation under sections 3131, 3132, and 3133 of
of limitations, Form CT-1 for a calendar year is considered      the Internal Revenue Code, as enacted under the
filed on the last day of February of the succeeding year if      American Rescue Plan Act of 2021 (the ARP), for leave
filed before that date. For an example of the period of          taken after March 31, 2021, and before October 1, 2021,
limitations, see Is There a Deadline for Filing Form CT-1 X,     have expired. However, employers that pay qualified sick
later. Before using any line on Form CT-1 X, you must            and family leave compensation in a later year for leave
consider if the period of limitations, as described above, is    taken after March 31, 2020, and before October 1, 2021,
still open for the year that you’re correcting.                  are eligible to claim a credit for qualified sick and family
    Lines 22 and 23 were previously used to correct the          leave compensation paid in that year. Effective for tax
deferred amount of the Tier 1 Employer and Tier 1                periods beginning after December 31, 2023, the lines
Employee tax for 2020. The period of limitations for             used to claim the credit for qualified sick and family leave
making corrections to the deferred amount of the Tier 1          compensation were removed from Form CT-1 because it
Employer and Tier 1 Employee tax generally expired for           would be extremely rare for an employer to pay
most employers on February 29, 2024. These instructions          compensation after December 31, 2023, for qualified sick
no longer discuss these deferrals. If you think that the         and family leave taken after March 31, 2020, and before
period of limitations is still open for correcting your 2020     October 1, 2021. Instead, if you're eligible to claim the
Form CT-1, you can still file the March 2024 revision of         credit for qualified sick and family leave compensation
Form CT-1 X to use lines 22 and 23.                              because you paid the compensation after December 31,
                                                                 2023, for an earlier applicable leave period, file Form CT-1
    Lines 20a, 25a, 31, 32, 39, and 40 were used only            X to claim the credit for qualified sick and family leave
when correcting qualified compensation paid for the              compensation for the year that you paid the compensation
                               Instructions for Form CT-1 X (Rev. 4-2025) Catalog Number 20339E
Mar 17, 2025                   Department of the Treasury Internal Revenue Service www.irs.gov
after you file Form CT-1. Filing a Form CT-1 X before filing     credit using Worksheet 1. You'll also use this worksheet to
a Form CT-1 for the year may result in errors or delays in       figure this credit if you’re claiming it for the first time on
processing your Form CT-1 X.                                     Form CT-1 X. If you claimed the credit for qualified sick
    You will also continue to use Form CT-1 X to make            and family leave compensation for leave taken after March
corrections to the credit for qualified sick and family leave    31, 2021, and before October 1, 2021, and you make any
compensation for earlier years if the period of limitations is   corrections on Form CT-1 X to amounts used to figure this
still open. Corrections to amounts reported on Form CT-1,        credit, you'll need to refigure the amount of this credit
lines 16, 23, 30, 31, 32, and 33, for the credit for qualified   using Worksheet 2. You'll also use this worksheet to figure
sick and family leave compensation for leave taken after         this credit if you’re claiming it for the first time on Form
March 31, 2020, and before April 1, 2021, are reported on        CT-1 X. If you claimed the COBRA premium assistance
Form CT-1 X, lines 19, 24, 27, 28, 29, and 30,                   credit and you make any corrections on Form CT-1 X to
respectively. Corrections to amounts reported on Form            amounts used to figure this credit, you'll need to refigure
CT-1, lines 17b, 24b, 36, 37, 38, 39, 40, and 41, for the        the amount of this credit using Worksheet 3. You'll also
credit for qualified sick and family leave compensation for      use this worksheet to figure this credit if you’re claiming it
leave taken after March 31, 2021, and before October 1,          for the first time on Form CT-1 X.
2021, are reported on Form CT-1 X, lines 20b, 25b, 33,
34, 35, 36, 37, and 38, respectively.                            Employee consents to support a claim for refund.
                                                                 Rev. Proc. 2017-28, 2017-14 I.R.B. 1061, available at
Credit for COBRA premium assistance payments is                  IRS.gov/irb/2017-14_IRB#RP-2017-28, provides
limited to periods of coverage beginning on or after             guidance to employers on the requirements for employee
April 1, 2021, through periods of coverage beginning             consents used by an employer to support a claim for
on or before September 30, 2021. Section 9501 of the             refund of overcollected Railroad Retirement Tax Act
ARP provides for COBRA premium assistance in the form            (RRTA) taxes. The revenue procedure clarifies the basic
of a full reduction in the premium otherwise payable by          requirements for both a request for employee consent and
certain individuals and their families who elect COBRA           for the employee consent, and permits a consent to be
continuation coverage due to a loss of coverage as the           requested, furnished, and retained in an electronic format
result of a reduction in hours or an involuntary termination     as an alternative to paper format. The revenue procedure
of employment (assistance eligible individuals). This            also contains guidance concerning when an employer
COBRA premium assistance was available for periods of            may claim a refund of only the employer share of
coverage beginning on or after April 1, 2021, through            overcollected RRTA taxes. The revenue procedure
periods of coverage beginning on or before September             requires that any request for consent include an Additional
30, 2021. A premium payee was entitled to the COBRA              Medicare Tax notice indicating that any claim on the
premium assistance credit at the time an eligible individual     employee’s behalf won’t include a claim for overpaid Tier 1
elects coverage. Therefore, other than in rare                   Employee Additional Medicare Tax.
circumstances, due to the COBRA notice and election
period requirements (generally, employers have 60 days           Correcting Tier 1 Employee Additional Medicare Tax
to provide notice and assistance eligible individuals have       withholding and compensation subject to Tier 1 Em-
60 days to elect coverage), January 2022 was generally           ployee Additional Medicare Tax withholding.
the end of the period in which an assistance eligible            Compensation (including tips) and sick pay subject to Tier
individual would have elected coverage. Under some rare          1 Employee Additional Medicare Tax withholding are
circumstances, it may be possible for a premium payee to         reported on Form CT-1, lines 6 and 12. Certain errors
become entitled to the COBRA premium assistance credit           discovered on a previously filed Form CT-1 are corrected
after January 2022. In these rare instances, the credit was      on Form CT-1 X, lines 11 and 17. However, you can’t file
still claimed on Form CT-1 filed for 2022 and an                 Form CT-1 X to correct Tier 1 Employee Additional
adjustment, if needed, can be made on Form CT-1 X for            Medicare Tax actually withheld from an employee in a
2022. Employers eligible to claim the COBRA premium              prior year. See the instructions for lines 11 and 17, later,
assistance credit after 2022 must file Form CT-1 X to            for more information on the types of errors that can be
claim the credit.                                                corrected and how the correction is reported on Form
                                                                 CT-1 X. For more information about Tier 1 Employee
    For more information on COBRA premium assistance             Additional Medicare Tax withholding, see the Instructions
payments and the credit, see Notice 2021-31, 2021-23             for Form CT-1 or go to IRS.gov/ADMTfaqs.
I.R.B. 1173, available at IRS.gov/irb/
2021-23_IRB#NOT-2021-31; and Notice 2021-46,
2021-33 I.R.B. 303, available at IRS.gov/irb/                    General Instructions:
2021-33_IRB#NOT-2021-46.                                         Understanding Form CT-1 X
    Corrections to amounts reported on Form CT-1, lines
17c, 17d, and 24c, for the COBRA premium assistance              What Is the Purpose of Form CT-1 X?
credit are reported on Form CT-1 X, lines 20c, 20d, and
25c, respectively.                                               Use Form CT-1 X to correct errors on a previously filed
                                                                 Form CT-1. Use Form CT-1 X to correct:
         If you claimed the credit for qualified sick and        • Tier 1 Employee tax, Tier 1 Employee Medicare tax,
    !    family leave compensation for leave taken after         Tier 1 Employee Additional Medicare Tax, and Tier 2
 CAUTION March 31, 2020, and before April 1, 2021, and you
                                                                 Employee tax;
make any corrections on Form CT-1 X to amounts used to
figure this credit, you'll need to refigure the amount of this

2                                                                                  Instructions for Form CT-1 X (Rev. 4-2025)
• Tier 1 Employer tax, Tier 1 Employer Medicare tax, and       underreported tax amounts only and a second Form CT-1
Tier 2 Employer tax;                                           X correcting the overreported tax amounts.
• Amounts reported on Form CT-1 for the credit for                 You’ll use the adjustment process if you underreported
qualified sick and family leave compensation for leave         RRTA taxes and are making a payment, or if you
taken after March 31, 2020, and before April 1, 2021,          overreported RRTA taxes and will be applying the credit to
including adjustments to Form CT-1, lines 16, 23, 30, 31,      Form CT-1 for the period during which you file Form CT-1
32, and 33;                                                    X. However, see the Caution under Is There a Deadline for
• Amounts reported on Form CT-1 for the credit for             Filing Form CT-1 X, later, if you’re correcting overreported
qualified sick and family leave compensation for leave         tax amounts during the last 90 days of a period of
taken after March 31, 2021, and before October 1, 2021,        limitations. You’ll use the claim process if you overreported
including adjustments to Form CT-1, lines 17b, 24b, 36,        RRTA taxes and are requesting a refund or abatement of
37, 38, 39, 40, and 41; and                                    the overreported tax amount. Follow the chart on page 6
• Amounts reported on Form CT-1 for the COBRA                  of Form CT-1 X for help in choosing whether to use the
premium assistance credit, for periods of coverage             adjustment process or the claim process. Be sure to
beginning on or after April 1, 2021, through periods of        provide a detailed explanation on line 43 for each
coverage beginning on or before September 30, 2021,            correction that you show on Form CT-1 X.
including adjustments to Form CT-1, lines 17c, 17d, and
24c.                                                             Continue to report current year adjustments on Form
                                                               CT-1, line 14.
   Use Form 843, Claim for Refund and Request for
Abatement, to request a refund or abatement of assessed            You have additional requirements to complete when
interest or penalties. Don’t request a refund or abatement     filing Form CT-1 X, such as certifying that you filed (or will
of assessed interest or penalties on Form CT-1 or Form         file) all applicable Forms W-2, Wage and Tax Statement,
CT-1 X.                                                        and Forms W-2c, Corrected Wage and Tax Statement,
                                                               with the Social Security Administration (SSA). For
        We use the terms “correct” and “corrections” on        corrections of overreported Tier 1 and Tier 2 taxes, you
 TIP Form CT-1 X and in these instructions to include          must make any certifications that apply to your situation.
         interest-free adjustments under sections 6205 and
6413 and claims for refund and abatement under sections          Be sure to give us a detailed explanation on line 43 for
6402, 6414, and 6404. See Rev. Rul. 2009-39 for                each correction you show on Form CT-1 X.
examples of how the interest-free adjustment and claim                 Don’t use Form CT-1 X to correct Form 941,
for refund rules apply in 10 different situations. You can             941-SS, 943, 944, or 945. Instead, use the "X"
find Rev. Rul. 2009-39, 2009-52 I.R.B. 951 at IRS.gov/irb/
                                                                 !
                                                               CAUTION form that corresponds to those forms (Form
2009-52_IRB#RR-2009-39.                                        941-X, 943-X, 944-X, or 945-X).
   When you discover an error on a previously filed Form
CT-1, you must:
                                                               Where Can You Get Help?
• Correct that error using Form CT-1 X;                        For help filing Form CT-1 X or for questions about RRTA
• File a separate Form CT-1 X for each Form CT-1 that          taxes and tax corrections, you can:
you’re correcting; and                                         • Go to IRS.gov/EmploymentTaxes and IRS.gov/
• Generally, file Form CT-1 X separately. Don’t file Form      CorrectingEmploymentTaxes;
CT-1 X with Form CT-1. However, see the instructions for       • See Pub. 15, Employer's Tax Guide; or
line 42, later, for an exception.                              • Call the IRS Business and Specialty Tax Line toll free at
   If you didn’t file a Form CT-1 for 1 or more years, don’t   800-829-4933 or 800-829-4059 (TDD/TTY for persons
use Form CT-1 X. Instead, file Form CT-1 for each of           who are deaf, hard of hearing, or have a speech
those years. Also, see When Should You File Form CT-1          disability), Monday–Friday from 7:00 a.m. to 7:00 p.m.
X, later. However, if you didn’t file Forms CT-1 because       local time (Alaska and Hawaii follow Pacific time).
you improperly treated workers as independent                    See also How Can You Get Forms, Instructions, and
contractors or nonemployees and are now reclassifying          Publications From the IRS, later.
them as employees, see the instructions for line 42, later.
                                                               When Should You File Form CT-1 X?
        Unless otherwise specified in these instructions,
  TIP an underreported employment tax credit should            File Form CT-1 X when you discover an error on a
        be treated like an overreported tax amount. An         previously filed Form CT-1.
overreported employment tax credit should be treated like
                                                                   However, if your only errors on Form CT-1 relate to
an underreported tax amount. For more information,
                                                               RRTA tax liabilities reported in Part II of Form CT-1 or on
including which process to select on lines 1 and 2, see
                                                               Form 945-A, Annual Record of Federal Tax Liability, don’t
Correcting an employment tax credit, later.
                                                               file Form CT-1 X. To correct federal tax liabilities reported
                                                               in Part II of Form CT-1, file Form 945-A, but only enter the
   Report the correction of underreported and
                                                               monthly totals. The daily entries aren’t required. For more
overreported tax amounts for the same tax period on a
                                                               information about correcting RRTA tax liabilities reported
single Form CT-1 X, unless you’re requesting a refund or
                                                               on Form 945-A, see the Instructions for Form 945-A.
abatement. If you’re requesting a refund or abatement and
are correcting both underreported and overreported tax         Due dates. The due date for filing Form CT-1 X depends
amounts, file one Form CT-1 X correcting the                   on when you discover an error and if you underreported or

Instructions for Form CT-1 X (Rev. 4-2025)                                                                                  3
overreported tax. If you underreported tax, see                         Form CT-1 X can’t be used to correct overreported
Underreported tax, later. For overreported tax amounts,           !     amounts of Tier 1 Employee Additional Medicare
you may choose to either make an interest-free                  CAUTION Tax unless the amounts weren’t withheld from

adjustment or file a claim for refund or abatement. If you’re   employee compensation.
correcting overreported tax amounts, see Overreported
tax—Adjustment process or Overreported tax—Claim                   Example—You want your credit applied to Form
process, later.                                                 CT-1. You filed your 2024 Form CT-1 on February 24,
                                                                2025, and payments were timely made. On May 5, 2025,
   If any due date falls on a Saturday, Sunday, or legal
                                                                you discover that you overreported tax on your 2024 Form
holiday, you may file Form CT-1 X on the next business
                                                                CT-1. You file Form CT-1 X on June 3, 2025, and check
day. The term “legal holiday” means any legal holiday in
                                                                the box on line 1 to indicate you want to use the
the District of Columbia. See Pub. 15 for the list of legal
                                                                adjustment process. The IRS treats your credit as a tax
holidays. If we receive Form CT-1 X after the due date, we
                                                                deposit made on January 1, 2025. When you file your
will treat Form CT-1 X as filed on time if the envelope
                                                                2025 Form CT-1, include the amount from Form CT-1 X,
containing Form CT-1 X is properly addressed, contains
                                                                line 26, on the “Total railroad retirement tax deposits” line
sufficient postage, and is postmarked by the U.S. Postal
                                                                of your 2025 Form CT-1.
Service (USPS) on or before the due date, or sent by an
IRS-designated private delivery service (PDS) on or             Overreported tax—Claim process. If you overreported
before the due date. If you don’t follow these guidelines,      tax on Form CT-1, you may choose to file a claim for
we will consider Form CT-1 X filed when it is actually          refund or abatement on Form CT-1 X any time before the
received. For more information about PDSs, see Where            period of limitations on credit or refund for Form CT-1
Should You File Form CT-1 X, later.                             expires. If you also need to correct any underreported tax
                                                                amounts, you must file another Form CT-1 X reporting
Underreported tax. If you’re correcting underreported
                                                                only corrections to the underreported tax amounts. See Is
tax, you must file Form CT-1 X by the due date of the
                                                                There a Deadline for Filing Form CT-1 X, later.
return for the return period in which you discovered the
error and pay the amount you owe by the time you file.                  You may not file a refund claim to correct Tier 1
Filing and paying on time generally will ensure that your         !     Employee Additional Medicare Tax actually
correction is interest free and not subject to failure-to-pay   CAUTION withheld from employees.

(FTP) or failure-to-deposit (FTD) penalties. See What
About Penalties and Interest, later. For details on how to      Is There a Deadline for Filing Form
make a payment, see the instructions for line 26, later.
    If Form CT-1 X is filed late (after the due date of the
                                                                CT-1 X?
return for the return period in which you discovered the        Generally, you may correct overreported taxes on a
error), you must attach an amended Form 945-A to Form           previously filed Form CT-1 if you file Form CT-1 X within 3
CT-1 X. Otherwise, the IRS may assess an “averaged”             years of the date Form CT-1 was filed or 2 years from the
FTD penalty. See “Averaged” FTD penalty in section 11 of        date you paid the tax reported on Form CT-1, whichever is
Pub. 15 for more information about “averaged” FTD               later. You may correct underreported taxes on a previously
penalties. The total tax reported on Form 945-A, line M,        filed Form CT-1 if you file Form CT-1 X within 3 years of
must match the corrected total tax (Form CT-1, line 15          the date the Form CT-1 was filed. We call each of these
(line 19 for tax years 2020–2023), combined with any            time frames a period of limitations. For purposes of the
correction reported on Form CT-1 X, line 21) for the year,      period of limitations, Form CT-1 is considered filed on the
less any previous abatements and interest-free tax              last day in February of the succeeding year if filed before
assessments.                                                    that date.
   Example—You owe tax. On March 14, 2025, you                     Example. You filed your 2022 Form CT-1 on January
discovered that you underreported $1,000 of RRTA                30, 2023, and payments were timely made. The IRS treats
compensation on your 2024 Form CT-1. File Form CT-1 X           the return as if it were filed on February 28, 2023. On
and pay the amount you owe by March 2, 2026 (February           January 15, 2026, you discover that you overreported
28, 2026, is a Saturday), because you discovered the            RRTA compensation on that form by $10,000. To correct
error in 2025, and March 2, 2026, is the due date for that      the error, you must file Form CT-1 X by March 2, 2026
year. If you file Form CT-1 X before March 2, 2026, pay the     (February 28, 2026, is a Saturday), which is the end of the
amount you owe by the time you file.                            period of limitations, and use the claim process.
        Form CT-1 X can’t be used to correct                            If you file Form CT-1 X to correct overreported tax
    !   underreported amounts of Tier 1 Employee                  !     amounts in the last 90 days of a period of
CAUTION Additional Medicare Tax unless the amounts were         CAUTION limitations, you must use the claim process. You

withheld from employee compensation.                            can’t use the adjustment process. If you are also
                                                                correcting underreported tax amounts, you must file
Overreported tax—Adjustment process. If you                     another Form CT-1 X to correct the underreported tax
overreported tax and choose to apply the credit to Form         amounts using the adjustment process and pay any tax
CT-1, file an adjusted return on Form CT-1 X as soon as         due.
possible after you discover the error but more than 90
days before the period of limitations on the credit or refund
for Form CT-1 expires. See Is There a Deadline for Filing
                                                                Where Should You File Form CT-1 X?
Form CT-1 X, later.                                             Send your completed Form CT-1 X to:

4                                                                                 Instructions for Form CT-1 X (Rev. 4-2025)
    Department of the Treasury                                    How Should You Report Negative Amounts?
    Internal Revenue Service Center                               Form CT-1 X uses negative numbers to show reductions
    Cincinnati, OH 45999-0007                                     in tax (credits) and positive numbers to show additional
                                                                  tax (amounts you owe).
PDSs can’t deliver to P.O. boxes. You must use the USPS
to mail an item to a P.O. box address. Go to IRS.gov/PDS            When reporting a negative amount in columns 3 and 4,
for the current list of PDSs. If you file Form CT-1 X using a     use a minus sign instead of parentheses. For example,
PDS, send it to the following address.                            enter “-10.59” instead of “(10.59).” However, if you’re
                                                                  completing the return on your computer and your software
    Ogden-Internal Revenue Submission Processing                  only allows you to use parentheses to report negative
    Center                                                        amounts, you may use them.
    1973 Rulon White Blvd.
    Ogden, UT 84201                                               How Should You Make Entries on Form CT-1 X?
                                                                  You can help the IRS process Form CT-1 X timely and
Use this address even though Form CT-1 X mailed                   accurately if you follow these guidelines.
through the USPS goes to Cincinnati.                              • Type or print your entries.
                                                                  • Use Courier font (if possible) for all typed or
How Should You Complete Form CT-1                                 computer-generated entries.
X?                                                                • Omit dollar signs. You may use commas and decimal
                                                                  points, if desired. Enter dollar amounts to the left of any
Use a Separate Form CT-1 X for Each Year You’re                   preprinted decimal point and cents to the right of it.
Correcting                                                        • Always show an amount for cents, even if it is zero.
                                                                  Don’t round entries to whole dollars.
Use a separate Form CT-1 X for each Form CT-1 that
                                                                  • Complete all five pages and sign Form CT-1 X on
you’re correcting. For example, if you found errors on your       page 5.
Forms CT-1 for 2023 and 2024, file one Form CT-1 X to
                                                                  • Staple multiple sheets in the upper-left corner.
correct the 2023 Form CT-1. File a second Form CT-1 X to
correct the 2024 Form CT-1.                                       What About Penalties and Interest?
Employer Identification Number (EIN), RRB                         Generally, your correction of an underreported tax amount
                                                                  won’t be subject to an FTP penalty, an FTD penalty, or
Number, Name, and Address                                         interest if you:
Enter your EIN, RRB number, name, and address in the              • File on time (by the due date of the year in which you
spaces provided. Also enter your name and EIN on the              discover the error),
top of pages 2, 3, 4, and 5, and on any attachments. If           • Pay the amount shown on line 26 by the time you file
your address has changed since you filed your Form                Form CT-1 X,
CT-1, enter the corrected information and the IRS will            • Enter the date you discovered the error, and
update your address of record. Be sure to write your              • Explain in detail the grounds and facts relied on to
name, EIN, “Form CT-1 X,” and the calendar year you’re            support the correction.
correcting on the top of any attachments.
                                                                      No correction will be eligible for interest-free treatment
Return You’re Correcting                                          if any of the following apply.
Enter the calendar year of the Form CT-1 you’re correcting        • The underreported amounts relate to an issue that was
in the box at the top of page 1. Enter the same calendar          raised in an examination of a prior period.
year on pages 2, 3, 4, and 5.                                     • You knowingly underreported your employment tax
                                                                  liability.
Enter the Date You Discovered Errors                              • You received a notice and demand for payment.
You must enter the date you discovered errors. You                • You received a notice of determination under section
discover an error when you have enough information to be          7436.
able to correct it. If you’re reporting several errors that you      If you receive a notice about a penalty after you file this
discovered at different times, enter the earliest date you        return, reply to the notice with an explanation and we will
discovered an error here. Report any subsequent dates             determine if you meet reasonable-cause criteria. Don’t
and related errors on line 43.                                    attach an explanation when you file your return.
Must You Make an Entry on Each Line?                              Overview of the Process
You must provide all of the information requested at the
top of page 1 of Form CT-1 X. You must check one box              To correct a previously filed Form CT-1, use Form CT-1 X
(but not both) in Part 1. In Part 2, you must check the box       to file either an adjusted railroad retirement tax return or a
on line 3 and any applicable boxes on lines 4 and 5. In           claim for refund or abatement. The adjustment process
Part 3, if any line doesn’t apply, leave it blank. Complete       and the claim process are outlined below.
Parts 4 and 5 as instructed.                                         If you underreported the tax. If you underreported
                                                                  the tax on a previously filed Form CT-1, check the box on
                                                                  line 1 and pay any additional amount you owe by the
                                                                  time you file Form CT-1 X. For details on how to make a
                                                                  payment, see the instructions for line 26, later.

Instructions for Form CT-1 X (Rev. 4-2025)                                                                                      5
    Example—You underreported RRTA taxes. On June                  If you’re correcting both underreported tax amounts
20, 2025, you discovered an error that results in additional    and overreported tax amounts on this form, you must
tax on your 2024 Form CT-1. File Form CT-1 X by March           check this box. If you check this box, any negative amount
2, 2026 (February 28, 2026, is a Saturday), and pay the         shown on line 26 will be applied as a credit (tax deposit) to
amount you owe by the time you file. See When Should            your Form CT-1 for the year in which you’re filing this form.
You File Form CT-1 X, earlier. Don’t attach Form CT-1 X to      See Example—You want your overreported tax applied as
your 2025 Form CT-1.                                            a credit on Form CT-1, earlier.
  If you overreported the tax. If you overreported the                  Form CT-1 X can’t be used to correct overreported
tax on a previously filed Form CT-1, choose one of the                  amounts of Tier 1 Employee Additional Medicare
following options.                                                !
                                                                CAUTION Tax unless the amounts weren’t withheld from
• Use the adjustment process. Check the box on line 1 to        employee compensation.
apply any credit (negative amount) from line 26 to Form
CT-1 for the year during which you file Form CT-1 X.            If you owe tax. Pay the amount shown on line 26 by the
• Use the claim process. Check the box on line 2 to file a      time you file Form CT-1 X. Generally, you won’t be
claim on Form CT-1 X requesting a refund or abatement of        charged interest if you file on time, pay on time, enter the
the amount shown on line 26.                                    date you discovered the error, and explain the correction
        To ensure that the IRS has enough time to               on line 43.
 TIP process a credit for an overreporting tax                  If you have a credit. You overreported RRTA taxes (you
          adjustment in the year during which you file Form     have a negative amount on line 26) and want the IRS to
CT-1 X, you’re encouraged to file Form CT-1 X correcting        apply the credit to Form CT-1 for the period during which
the overreported tax amount in the first 11 months of a         you filed Form CT-1 X. The IRS will apply your credit on
year. For example, if you discover an overreported tax          the first day of the Form CT-1 year during which you filed
amount in December, you may want to file Form CT-1 X in         Form CT-1 X. However, the credit you show on Form CT-1
the first 11 months of the next year. However, there must       X, line 26, may not be fully available on your Form CT-1 if
be 90 days remaining on the period of limitations when          the IRS corrects it during processing or you owe other
you file Form CT-1 X. See the Caution under Is There a          taxes, penalties, or interest. The IRS will notify you if your
Deadline for Filing Form CT-1 X, earlier. This should           claimed credit changes or if the amount available as a
ensure that the IRS will have enough time to process the        credit on Form CT-1 was reduced because of unpaid
Form CT-1 X so that the credit will be posted before you        taxes, penalties, or interest.
file Form CT-1, thus avoiding an erroneous balance due
notice from the IRS. See the example next.                                Don’t check the box on line 1 if you’re correcting
                                                                  !       overreported tax amounts and the period of
   Example—You want your overreported tax applied                CAUTION limitations on credit or refund for Form CT-1 will

as a credit on Form CT-1. On December 19, 2025, you             expire within 90 days of the date you file Form CT-1 X.
discover you overreported your tax on your 2024 Form            Instead, check the box on line 2. See Is There a Deadline
CT-1 and want to choose the adjustment process. To              for Filing Form CT-1 X, earlier.
allow the IRS enough time to process the credit, you file
Form CT-1 X on March 10, 2026, and take the credit on           2. Claim
your 2026 Form CT-1.                                            Check the box on line 2 to use the claim process if you’re
                                                                correcting overreported tax amounts only and you’re
Specific Instructions                                           claiming a refund or abatement for the negative amount
                                                                (credit) shown on line 26. Don’t check this box if you’re
Part 1: Select ONLY One Process                                 correcting any underreported tax amounts on this form.

Because Form CT-1 X may be used to file either an                  You must check the box on line 2 if you have a credit (a
adjusted railroad retirement tax return or a claim for refund   negative amount on line 26) and the period of limitations
or abatement, you must check one box on either line 1 or        on credit or refund for Form CT-1 will expire within 90 days
line 2. Don’t check both boxes.                                 of the date you file Form CT-1 X. See Is There a Deadline
                                                                for Filing Form CT-1 X, earlier.
Correcting an employment tax credit. For boxes 1 and
2, if you underreported an employment tax credit, treat it          The IRS usually processes claims shortly after they are
like you overreported a tax amount. If you overreported an      filed. The IRS will notify you if your claim is denied,
employment tax credit, treat it like you underreported a tax    accepted as filed, or selected to be examined. See Pub.
amount. If you're filing Form CT-1 X to adjust only an          556, Examination of Returns, Appeal Rights, and Claims
employment tax credit and you're not correcting any             for Refund, for more information.
overreported taxes on Form CT-1 X, lines 6–17, skip lines
4 and 5.                                                           Unless the IRS corrects Form CT-1 X during
                                                                processing or you owe other taxes, penalties, or interest,
1. Adjusted Railroad Retirement Tax Return                      the IRS will refund the amount shown on line 26, plus any
Check the box on line 1 if you’re correcting underreported      interest that applies.
tax amounts or overreported tax amounts and you would                   You may not file a refund claim to correct Tier 1
like to use the adjustment process to correct the errors.               Employee Additional Medicare Tax actually
                                                                  !
                                                                CAUTION withheld from employees.




6                                                                                 Instructions for Form CT-1 X (Rev. 4-2025)
Part 2: Complete the Certifications                              received written statements from the employees stating
                                                                 that they didn’t and won’t receive a refund or credit for the
You must complete all certifications that apply by checking      prior year taxes. Don’t send these statements to the IRS.
the appropriate boxes. If all of your corrections relate to      Keep them for your records. Generally, all employment tax
underreported tax amounts, complete line 3 only; skip            records must be kept for at least 4 years. Records related
lines 4 and 5 and go to Part 3.                                  to qualified sick leave compensation and qualified family
                                                                 leave compensation for leave taken after March 31, 2021,
   If your corrections relate to overreported tax amounts,
                                                                 and before October 1, 2021, should be kept for at least 6
other than corrections related to underreported
                                                                 years. Copies must be submitted to the IRS if requested.
employment tax credits, you have a duty to ensure that
your employees' rights to recover overpaid Employee              4b. Check the box on line 4b to certify that your
RRTA taxes that you withheld are protected. The                  overreported amount is only for Employer RRTA taxes on
certifications on lines 4 and 5 address the requirement to:      those employees whom you were unable to find or those
                                                                 who didn’t give you a statement described on line 4a.
• Repay or reimburse your employees for the
overcollection of Employee RRTA taxes, or                        4c. Check the box on line 4c to certify that your
• Obtain consents from your employees to file a claim on         overreported amount is only for RRTA taxes and/or Tier 1
their behalf. See Rev. Proc. 2017-28 for guidance on the         Employee Additional Medicare Tax that you didn’t withhold
requirements for both a request for employee consent and         from your employees.
for the employee consent.
   For purposes of these certifications, Employee RRTA           5. Certifying Claims
taxes consist of Tier 1 Employee tax, Tier 1 Employee            If you’re filing a claim for refund or abatement of
Medicare tax, and Tier 2 Employee tax. Employer RRTA             overreported RRTA tax and/or Tier 1 Employee Additional
taxes consist of Tier 1 Employer tax, Tier 1 Employer            Medicare Tax and checked the box on line 2, check the
Medicare tax, and Tier 2 Employer tax.                           appropriate box on line 5. You may need to check more
                                                                 than one box. If you obtained written statements or
3. Filing Forms W-2 or Forms W-2c                                consents from some employees but you couldn’t locate
Check the box on line 3 to certify that you filed or will file   employees or secure the statements of the remaining
Forms W-2 or Forms W-2c with the SSA, as required,               employees, check all applicable boxes. Provide a
showing your employees' correct wage and tax amounts.            summary on line 43 of the amount of the corrections for
See the General Instructions for Forms W-2 and W-3 for           the employees who provided statements or consents and
detailed information about filing requirements.                  those who didn’t.
    You must check the box on line 3 to certify that you filed            You may not file a refund claim to correct Tier 1
Forms W-2 or Forms W-2c even if your corrections on                !      Employee Additional Medicare Tax actually
Form CT-1 X don’t change amounts shown on those                   CAUTION withheld from employees. If you request their

forms. For example, if your only correction to Form CT-1         consent to file a claim for employee RRTA taxes you must
involves misstated tax adjustments, which don’t change           tell your employees that you can’t claim a refund of any
the amounts reported on your employees’ Forms W-2 (see           Tier 1 Employee Additional Medicare Tax on their behalf.
the instructions for line 18, later), check the box on line 3    See Rev. Proc. 2017-28 for sample language to use in
to certify that you already filed all required Forms W-2 and     your request.
W-2c with the SSA. In this situation, you’re certifying that
you don’t need to file Form W-2c because you already             5a. Check the box on line 5a if your overreported tax
filed a correct Form W-2.                                        includes overcollected Employee RRTA taxes for each
                                                                 affected employee. You’re certifying that you repaid or
4. Certifying Overreporting Adjustments                          reimbursed the employees their shares of the prior year
If you overreported RRTA tax and/or Tier 1 Employee              Employee RRTA taxes and you received written
Additional Medicare Tax and checked the box on line 1,           statements from those employees stating that they didn’t
check the appropriate box on line 4. You may need to             and won’t receive a refund or credit for the prior year
check more than one box. If you obtained written                 taxes. Don’t send these statements to the IRS. Keep them
statements from some employees but you couldn’t locate           for your records. Generally, all employment tax records
employees or secure the statements of the remaining              must be kept for at least 4 years. Records related to
employees, check all applicable boxes. Provide a                 qualified sick leave compensation and qualified family
summary on line 43 of the amount of the corrections for          leave compensation for leave taken after March 31, 2021,
both the employees who provided written statements and           and before October 1, 2021, should be kept for at least 6
for those who didn’t.                                            years. Copies must be submitted to the IRS if requested.
        You may not use Form CT-1 X to correct                   5b. Check the box on line 5b if your overreported tax
        overreported amounts of Tier 1 Employee                  includes overcollected prior year Employee RRTA taxes
  !
CAUTION Additional Medicare Tax unless the amounts               for each affected employee and you haven’t yet repaid or
weren’t withheld from employee compensation.                     reimbursed the Employee RRTA taxes. You’re certifying
                                                                 that you received consent from each affected employee to
4a. Check the box on line 4a if your overreported amount         file a claim on the employee share of those taxes and you
includes each affected employee share of overcollected           received written statements from those employees stating
Employee RRTA taxes. You’re certifying that you repaid or        that they didn’t and won’t receive a refund or credit for the
reimbursed the prior year Employee RRTA taxes and you            prior year taxes.

Instructions for Form CT-1 X (Rev. 4-2025)                                                                                   7
    An employee consent must:                                      instructions for each line carefully before entering amounts
• Contain the name, address, and social security number            in the columns.
(or truncated taxpayer identification number, when
                                                                     If any line doesn’t apply to you, leave it blank.
appropriate) of the employee;
• Contain the name, address, and EIN of the employer;                       If you previously adjusted or amended Form CT-1
• Contain the tax period(s), the type of tax, and the                !      using Form CT-1 X, or because of an IRS
amount of tax for which the consent is provided;                    CAUTION examination change, show amounts in column 2

• Affirmatively state that the employee authorizes the             that include those previously reported corrections.
employer to claim a refund for the overpayment of the
employee share of tax;                                             6. Tier 1 Employer Tax—Compensation
• Include the employee's written statement certifying that
the employee hasn't made any previous claims (or the                        For purposes of these instructions, all references
claims were rejected) and won't make any future claims for          TIP to “sick pay” mean ordinary sick pay, not “qualified
refund or credit of the amount of the overcollection;                       sick leave compensation.”
• Identify the basis of the claim; and                                If you’re correcting the compensation (other than tips
• Be dated and contain the employee's signature under              and sick pay) for the Tier 1 Employer tax you reported on
penalties of perjury. The penalties of perjury statement           Form CT-1, line 1, enter the total corrected amount for all
should be located immediately above the required                   employees in column 1. In column 2, enter the amount you
signature.                                                         originally reported or as previously corrected. In column 3,
   Don’t send these statements and consents to the IRS.            enter the difference between columns 1 and 2. If you (or
Keep them for your records. Generally, all employment tax          the IRS) previously corrected the amount reported on
records must be kept for at least 4 years. Records related         Form CT-1, line 1, enter in column 2 the amount after any
to qualified sick leave compensation and qualified family          previous corrections.
leave compensation for leave taken after March 31, 2021,
and before October 1, 2021, should be kept for at least 6              line 6 (column 1)
years. Copies must be submitted to the IRS if requested.             - line 6 (column 2)
   In certain situations, you may not have repaid or                  line 6 (column 3)            If the amount in column 2 is larger than
reimbursed your employees or obtained their consents                                               the amount in column 1, use a minus
prior to filing a claim, such as in cases where the period of                                      sign in column 3.
limitations on credit or refund is about to expire. In those
situations, file Form CT-1 X but don’t check a box on
line 5. Tell us on line 43 that you haven’t repaid or                 Multiply the amount in column 3 by 0.062 (6.2% tax
reimbursed employees or obtained consents at the time              rate) and enter the result in column 4.
you file the claim. However, you must repay or reimburse
your employees and certify that you have done so before              line 6 (column 3)
the IRS can allow the claim.                                                x    0.062
5c. Check the box on line 5c to certify that your                   line 6 (column 4)        If the amount in column 3 used a minus sign,
overreported tax is only for the Employer RRTA taxes. This                                   also use a minus sign in column 4.
applies when affected employees didn’t give you consent
to file a claim for refund for the Employee RRTA taxes,
they couldn’t be found, or they didn’t give you a statement           Example—Tier 1 Employer compensation
described on line 5b.                                              decreased. You reported $9,000 as Tier 1 Employer
                                                                   compensation in computing the tax on line 1 of your 2024
5d. Check the box on line 5d to certify that your                  Form CT-1. In December 2025, you discovered that you
overreported amount is only for RRTA taxes and/or Tier 1           included $2,000 in compensation for one of your
Employee Additional Medicare Tax that you didn’t withhold          employees twice. To correct the error, figure the difference
from your employees.                                               on Form CT-1 X as shown.
Part 3: Enter the Corrections for the
                                                                   Column 1 (corrected amount)                       7,000.00
Calendar Year You’re Correcting                                    Column 2 (Form CT-1, line 1)                    - 9,000.00
                                                                   Column 3 (difference)                            -2,000.00
What Amounts Should You Report in Part 3?
On lines 6–17, columns 1 and 2, show amounts for all of
your employees, not just for those employees whose                   Use the difference in column 3 to determine your tax
amounts you’re correcting.                                         correction.
   If a correction that you report in column 4 includes both
                                                                   Column 3 (difference)             -2,000.00
underreported and overreported amounts (see the
                                                                   Tax rate (6.2%)                     x 0.062
instructions for line 41, later), provide details for each error
on line 43.                                                        Column 4 (tax correction)           -124.00

  Because special circumstances apply for lines 18, 19,
20b–20d, 24, 25b, 25c, 27–30, and 33–38, read the

8                                                                                          Instructions for Form CT-1 X (Rev. 4-2025)
   Be sure to explain the reasons for this correction on                   line 8 (column 1)
line 43.                                                                 - line 8 (column 2)
                                                                          line 8 (column 3)            If the amount in column 2 is larger
7. Tier 1 Employer Medicare
                                                                                                       than the amount in column 1, use a
Tax—Compensation                                                                                       minus sign in column 3.
If you’re correcting the compensation (other than tips and
sick pay) for the Tier 1 Employer Medicare tax you
reported on Form CT-1, line 2, enter the total corrected                  Multiply the amount in column 3 by the rate stated on
amount in column 1. In column 2, enter the amount you                  line 3 of the Form CT-1 for the year that you’re
originally reported or as previously corrected. In column 3,           correcting and enter the result in column 4. If the amount
enter the difference between columns 1 and 2.                          in column 3 used a minus sign, also use a minus sign in
                                                                       column 4.
    line 7 (column 1)
                                                                          Example—Tier 2 Employer compensation
  - line 7 (column 2)
                                                                       decreased. Following Example—Tier 1 Employer
   line 7 (column 3)           If the amount in column 2 is larger     compensation decreased in the instructions for line 6, the
                               than the amount in column 1, use a
                                                                       compensation that you counted twice was also Tier 2
                               minus sign in column 3.
                                                                       Employer compensation. Because you’re correcting your
                                                                       2024 Form CT-1 in this example, use the rate from line 3
                                                                       (13.1%) shown on that return. To correct the error, figure
   Multiply the amount in column 3 by 0.0145 (1.45% tax                the difference on Form CT-1 X as shown.
rate) and enter the result in column 4.
                                                                       Column 1 (corrected amount)                      7,000.00
  line 7 (column 3)                                                    Column 2 (Form CT-1, line 3)                   - 9,000.00
          x 0.0145
                                                                       Column 3 (difference)                           -2,000.00
 line 7 (column 4)      If the amount in column 3 used a minus sign,
                        also use a minus sign in column 4.
                                                                         Use the difference in column 3 to determine your tax
                                                                       correction.
   Example—Tier 1 Employer Medicare
compensation decreased. Following Example—Tier 1
                                                                       Column 3 (difference)             -2,000.00
Employer compensation decreased in the instructions for
                                                                       Tax rate (13.1%)                    x 0.131
line 6, the compensation that you counted twice was also
Tier 1 Employer Medicare compensation. To correct the                  Column 4 (tax correction)           -262.00
error, figure the difference on Form CT-1 X as shown.
                                                                          Be sure to explain the reasons for this correction on
Column 1 (corrected amount)                     7,000.00
                                                                       line 43.
Column 2 (Form CT-1, line 2)                  - 9,000.00
Column 3 (difference)                         -2,000.00                9. Tier 1 Employee Tax—Compensation
                                                                       If you’re correcting the compensation, including tips
                                                                       reported, but excluding sick pay, for the Tier 1 Employee
  Use the difference in column 3 to determine your tax                 tax you reported on Form CT-1, line 4, enter the total
correction.                                                            corrected amount in column 1. In column 2, enter the
                                                                       amount you originally reported or as previously corrected.
Column 3 (difference)            -2,000.00                             In column 3, enter the difference between columns 1 and
Tax rate (1.45%)                  x 0.0145                             2.
Column 4 (tax correction)           -29.00
                                                                           line 9 (column 1)
                                                                         - line 9 (column 2)
   Be sure to explain the reasons for this correction on                  line 9 (column 3)           If the amount in column 2 is larger than
line 43.                                                                                              the amount in column 1, use a minus
                                                                                                      sign in column 3.
8. Tier 2 Employer Tax—Compensation
If you’re correcting the compensation (other than tips) for
the Tier 2 Employer tax you reported on Form CT-1, line 3,                Multiply the amount in column 3 by 0.062 (6.2% tax
enter the total corrected amount in column 1. In column 2,             rate) and report the result in column 4.
enter the amount you originally reported or as previously
corrected. In column 3, enter the difference between
                                                                         line 9 (column 3)
columns 1 and 2.
                                                                                   x 0.062
                                                                        line 9 (column 4)      If the amount in column 3 used a minus sign,
                                                                                               also use a minus sign in column 4.



Instructions for Form CT-1 X (Rev. 4-2025)                                                                                                       9
   Be sure to explain the reasons for this correction on                  line 11 (column 1)
line 43.                                                                - line 11 (column 2)
                                                                         line 11 (column 3)             If the amount in column 2 is larger
10. Tier 1 Employee Medicare
                                                                                                        than the amount in column 1, use a
Tax—Compensation                                                                                        minus sign in column 3.
If you’re correcting the compensation, including tips
reported, but excluding sick pay, for the Tier 1 Employee
Medicare tax you reported on Form CT-1, line 5, enter the
total corrected amount in column 1. In column 2, enter the                Multiply the amount in column 3 by 0.009 (0.9% tax
amount you originally reported or as previously corrected.             rate) and enter the result in column 4.
In column 3, enter the difference between columns 1 and
2.                                                                      line 11 (column 3)
                                                                                   x 0.009
   line 10 (column 1)                                                  line 11 (column 4)        If the amount in column 3 used a minus sign,
 - line 10 (column 2)                                                                            also use a minus sign in column 4.
  line 10 (column 3)           If the amount in column 2 is larger
                               than the amount in column 1, use a
                               minus sign in column 3.                    Example—Prior year administrative error
                                                                       (incorrectly reported amount of Tier 1 Employee
                                                                       Additional Medicare Tax actually withheld). Nathan
   Multiply the amount in column 3 by 0.0145 (1.45% tax                Smith's compensation exceeded the $200,000
rate) and enter the result in column 4.                                withholding threshold for Tier 1 Employee Additional
                                                                       Medicare Tax in November 2024. The total compensation
 line 10 (column 3)                                                    paid to Nathan for 2024 was $230,000. You withheld $270
           x 0.0145                                                    ($30,000 x 0.009) from Nathan's compensation. However,
line 10 (column 4)      If the amount in column 3 used a minus sign,   on your 2024 Form CT-1 you mistakenly reported $3,000
                        also use a minus sign in column 4.             on line 6 (Compensation column), and Tier 1 Employee
                                                                       Additional Medicare Tax withheld of $27 on line 6 (Tax
                                                                       column). You discovered the error on March 17, 2025.
   Be sure to explain the reasons for this correction on               This is an example of an administrative error that may be
line 43.                                                               corrected in a later calendar year because the amount
                                                                       actually withheld differs from the amount reported on your
11. Tier 1 Employee Additional Medicare                                2024 Form CT-1. Use Form CT-1 X, line 11, to correct the
Tax—Compensation (Other Than Sick Pay)                                 error as shown.
You may use Form CT-1 X to correct errors to Tier 1
                                                                       Column 1 (corrected amount)                     30,000.00
Employee Additional Medicare Tax withholding for prior
                                                                       Column 2 (Form CT-1, line 6                     - 3,000.00
years if the amount reported on Form CT-1, line 6, isn’t the
                                                                       (Compensation column))
amount you actually withheld. This type of error is an
                                                                       Column 3 (difference)                           27,000.00
administrative error. The administrative error adjustment
corrects the amount reported on Form CT-1 to agree with
the amount actually withheld from employees.                             Use the difference in column 3 to determine your tax
   If a prior year error was a nonadministrative error, you            correction.
may correct only the compensation subject to Tier 1
Employee Additional Medicare Tax withholding that was                  Column 3 (difference)                   27,000.00
originally reported on Form CT-1, line 6, or previously                Tax rate (0.9%)                           x 0.009
corrected on Form CT-1 X. You can’t correct the tax                    Column 4 (tax correction)                  243.00
reported on Form CT-1, line 6.
Prior year administrative errors. If you’re correcting the
compensation subject to Tier 1 Employee Additional                        Be sure to explain the reasons for this correction on
Medicare Tax withholding that you reported on Form CT-1,               line 43.
line 6, enter the total corrected amount in column 1. In               Prior year nonadministrative errors. You may correct
column 2, enter the amount you originally reported or as               only the compensation subject to Tier 1 Employee
previously corrected. In column 3, enter the difference                Additional Medicare Tax withholding that you reported on
between columns 1 and 2.                                               Form CT-1, line 6 (Compensation column). Enter the total
                                                                       corrected amount in column 1. In column 2, enter the
                                                                       amount you originally reported or as previously corrected.
                                                                       In column 3, enter the difference between columns 1 and
                                                                       2.




10                                                                                             Instructions for Form CT-1 X (Rev. 4-2025)
   line 11 (column 1)                                            and didn’t report Leah's $20,000 in compensation subject
 - line 11 (column 2)                                            to Tier 1 Employee Additional Medicare Tax withholding
                                                                 on line 6 of your 2024 Form CT-1.
  line 11 (column 3)       If the amount in column 2 is larger
                           than the amount in column 1, use a       You discovered both errors on March 17, 2025. Use
                           minus sign in column 3.               Form CT-1 X, line 11, to correct the errors as shown.

                                                                 Column 1 (corrected amount)                    50,000.00
                                                                 Column 2 (Form CT-1, line 6                    - 3,000.00
   Don’t multiply the amount in column 3 by 0.009 (0.9%          (Compensation column))
tax rate). Leave column 4 blank and explain the reasons          Column 3 (difference)                          47,000.00
for this correction on line 43.
   Example—Prior year nonadministrative error
                                                                    Determine the portion of compensation reported in
(failure to withhold Tier 1 Employee Additional
                                                                 column 3 that is related to the administrative error
Medicare Tax when required). Leah Green's
                                                                 ($47,000 - $20,000 (nonadministrative error) = $27,000
compensation exceeded the $200,000 withholding
                                                                 (administrative error)). Multiply this portion of column 3 by
threshold for Tier 1 Employee Additional Medicare Tax in
                                                                 0.009 (0.9% tax rate) to determine your tax correction.
December 2024. The total compensation paid to Leah for
2024 was $220,000. You were required to withhold $180
($20,000 x 0.009) but you withheld nothing and didn’t            Difference related to administrative error     27,000.00
report an amount on line 6 of your 2024 Form CT-1. You           Tax rate (0.9%)                                  x 0.009
discovered the error on March 17, 2025. File Form CT-1 X         Column 4 (tax correction)                          243.00
to correct the compensation subject to Tier 1 Employee
Additional Medicare Tax withholding for your 2024 Form
CT-1, but you may not correct the Tier 1 Employee                   Be sure to explain the reasons for these corrections on
Additional Medicare Tax withheld (column 4) because the          line 43. You must also report that $20,000 of the amount
error involves a previous year and the amount previously         shown in column 3 was related to the correction of a prior
reported for the employee represents the actual amount           year nonadministrative error and $27,000 of the amount
withheld from the employee during 2024.                          shown in column 3 was related to the correction of an
                                                                 administrative error.
Combination of prior year administrative and nonad-
ministrative errors. If you’re reporting both                    12. Tier 2 Employee Tax—Compensation
administrative errors and nonadministrative errors for the       If you’re correcting the compensation, including tips
same prior year, enter the total corrected amount in             reported, for the Tier 2 Employee tax you reported on
column 1. In column 2, enter the amount you originally           Form CT-1, line 7, enter the total corrected amount in
reported or as previously corrected. In column 3, enter the      column 1. In column 2, enter the amount you originally
difference between columns 1 and 2. However, multiply            reported or as previously corrected. In column 3, enter the
only the amount of compensation reported in column 3             difference between columns 1 and 2.
that is related to administrative errors by 0.009 (0.9% tax
rate). Don’t multiply any compensation reported in column
                                                                    line 12 (column 1)
3 that was related to nonadministrative errors by 0.009
                                                                  - line 12 (column 2)
(0.9% tax rate). Use line 43 to explain in detail your
corrections. The explanation must include the reasons for          line 12 (column 3)             If the amount in column 2 is larger
the corrections and a breakdown of the amount reported                                            than the amount in column 1, use a
                                                                                                  minus sign in column 3.
in column 3 into the amounts related to administrative
errors and nonadministrative errors.
   Example—Combination of prior year                                Multiply the amount in column 3 by the rate stated on
administrative and nonadministrative errors. Nathan              line 7 of the Form CT-1 for the year that you’re
Smith's compensation exceeded the $200,000                       correcting and enter the result in column 4. If the amount
withholding threshold for Tier 1 Employee Additional             in column 3 used a minus sign, also use a minus sign in
Medicare Tax in November 2024. The total compensation            column 4.
paid to Nathan for 2024 was $230,000. You withheld $270
($30,000 x 0.009) from Nathan's compensation. However,              Example—Tier 2 Employee compensation
on your 2024 Form CT-1, you mistakenly reported $3,000           decreased. Following Example—Tier 1 Employer
on line 6 (Compensation column), and Tier 1 Employee             compensation decreased in the instructions for line 6, the
Additional Medicare Tax withheld of $27 on line 6 (Tax           compensation that you counted twice was also Tier 2
column). The difference in compensation subject to Tier 1        Employee compensation. Because you’re correcting your
Employee Additional Medicare Tax related to this                 2024 Form CT-1 in this example, use the rate for line 7
administrative error is $27,000 ($30,000 - $3,000).              (4.9%) shown on that return. To correct the error, figure
                                                                 the difference on Form CT-1 X as shown.
   Leah Green's compensation exceeded the $200,000
withholding threshold for Tier 1 Employee Additional
Medicare Tax in December 2024. The total compensation
paid to Leah for 2024 was $220,000. You were required to
withhold $180 ($20,000 x 0.009) but you withheld nothing

Instructions for Form CT-1 X (Rev. 4-2025)                                                                                              11
Column 1 (corrected amount)                       7,000.00               Column 3 (difference)                     1,000.00
Column 2 (Form CT-1, line 7)                    - 9,000.00               Tax rate (6.2%)                           x 0.062
Column 3 (difference)                           -2,000.00                Column 4 (tax correction)                    62.00



  Use the difference in column 3 to determine your tax                      Be sure to explain the reasons for this correction on
correction.                                                              line 43.

Column 3 (difference)                   -2,000.00                        14. Tier 1 Employer Medicare Tax—Sick Pay
Tax rate (4.9%)                           x 0.049                        If you’re correcting the sick pay for the Tier 1 Employer
Column 4 (tax correction)                   -98.00                       Medicare tax you reported on Form CT-1, line 9, enter the
                                                                         total corrected amount in column 1. In column 2, enter the
                                                                         amount you originally reported or as previously corrected.
   Be sure to explain the reasons for this correction on                 In column 3, enter the difference between columns 1 and
line 43.                                                                 2.
           For purposes of these instructions, all references
                                                                            line 14 (column 1)
 TIP to “sick pay” mean ordinary sick pay, not “qualified                 - line 14 (column 2)
           sick leave compensation.”
                                                                           line 14 (column 3)             If the amount in column 2 is larger
                                                                                                          than the amount in column 1, use a
13. Tier 1 Employer Tax—Sick Pay                                                                          minus sign in column 3.
If you’re correcting the sick pay for the Tier 1 Employer tax
you reported on Form CT-1, line 8, enter the total
corrected amount in column 1. In column 2, enter the                        Multiply the amount in column 3 by 0.0145 (1.45% tax
amount you originally reported or as previously corrected.               rate) and enter the result in column 4.
In column 3, enter the difference between columns 1 and
2.
                                                                          line 14 (column 3)
                                                                                   x 0.0145
    line 13 (column 1)
                                                                         line 14 (column 4)        If the amount in column 3 used a minus sign,
  - line 13 (column 2)
                                                                                                   also use a minus sign in column 4.
     line 13 (column 3)         If the amount in column 2 is larger
                                than the amount in column 1, use a
                                minus sign in column 3.
                                                                            Be sure to explain the reasons for this correction on
                                                                         line 43.
   Multiply the amount in column 3 by 0.062 (6.2% tax                    15. Tier 1 Employee Tax—Sick Pay
rate) and enter the result in column 4.
                                                                         If you’re correcting the sick pay for the Tier 1 Employee tax
                                                                         you reported on Form CT-1, line 10, enter the total
  line 13 (column 3)
                                                                         corrected amount in column 1. In column 2, enter the
             x 0.062
                                                                         amount you originally reported or as previously corrected.
  line 13 (column 4)      If the amount in column 3 used a minus sign,   In column 3, enter the difference between columns 1 and
                          also use a minus sign in column 4.
                                                                         2.

                                                                             line 15 (column 1)
    Example—Tier 1 Employer sick pay increased. You
                                                                           - line 15 (column 2)
reported $8,000 as Tier 1 Employer sick pay in computing
the tax on line 8 of your 2024 Form CT-1. In December                       line 15 (column 3)            If the amount in column 2 is larger
                                                                                                          than the amount in column 1, use a
2025, you discover that you overlooked $1,000 in sick pay
                                                                                                          minus sign in column 3.
for one of your employees. To correct the error, figure the
difference on Form CT-1 X as shown.

Column 1 (corrected amount)                       9,000.00                  Multiply the amount in column 3 by 0.062 (6.2% tax
Column 2 (Form CT-1, line 8)                    - 8,000.00               rate) and enter the result in column 4.
Column 3 (difference)                            1,000.00
                                                                          line 15 (column 3)
                                                                                     x 0.062
  Use the difference in column 3 to determine your tax                   line 15 (column 4)        If the amount in column 3 used a minus sign,
correction.                                                                                        also use a minus sign in column 4.



                                                                            Be sure to explain the reasons for this correction on
                                                                         line 43.

12                                                                                               Instructions for Form CT-1 X (Rev. 4-2025)
16. Tier 1 Employee Medicare Tax—Sick Pay                                       You may need to report negative numbers in any
If you’re correcting the sick pay for the Tier 1 Employee                TIP column. Make sure that the difference you enter in
Medicare tax you reported on Form CT-1, line 11, enter                         column 3 accurately represents the change to
the total corrected amount in column 1. In column 2, enter              adjustments originally reported or previously corrected on
the amount you originally reported or as previously                     Form CT-1, line 14.
corrected. In column 3, enter the difference between
columns 1 and 2.                                                          Copy the amount in column 3 to column 4. Include any
                                                                        minus sign shown in column 3.
   line 16 (column 1)                                                     On line 43, describe what you misreported on Form
 - line 16 (column 2)                                                   CT-1. Tell us which current year adjustments have
  line 16 (column 3)            If the amount in column 2 is larger     changed, that is, fractions of cents; uncollected Tier 1
                                than the amount in column 1, use a      Employee tax, Tier 1 Employee Medicare tax, or Tier 2
                                minus sign in column 3.                 Employee tax on tips; or credits for overpayments of
                                                                        penalties or interest paid on tax for earlier years.
                                                                                 Only use line 18 to correct adjustments for
   Multiply the amount in column 3 by 0.0145 (1.45% tax
                                                                          !      fractions of cents; uncollected Tier 1 Employee
rate) and enter the result in column 4.                                  CAUTION tax, Tier 1 Employee Medicare tax, Tier 1

                                                                        Employee Additional Medicare Tax, and Tier 2 Employee
 line 16 (column 3)
                                                                        tax on tips; or credits for overpayments of penalty or
          x 0.0145                                                      interest previously reported. File a separate Form CT-1 X
line 16 (column 4)       If the amount in column 3 used a minus sign,   for each year being corrected.
                         also use a minus sign in column 4.
                                                                                Form CT-1 X and these instructions use the terms
                                                                         TIP “nonrefundable” and “refundable” when
   Be sure to explain the reasons for this correction on                         discussing credits. The term “nonrefundable”
line 43.                                                                means the portion of the credit which is limited by law to
                                                                        certain taxes. The term “refundable” means the portion of
17. Tier 1 Employee Additional Medicare                                 the credit which is in excess of those taxes.
Tax—Sick Pay
You may use Form CT-1 X to correct errors to Tier 1                     19. Nonrefundable Portion of Credit for Qualified
Employee Additional Medicare Tax withholding for prior                  Sick and Family Leave Compensation for Leave
years if the amount reported on Form CT-1, line 12, isn’t
the amount you actually withheld. This type of error is an              Taken After March 31, 2020, and Before April 1,
administrative error.                                                   2021
   If a prior year error was a nonadministrative error, you                      Generally, the period of limitations for correcting
may correct only the sick pay subject to Tier 1 Employee                  !      the nonrefundable portion of credit for qualified
Additional Medicare Tax withholding that was originally                  CAUTION sick and family leave compensation paid in 2020

reported on Form CT-1, line 12, or previously corrected on              expired on February 29, 2024, for most employers.
Form CT-1 X. You can’t correct the tax reported on Form                 Generally, the period of limitations for correcting the
CT-1, line 12.                                                          nonrefundable portion of credit for qualified sick and
   For more information on the types of errors that can be              family leave compensation paid in 2021 expired on
corrected on line 17, see the detailed examples in the                  February 28, 2025, for most employers. For more
instructions for line 11, earlier.                                      information about the period of limitations, see Is There a
                                                                        Deadline for Filing Form CT-1 X, earlier.
18. Tax Adjustments                                                         If you’re correcting the nonrefundable portion of the
Don’t enter an amount on line 18 unless you need to                     credit for qualified sick and family leave compensation for
correct any current year adjustments reported on Form                   leave taken after March 31, 2020, and before April 1,
CT-1, line 14. However, if you need to correct sick pay                 2021, that you reported on Form CT-1, line 16, enter the
adjustments for prior years reported on Form CT-1,                      total corrected amount from Worksheet 1, Step 2, line 2j,
line 14, include the corrections in the calculations of Form            in column 1. In column 2, enter the amount you originally
CT-1 X, lines 13–17.                                                    reported or as previously corrected. In column 3, enter the
   Enter the corrected amount for tax adjustments in                    difference between columns 1 and 2. For more information
column 1. Enter the originally reported or previously                   about the credit for qualified sick and family leave
corrected current year amount from Form CT-1, line 14, in               compensation, go to IRS.gov/PLC.
column 2. In column 3, enter the difference between                        Copy the amount in column 3 to column 4. However, to
columns 1 and 2.                                                        properly show the amount as a credit or balance due item,
                                                                        enter a positive number in column 3 as a negative number
    line 18 (column 1)                                                  in column 4 or a negative number in column 3 as a
  - line 18 (column 2)                                                  positive number in column 4.
   line 18 (column 3)



Instructions for Form CT-1 X (Rev. 4-2025)                                                                                         13
        Adjustments to the nonrefundable portion of the           Column 1        Column 2       Column 3       Column 4
 TIP credit for qualified sick and family leave                   (corrected      (Form CT-1,    (difference)   (tax correction)
         compensation for leave taken after March 31,             amount)         line 16)
2020, and before April 1, 2021, are reported on Form CT-1         2,000.00        1,000.00       1,000.00       -1,000.00
X, line 19, and adjustments to the refundable portion of
the credit are reported on Form CT-1 X, line 24.
Adjustments to qualified sick leave compensation and                 Be sure to explain the reasons for this correction on
qualified family leave compensation for leave taken after         line 43.
March 31, 2020, and before April 1, 2021, are reported on
Form CT-1 X, lines 27 and 29, respectively. Adjustments           20b. Nonrefundable Portion of Credit for
to qualified health plan expenses allocable to qualified          Qualified Sick and Family Leave Compensation
sick leave compensation and qualified family leave
compensation for leave taken after March 31, 2020, and
                                                                  for Leave Taken After March 31, 2021, and
before April 1, 2021, are reported on Form CT-1 X, lines          Before October 1, 2021
28 and 30, respectively. For corrections to 2020 Form                     Generally, the period of limitations for correcting
CT-1, line 16, if the period of limitations is still open, the            the nonrefundable portion of credit for qualified
credit for qualified sick and family leave compensation is
                                                                    !
                                                                  CAUTION sick and family leave compensation paid in 2021
only available for compensation paid with respect to leave        expired on February 28, 2025, for most employers. For
taken after March 31, 2020, and before January 1, 2021.           more information about the period of limitations, see Is
For corrections to 2021, 2022, or 2023 Form CT-1, line 16,        There a Deadline for Filing Form CT-1 X, earlier.
the credit for qualified sick and family leave compensation
is only available for compensation paid in 2021, 2022, or             If you’re correcting the nonrefundable portion of the
2023 with respect to any leave taken after March 31,              credit for qualified sick and family leave compensation for
2020, and before April 1, 2021. If you're correcting a year       leave taken after March 31, 2021, and before October 1,
before 2020 because the period of limitations is still open,      2021, that you reported on Form CT-1, line 17b, enter the
don't enter any amount on line 19. If you claimed the credit      total corrected amount from Worksheet 2, Step 2, line 2r,
for qualified sick and family leave compensation for leave        in column 1. In column 2, enter the amount you originally
taken after March 31, 2020, and before April 1, 2021, on          reported or as previously corrected. In column 3, enter the
your original Form CT-1, and you make any corrections on          difference between columns 1 and 2. For more information
Form CT-1 X for the year to amounts used to figure this           about the credit for qualified sick and family leave
credit, you’ll need to refigure the amount of the credit          compensation, go to IRS.gov/PLC.
using Worksheet 1. You’ll also use this worksheet to figure          For corrections to 2021, 2022, or 2023 Form CT-1,
this credit if you’re claiming the credit for the first time on   line 17b, the credit for qualified sick and family leave
Form CT-1 X. For more information about the credit for            compensation is only available for compensation paid in
qualified sick and family leave compensation, go to               2021, 2022, or 2023 with respect to leave taken after
IRS.gov/PLC.                                                      March 31, 2021, and before October 1, 2021. If you're
                                                                  correcting a year before 2021 because the period of
   Example—Nonrefundable portion of credit for                    limitations is still open, don't enter any amount on line 20b.
qualified sick and family leave compensation
increased. You originally reported a $1,000                          Copy the amount in column 3 to column 4. However, to
nonrefundable portion of credit for qualified sick and            properly show the amount as a credit or balance due item,
family leave compensation on your 2021 Form CT-1,                 enter a positive number in column 3 as a negative number
line 16, but later determined that you understated qualified      in column 4 or a negative number in column 3 as a
sick leave compensation eligible for the credit. If your          positive number in column 4. For an example of how to
period of limitations is still open, use Worksheet 1 to           report amounts in columns 1–4 for an employment tax
refigure the correct nonrefundable portion of the credit for      credit, see the instructions for line 19, earlier.
qualified sick and family leave compensation and you                 Be sure to explain the reasons for this correction on
determine that the correct credit is now $2,000. To correct       line 43.
the error, figure the difference on Form CT-1 X as shown.
                                                                  20c. Nonrefundable Portion of COBRA Premium
Column 1 (corrected amount)                2,000.00               Assistance Credit
Column 2 (Form CT-1, line 16)            - 1,000.00
                                                                  COBRA premium assistance was available for periods of
Column 3 (difference)                     1,000.00                coverage beginning on or after April 1, 2021, through
                                                                  periods of coverage beginning on or before September
                                                                  30, 2021. For more information, see Credit for COBRA
  To properly show the credit increase as a reduction to          premium assistance payments is limited to periods of
your balance, enter the positive number in column 3 as a          coverage beginning on or after April 1, 2021, through
negative number in column 4. Here is how you would                periods of coverage beginning on or before September
enter the numbers on Form CT-1 X, line 19.                        30, 2021 under Reminders, earlier.




14                                                                                  Instructions for Form CT-1 X (Rev. 4-2025)
          Premium payees that receive an election from an      2025, for most employers. For more information about the
 TIP assistance eligible individual are entitled to the        period of limitations, see Is There a Deadline for Filing
        COBRA premium assistance credit for premiums           Form CT-1 X, earlier.
not paid during the quarter in which the election is               If you’re correcting the refundable portion of the credit
received. See Notice 2021-31 for more information.
                                                               for qualified sick and family leave compensation for leave
                                                               taken after March 31, 2020, and before April 1, 2021, that
   If you’re correcting the nonrefundable portion of the       you reported on Form CT-1, line 23, enter the total
COBRA premium assistance credit that you reported on           corrected amount from Worksheet 1, Step 2, line 2k, in
Form CT-1, line 17c, enter the total corrected amount from     column 1. In column 2, enter the amount you originally
Worksheet 3, Step 2, line 2g, in column 1. In column 2,        reported or as previously corrected. In column 3, enter the
enter the amount you originally reported or as previously      difference between columns 1 and 2. For more information
corrected. In column 3, enter the difference between           about the credit for qualified sick and family leave
columns 1 and 2.                                               compensation, go to IRS.gov/PLC.
   Copy the amount in column 3 to column 4. However, to            For corrections to 2020 Form CT-1, line 23, if the period
properly show the amount as a credit or balance due item,      of limitations is still open, the credit for qualified sick and
enter a positive number in column 3 as a negative number       family leave compensation is only available for
in column 4 or a negative number in column 3 as a              compensation paid with respect to leave taken after March
positive number in column 4. For an example of how to          31, 2020, and before January 1, 2021. For corrections to
report amounts in columns 1–4 for an employment tax            2021, 2022, or 2023 Form CT-1, line 23, the credit for
credit, see the instructions for line 19, earlier.             qualified sick and family leave compensation is only
   Be sure to explain the reasons for this correction on       available for compensation paid in 2021, 2022, or 2023
line 43.                                                       with respect to any leave taken after March 31, 2020, and
                                                               before April 1, 2021. If you're correcting a year before
20d. Number of Individuals Provided COBRA                      2020 because the period of limitations is still open, don't
Premium Assistance                                             enter any amount on line 24.
If you’re correcting the number of individuals provided           Copy the amount in column 3 to column 4. However, to
COBRA premium assistance that you reported on Form             properly show the amount as a credit or balance due item,
CT-1, line 17d, enter the total corrected amount in column     enter a positive number in column 3 as a negative number
1. In column 2, enter the amount you originally reported or    in column 4 or a negative number in column 3 as a
as previously corrected. In column 3, enter the difference     positive number in column 4. For an example of how to
between columns 1 and 2.                                       report amounts in columns 1–4 for an employment tax
                                                               credit, see the instructions for line 19, earlier.
   Be sure to explain the reasons for this correction on
line 43.                                                          Be sure to explain the reasons for this correction on
                                                               line 43.
21. Subtotal
Combine the amounts from column 4 on lines 6–20c and           25b. Refundable Portion of Credit for Qualified
enter the result on line 21.                                   Sick and Family Leave Compensation for Leave
    Example. You entered “-500.00” in column 4 of line 6,      Taken After March 31, 2021, and Before October
“-100.00” in column 4 of line 7, and “1,400.00” in column 4    1, 2021
of line 18. Combine these amounts and enter “800.00” in                Generally, the period of limitations for correcting
column 4 of line 21.                                                   the refundable portion of credit for qualified sick
                                                                 !
                                                               CAUTION and family leave compensation paid in 2021
Line 6                 -500.00                                 expired on February 28, 2025, for most employers. For
Line 7                 -100.00                                 more information about the period of limitations, see Is
Line 18             + 1,400.00                                 There a Deadline for Filing Form CT-1 X, earlier.
Line 21                 800.00
                                                                   If you’re correcting the refundable portion of the credit
                                                               for qualified sick and family leave compensation for leave
                                                               taken after March 31, 2021, and before October 1, 2021,
                                                               that you reported on Form CT-1, line 24b, enter the total
24. Refundable Portion of Credit for Qualified                 corrected amount from Worksheet 2, Step 2, line 2s, in
Sick and Family Leave Compensation for Leave                   column 1. In column 2, enter the amount you originally
Taken After March 31, 2020, and Before April 1,                reported or as previously corrected. In column 3, enter the
2021                                                           difference between columns 1 and 2. For more information
                                                               about the credit for qualified sick and family leave
         Generally, the period of limitations for correcting
                                                               compensation, go to IRS.gov/PLC.
  !      the refundable portion of credit for qualified sick
 CAUTION and family leave compensation paid in 2020               For corrections to 2021, 2022, or 2023 Form CT-1,
expired on February 29, 2024, for most employers.              line 24b, the credit for qualified sick and family leave
Generally, the period of limitations for correcting the        compensation is only available for compensation paid in
refundable portion of credit for qualified sick and family     2021, 2022, or 2023 with respect to leave taken after
leave compensation paid in 2021 expired on February 28,        March 31, 2021, and before October 1, 2021. If you're

Instructions for Form CT-1 X (Rev. 4-2025)                                                                                   15
correcting a year before 2021 because the period of              Amount you owe. If the amount entered on line 26 is a
limitations is still open, don't enter any amount on line 25b.   positive number, you must pay the amount you owe by
                                                                 the time you file Form CT-1 X. You may not use any
   Copy the amount in column 3 to column 4. However, to
                                                                 credit that you show on another Form CT-1 X to pay the
properly show the amount as a credit or balance due item,
                                                                 amount you owe, even if you filed for the amount you owe
enter a positive number in column 3 as a negative number
                                                                 and the credit at the same time.
in column 4 or a negative number in column 3 as a
positive number in column 4. For an example of how to                If you owe tax and are filing a timely Form CT-1 X, don’t
report amounts in columns 1–4 for an employment tax              file an amended Form 945-A unless you were assessed
credit, see the instructions for line 19, earlier.               an FTD penalty caused by an incorrect, incomplete, or
                                                                 missing Form 945-A. Don’t include the tax increase
   Be sure to explain the reasons for this correction on         reported on Form CT-1 X on any amended Form 945-A
line 43.                                                         you file.
                                                                     If you owe tax and are filing a late Form CT-1 X, that is,
25c. Refundable Portion of COBRA Premium                         after the due date for Form CT-1 for the period in which
Assistance Credit                                                you discovered the error, you must file an amended Form
COBRA premium assistance was available for periods of            945-A with the Form CT-1 X. Otherwise, the IRS may
coverage beginning on or after April 1, 2021, through            assess an “averaged” FTD penalty. The total tax reported
periods of coverage beginning on or before September             on Form 945-A, line M, must match the corrected tax
30, 2021. For more information, see Credit for COBRA             (Form CT-1, line 15 (line 19 for tax years 2020–2023),
premium assistance payments is limited to periods of             combined with any correction reported on Form CT-1 X,
coverage beginning on or after April 1, 2021, through            line 21) for the year, less any previous abatements and
periods of coverage beginning on or before September             interest-free tax assessments.
30, 2021 under Reminders, earlier.                                  Payment methods. You may pay the amount you owe
                                                                 on line 26 electronically using the Electronic Federal Tax
   If you’re correcting the refundable portion of the            Payment System (EFTPS) or by a check or money order.
COBRA premium assistance credit that you reported on             • The preferred method of payment is EFTPS. For more
Form CT-1, line 24c, enter the total corrected amount from       information, go to EFTPS.gov or call 800-555-4477. To
Worksheet 3, Step 2, line 2h, in column 1. In column 2,          contact EFTPS using Telecommunications Relay Services
enter the amount you originally reported or as previously        (TRS) for people who are deaf, hard of hearing, or have a
corrected. In column 3, enter the difference between             speech disability, dial 711 and then provide the TRS
columns 1 and 2.                                                 assistant the 800-555-4477 number above or
   Copy the amount in column 3 to column 4. However, to          800-733-4829. Additional information about EFTPS is also
properly show the amount as a credit or balance due item,        available in Pub. 966.
enter a positive number in column 3 as a negative number         • If you pay by check or money order, make it payable to
in column 4 or a negative number in column 3 as a                “United States Treasury.” On your check or money order,
positive number in column 4. For an example of how to            be sure to write your EIN, “Form CT-1 X,” and the year
report amounts in columns 1–4 for an employment tax              corrected.
credit, see the instructions for line 19, earlier.                   You don’t have to pay if the amount you owe is less than
                                                                 $1.
   Be sure to explain the reasons for this correction on
line 43.                                                         Lines 27–30 and 33–38
                                                                 For lines 27–30 and 33–38, you’ll only enter amounts in
26. Total                                                        columns 1, 2, and 3. These lines don’t have an entry
Combine the amounts from column 4 on lines 21–25c and            space for column 4 because these adjustments don’t
enter the result on line 26.                                     directly result in an increase or decrease to your tax. The
Your credit. If the amount entered on line 26 is less than       amounts entered on lines 27–30 and 33–38 are amounts
zero, for example, “-115.00,” you have a credit because          that you use on Worksheets 1–3, as applicable, to figure
you overreported your RRTA taxes.                                your credits. If you reported an incorrect amount on lines
• If you checked the box on line 1, include this amount on       30–33 and 36–41 on your original Form CT-1, then you’ll
Form CT-1, line 16 (“Total railroad retirement tax               use lines 27–30 and 33–38 of Form CT-1 X to report the
deposits”), for the year during which you filed Form CT-1        correction. You’ll also use these lines to report amounts if
X. Don’t make any changes to your Record of Railroad             you’re claiming any credits for the first time on Form CT-1
Retirement Tax Liability in Part II of Form CT-1 or on Form      X. Use Worksheets 1–3, as applicable, to refigure your
945-A, unless you were assessed an FTD penalty. For              credits based on the corrected amounts reported in
more information, see the Instructions for Form 945-A.           column 1. Be sure to explain the reasons for your
The amounts reported on the record should reflect your           corrections to lines 27–30 and 33–38 on line 43.
actual tax liability for the period.
• If you checked the box on line 2, you’re filing a claim for
refund or abatement of the amount shown.
   If your credit is less than $1, we will send a refund or
apply it to your next return only if you ask us in writing to
do so.

16                                                                                 Instructions for Form CT-1 X (Rev. 4-2025)
27. Qualified Sick Leave Compensation for                       29. Qualified Family Leave Compensation for
Leave Taken After March 31, 2020, and Before                    Leave Taken After March 31, 2020, and Before
April 1, 2021                                                   April 1, 2021
        Generally, the period of limitations for correcting             Generally, the period of limitations for correcting
  !     qualified sick leave compensation paid in 2020            !     qualified family leave compensation paid in 2020
CAUTION expired on February 29, 2024, for most                  CAUTION expired on February 29, 2024, for most

employers. Generally, the period of limitations for             employers. Generally, the period of limitations for
correcting qualified sick leave compensation paid in 2021       correcting qualified family leave compensation paid in
expired on February 28, 2025, for most employers. For           2021 expired on February 28 2025, for most employers.
more information about the period of limitations, see Is        For more information about the period of limitations, see Is
There a Deadline for Filing Form CT-1 X, earlier.               There a Deadline for Filing Form CT-1 X, earlier.
    If you’re correcting the qualified sick leave                   If you’re correcting the qualified family leave
compensation for leave taken after March 31, 2020, and          compensation for leave taken after March 31, 2020, and
before April 1, 2021, that you reported on Form CT-1,           before April 1, 2021, you reported on Form CT-1, line 32,
line 30, enter the total corrected amount for all employees     enter the total corrected amount for all employees in
in column 1. In column 2, enter the amount you originally       column 1. In column 2, enter the amount you originally
reported or as previously corrected. In column 3, enter the     reported or as previously corrected. In column 3, enter the
difference between columns 1 and 2. Qualified sick leave        difference between columns 1 and 2. Qualified family
compensation reported on this line is compensation              leave compensation reported on this line is compensation
(determined without regard to the exclusions under              (determined without regard to the exclusions under
section 3231(e)(1)) paid under the Emergency Paid Sick          section 3231(e)(1)) paid under the Emergency Family and
Leave Act (EPSLA) as enacted under the FFCRA and as             Medical Leave Expansion Act (Expanded FMLA) as
amended by the COVID-related Tax Relief Act of 2020.            enacted under the FFCRA and as amended by the
Enter the corrected amount from column 1 on Worksheet           COVID-related Tax Relief Act of 2020. Enter the corrected
1, Step 2, line 2a.                                             amount from column 1 on Worksheet 1, Step 2, line 2e.
   Be sure to explain the reasons for this correction on           Be sure to explain the reasons for this correction on
line 43.                                                        line 43.

28. Qualified Health Plan Expenses Allocable to                 30. Qualified Health Plan Expenses Allocable to
Qualified Sick Leave Compensation for Leave                     Qualified Family Leave Compensation for Leave
Taken After March 31, 2020, and Before April 1,                 Taken After March 31, 2020, and Before April 1,
2021                                                            2021
         Generally, the period of limitations for correcting             Generally, the period of limitations for correcting
  !      qualified health plan expenses allocable to              !      qualified health plan expenses allocable to
 CAUTION qualified sick leave compensation paid in 2020          CAUTION qualified family leave compensation paid in 2020

expired on February 29, 2024, for most employers.               expired on February 29, 2024, for most employers.
Generally, the period of limitations for correcting qualified   Generally, the period of limitations for correcting qualified
health plan expenses allocable to qualified sick leave          health plan expenses allocable to qualified family leave
compensation paid in 2021 expired on February 28, 2025,         compensation paid in 2021 expired on February 28, 2025,
for most employers. For more information about the period       for most employers. For more information about the period
of limitations, see Is There a Deadline for Filing Form CT-1    of limitations, see Is There a Deadline for Filing Form CT-1
X, earlier.                                                     X, earlier.
   If you’re correcting the qualified health plan expenses         If you’re correcting the qualified health plan expenses
allocable to qualified sick leave compensation for leave        allocable to qualified family leave compensation for leave
taken after March 31, 2020, and before April 1, 2021, that      taken after March 31, 2020, and before April 1, 2021, that
you reported on Form CT-1, line 31, enter the total             you reported on Form CT-1, line 33, enter the total
corrected amount for all employees in column 1. In column       corrected amount for all employees in column 1. In column
2, enter the amount you originally reported or as               2, enter the amount you originally reported or as
previously corrected. In column 3, enter the difference         previously corrected. In column 3, enter the difference
between columns 1 and 2. Enter the corrected amount             between columns 1 and 2. Enter the corrected amount
from column 1 on Worksheet 1, Step 2, line 2b.                  from column 1 on Worksheet 1, Step 2, line 2f.
   Be sure to explain the reasons for this correction on           Be sure to explain the reasons for this correction on
line 43.                                                        line 43.




Instructions for Form CT-1 X (Rev. 4-2025)                                                                                 17
33. Qualified Sick Leave Compensation for                         If you’re correcting the amounts under certain
Leave Taken After March 31, 2021, and Before                   collectively bargained agreements allocable to qualified
October 1, 2021                                                sick leave compensation for leave taken after March 31,
                                                               2021, and before October 1, 2021, that you reported on
         Generally, the period of limitations for correcting   Form CT-1, line 38, enter the total corrected amount for all
     !   qualified sick leave compensation paid in 2021        employees in column 1. In column 2, enter the amount you
 CAUTION expired on February 28, 2025, for most                originally reported or as previously corrected. In column 3,
employers. For more information about the period of            enter the difference between columns 1 and 2. Enter the
limitations, see Is There a Deadline for Filing Form CT-1 X,   corrected amount from column 1 on Worksheet 2, Step 2,
earlier.                                                       line 2c.
   If you’re correcting the qualified sick leave                  Be sure to explain the reasons for this correction on
compensation for leave taken after March 31, 2021, and         line 43.
before October 1, 2021, that you reported on Form CT-1,
line 36, enter the total corrected amount in column 1. In      36. Qualified Family Leave Compensation for
column 2, enter the amount you originally reported or as       Leave Taken After March 31, 2021, and Before
previously corrected. In column 3, enter the difference
between columns 1 and 2. Qualified sick leave                  October 1, 2021
compensation reported on this line is compensation                      Generally, the period of limitations for correcting
(determined without regard to the exclusions under               !      qualified family leave compensation paid in 2021
section 3231(e)(1)) paid under the EPSLA as enacted             CAUTION expired on February 28, 2025, for most

under the FFCRA and amended for purposes of the ARP.           employers. For more information about the period of
Enter the corrected amount from column 1 on Worksheet          limitations, see Is There a Deadline for Filing Form CT-1 X,
2, Step 2, line 2a.                                            earlier.
   Be sure to explain the reasons for this correction on          If you’re correcting the qualified family leave
line 43.                                                       compensation for leave taken after March 31, 2021, and
                                                               before October 1, 2021, that you reported on Form CT-1,
34. Qualified Health Plan Expenses Allocable to                line 39, enter the total corrected amount in column 1. In
Qualified Sick Leave Compensation for Leave                    column 2, enter the amount you originally reported or as
Taken After March 31, 2021, and Before October                 previously corrected. In column 3, enter the difference
                                                               between columns 1 and 2. Qualified family leave
1, 2021                                                        compensation reported on this line is compensation
        Generally, the period of limitations for correcting    (determined without regard to the exclusions under
     !  qualified health plan expenses allocable to            section 3231(e)(1)) paid under the Expanded FMLA as
CAUTION qualified sick leave compensation paid in 2021         enacted under the FFCRA and amended for purposes of
expired on February 28, 2025, for most employers. For          the ARP. Enter the corrected amount from column 1 on
more information about the period of limitations, see Is       Worksheet 2, Step 2, line 2g.
There a Deadline for Filing Form CT-1 X, earlier.
                                                                  Be sure to explain the reasons for this correction on
   If you’re correcting the qualified health plan expenses     line 43.
allocable to qualified sick leave compensation for leave
taken after March 31, 2021, and before October 1, 2021,        37. Qualified Health Plan Expenses Allocable to
that you reported on Form CT-1, line 37, enter the total       Qualified Family Leave Compensation for Leave
corrected amount for all employees in column 1. In column      Taken After March 31, 2021, and Before October
2, enter the amount you originally reported or as
previously corrected. In column 3, enter the difference        1, 2021
between columns 1 and 2. Enter the corrected amount                    Generally, the period of limitations for correcting
from column 1 on Worksheet 2, Step 2, line 2b.                   !     qualified health plan expenses allocable to
                                                               CAUTION qualified family leave compensation paid in 2021
   Be sure to explain the reasons for this correction on       expired on February 28, 2025, for most employers. For
line 43.                                                       more information about the period of limitations, see Is
                                                               There a Deadline for Filing Form CT-1 X, earlier.
35. Amounts Under Certain Collectively
Bargained Agreements Allocable to Qualified                       If you’re correcting the qualified health plan expenses
Sick Leave Compensation for Leave Taken After                  allocable to qualified family leave compensation for leave
                                                               taken after March 31, 2021, and before October 1, 2021,
March 31, 2021, and Before October 1, 2021                     that you reported on Form CT-1, line 40, enter the total
         Generally, the period of limitations for correcting   corrected amount for all employees in column 1. In column
     !   the amounts under certain collectively bargained      2, enter the amount you originally reported or as
 CAUTION agreements allocable to qualified sick leave          previously corrected. In column 3, enter the difference
compensation paid in 2021 expired on February 28, 2025,        between columns 1 and 2. Enter the corrected amount
for most employers. For more information about the period      from column 1 on Worksheet 2, Step 2, line 2h.
of limitations, see Is There a Deadline for Filing Form CT-1
X, earlier.                                                       Be sure to explain the reasons for this correction on
                                                               line 43.

18                                                                               Instructions for Form CT-1 X (Rev. 4-2025)
38. Amounts Under Certain Collectively                         top of Form CT-1 X, including the date you discovered the
Bargained Agreements Allocable to Qualified                    error, and provide a detailed explanation on line 43.
Family Leave Compensation for Leave Taken                      43. Explain Your Corrections
After March 31, 2021, and Before October 1,                    Treasury regulations require you to explain in detail the
2021                                                           grounds and facts relied upon to support each correction.
         Generally, the period of limitations for correcting   On line 43, describe in detail each correction you entered
         the amounts under certain collectively bargained      in column 4 on lines 6–19, 20b–20d, 24, 25b, and 25c.
  !
 CAUTION agreements allocable to qualified family leave        Also use line 43 to describe corrections made on lines 27–
compensation paid in 2021 expired on February 28, 2025,        30 and 33–38. If you need more space, attach additional
for most employers. For more information about the period      sheets, but be sure to write your name, EIN, “Form CT-1
of limitations, see Is There a Deadline for Filing Form CT-1   X,” and the calendar year you’re correcting on the top of
X, earlier.                                                    each sheet.
   If you’re correcting the amounts under certain                 You must describe the events that caused the
collectively bargained agreements allocable to qualified       underreported or overreported amounts. Explanations
family leave compensation for leave taken after March 31,      such as “RRTA compensation was overstated,”
2021, and before October 1, 2021, that you reported on         “administrative/payroll errors were discovered,” or “taxes
Form CT-1, line 41, enter the total corrected amount for all   were not withheld” are insufficient and may delay the
employees in column 1. In column 2, enter the amount you       processing of your Form CT-1 X because the IRS may
originally reported or as previously corrected. In column 3,   need to ask for a more complete explanation.
enter the difference between columns 1 and 2. Enter the            Provide the following information in your explanation of
corrected amount from column 1 on Worksheet 2, Step 2,         each correction.
line 2i.                                                       • Form CT-1 X line number(s) affected.
   Be sure to explain the reasons for this correction on       • Date you discovered the error.
line 43.                                                       • Difference (amount of the error).
                                                               • Cause of the error.
Part 4: Explain Your Corrections for                           You may report the information in paragraph form. The
                                                               following paragraph is an example.
the Calendar Year You’re Correcting
                                                                 “The $1,000 difference shown in column 3 of lines 6
41. Corrections of Both Underreported and                      and 7 was discovered on May 15, 2025, during an internal
Overreported Amounts                                           payroll audit. We discovered that we included $1,000 of
                                                               compensation for one of our employees twice. This
Check the box on line 41 if any corrections you entered on     correction removes the reported compensation that was
lines 6–19, 20b–20d, 24, 25b, 25c, 27–30, or 33–38 in          never paid.”
column 3 reflect both underreported and overreported
amounts.                                                       Part 5: Sign Here
  Example. If you had an increase to Tier 1 Employer           You must complete all five pages of Form CT-1 X and sign
compensation of $15,000 for Nathan Smith and a                 it on page 5. If you don’t sign, the processing of Form
decrease to Tier 1 Employer compensation of $5,000 for         CT-1 X will be delayed.
Leah Green, you would enter $10,000 on line 6, column 3.
That $10,000 represents the net change resulting from          Who must sign Form CT-1 X? The following persons
corrections.                                                   are authorized to sign the return for each type of business
  On line 43, you must explain the reasons for both the        entity.
$15,000 increase and the $5,000 decrease.                      • Sole proprietorship—The individual who owns the
                                                               business.
42. Did You Reclassify Any Workers?                            • Corporation (including a limited liability company
Check the box on line 42 if you reclassified any workers to    (LLC) treated as a corporation)—The president, the
be independent contractors or nonemployees. Also check         vice president, or other principal officer duly authorized to
this box if the IRS (or you) determined that workers you       sign.
treated as independent contractors or nonemployees             • Partnership (including an LLC treated as a
should be classified as employees. On line 43, provide a       partnership) or unincorporated organization—A
detailed reason why any worker was reclassified.               responsible and duly authorized partner, member, or
                                                               officer having knowledge of its affairs.
Return not filed because you didn’t treat any workers          • Single-member LLC treated as a disregarded entity
as employees. If you didn’t previously file Form CT-1          for federal income tax purposes—The owner of the
because you mistakenly treated all workers as                  LLC or a principal officer duly authorized to sign.
independent contractors or nonemployees, file a Form           • Trust or estate—The fiduciary.
CT-1 for each delinquent year.                                    A duly authorized agent of the taxpayer may also sign
   Write “Misclassified Employees” in bold letters             Form CT-1 X if a valid power of attorney has been filed.
across the top margin of page 1 of each Form CT-1.
Complete Form CT-1 using the Instructions for Form CT-1.       Alternative signature method. Corporate officers or
Attach a Form CT-1 X to each Form CT-1. Complete the           duly authorized agents may sign Form CT-1 X by rubber
                                                               stamp, mechanical device, or computer software program.

Instructions for Form CT-1 X (Rev. 4-2025)                                                                               19
For details and required documentation, see Rev. Proc.
                                                                 Paperwork Reduction Act Notice. We ask for the
2005-39, 2005-28 I.R.B. 82, available at IRS.gov/irb/
                                                                 information on Form CT-1 X to carry out the Internal
2005-28_IRB#RP-2005-39.
                                                                 Revenue laws of the United States. You’re required to give
Paid Preparer Use Only                                           us the information. We need it to ensure that you’re
                                                                 complying with these laws and to allow us to figure and
A paid preparer must sign Form CT-1 X and provide the
                                                                 collect the right amount of tax.
information in the Paid Preparer Use Only section of Part 5
if the preparer was paid to prepare Form CT-1 X and isn’t          You're not required to provide the information requested
an employee of the filing entity. Paid preparers must sign       on a form that is subject to the Paperwork Reduction Act
paper returns with a manual signature. The preparer must         unless the form displays a valid OMB control number.
give the employer the return to file with the IRS and            Books or records relating to a form or its instructions must
include a copy of the return for the employer's records.         be retained as long as their contents may become
    If you’re a paid preparer, write your Preparer Tax           material in the administration of any Internal Revenue law.
Identification Number (PTIN) in the space provided.              Generally, tax returns and return information are
Include your complete address. If you work for a firm, write     confidential, as required by section 6103.
the firm's name and the EIN of the firm. You can apply for          The time needed to complete and file Form CT-1 X will
a PTIN online or by filing Form W-12. For more information       vary depending on individual circumstances. The
about applying for a PTIN online, go to IRS.gov/PTIN. You        estimated burden for employers filing Form CT-1 X is
can’t use your PTIN in place of the EIN of the tax               approved under OMB control number 1545-0029 and is
preparation firm.                                                included in the estimates shown in the Instructions for
    Generally, you’re not required to complete this section if   Form 941.
you’re filing the return as a reporting agent and have a
valid Form 8655 on file with the IRS. However, a reporting
agent must complete this section if the reporting agent
offered legal advice, for example, advising the client on
determining whether its workers are employees or
independent contractors for federal tax purposes.
How Can You Get Forms, Instructions,
and Publications From the IRS?
        You can download or print some of the forms and
        publications you may need at IRS.gov/Forms.
        Otherwise, you can go to IRS.gov/OrderForms to
place an order and have forms mailed to you. The IRS will
process your order for forms and publications as soon as
possible. Don’t resubmit requests you’ve already sent us.
You can get forms and publications faster online.




20                                                                                Instructions for Form CT-1 X (Rev. 4-2025)
Worksheet 1. Adjusted Credit for Qualified Sick and Family Leave
Compensation for Leave Taken After March 31, 2020, and Before
April 1, 2021                                                                                                                                       Keep for Your Records


You must use this worksheet if you claimed the credit for qualified sick and family leave compensation for leave taken after March 31, 2020, and
before April 1, 2021, on your original Form CT-1 and you correct any amounts used to figure the credit for qualified sick and family leave
compensation for leave taken after March 31, 2020, and before April 1, 2021. You'll also use this worksheet to figure this credit if you're claiming it
for the first time on Form CT-1 X.

Step 1.            Figure the Tier 1 Employer Tax
          1a       Enter the amount from Form CT-1, line 1 (Tax Column), or, if corrected, enter the
                   amount from Form CT-1 X, line 6, column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a
          1b       Enter the amount from Form CT-1, line 8 (Tax Column), or, if corrected, enter the
                   amount from Form CT-1 X, line 13, column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b
          1c       Tier 1 Employer tax. Add lines 1a and 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                    1c

Step 2.            Figure the credit for qualified sick and family leave compensation
          2a       Qualified sick leave compensation reported on Form CT-1, line 30, or, if corrected, the
                   amount from Form CT-1 X, line 27, column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
          2a(i)    Enter the amount, if any, included on line 2a that is compensation excluded from the
                   definition of compensation under section 3231(e)(1) . . . . . . . . . . . . . . . . . . . . . . . . . 2a(i)
          2a(ii)   Subtract line 2a(i) from line 2a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a(ii)
          2b       Qualified health plan expenses allocable to qualified sick leave compensation reported
                   on Form CT-1, line 31, or, if corrected, Form CT-1 X, line 28, column 1 . . . . . . . . . . . . 2b
          2c       Tier 1 Employer Medicare tax on qualified sick leave compensation. Multiply line 2a(ii)
                   by 1.45% (0.0145) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c
          2d       Credit for qualified sick leave compensation. Add lines 2a, 2b, and 2c . . . . . . . . .                                                    2d
          2e       Qualified family leave compensation reported on Form CT-1, line 32, or, if corrected,
                   the amount from Form CT-1 X, line 29, column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2e
          2e(i)    Enter the amount, if any, included on line 2e that is compensation excluded from the                                         2e(i)
                   definition of compensation under section 3231(e)(1) . . . . . . . . . . . . . . . . . . . . . . . . .
          2e(ii)   Subtract line 2e(i) from line 2e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2e(ii)
          2f       Qualified health plan expenses allocable to qualified family leave compensation
                   reported on Form CT-1, line 33, or, if corrected, the amount from Form CT-1 X, line 30,
                   column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2f
          2g       Tier 1 Employer Medicare tax on qualified family leave compensation. Multiply
                   line 2e(ii) by 1.45% (0.0145) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2g
          2h       Credit for qualified family leave compensation. Add lines 2e, 2f, and 2g . . . . . . .                                                      2h
          2i       Credit for qualified sick and family leave compensation. Add lines 2d
                   and 2h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                2i
          2j       Nonrefundable portion of credit for qualified sick and family leave
                   compensation for leave taken after March 31, 2020, and before April 1, 2021.
                   Enter the smaller of line 1c or line 2i. Enter this amount on Form CT-1 X, line 19,
                   column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                2j
          2k       Refundable portion of credit for qualified sick and family leave compensation
                   for leave taken after March 31, 2020, and before April 1, 2021. Subtract line 2j
                   from line 2i and enter this amount on Form CT-1 X, line 24, column 1 . . . . . . . . . . . . .                                              2k




Instructions for Form CT-1 X (Rev. 4-2025)                                                                                                                                  21
Worksheet 2. Adjusted Credit for Qualified Sick and Family Leave
Compensation for Leave Taken After March 31, 2021, and Before
October 1, 2021                                                                                                                                            Keep for Your Records
You must use this worksheet if you claimed the credit for qualified sick and family leave compensation for leave taken after March 31, 2021, and before
October 1, 2021, on your original Form CT-1 and you correct any amounts used to figure the credit for qualified sick and family leave compensation for leave
taken after March 31, 2021, and before October 1, 2021. You'll also use this worksheet to figure this credit if you're claiming it for the first time on Form CT-1 X.

Step 1.             Figure the Tier 1 Employer Medicare Tax
          1a        Enter the amount from Form CT-1, line 2 (Tax Column), or, if corrected, the amount from Form
                    CT-1 X, line 7, column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a
          1b        Enter the amount from Form CT-1, line 9 (Tax Column), or, if corrected, the amount from Form
                    CT-1 X, line 14, column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b
          1c        Tier 1 Employer Medicare tax. Add lines 1a and 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                         1c

Step 2.           Figure the credit for qualified sick and family leave compensation
          2a      Qualified sick leave compensation for leave taken after March 31, 2021, and before October 1,
                  2021, reported on Form CT-1, line 36, or, if corrected, the amount from Form CT-1 X, line 33,
                  column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      2a
          2a(i) Enter the amount, if any, included on line 2a that is compensation excluded from the definition
                  of compensation under section 3231(e)(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                    2a(i)
          2a(ii) Subtract line 2a(i) from line 2a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .           2a(ii)
          2a(iii) Enter the amount, if any, included on line 2a that was not included as compensation on Form
                  CT-1, lines 1, 4, 8, and 10, or, if corrected, on Form CT-1 X, lines 6, 9, 13, and 15, because the
                  qualified sick leave compensation was limited by the Tier 1 compensation base . . . . . . . . . . .                                 2a(iii)
          2a(iv) Subtract line 2a(iii) from line 2a(ii) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .           2a(iv)
          2b      Qualified health plan expenses allocable to qualified sick leave compensation taken after March
                  31, 2021, and before October 1, 2021, reported on Form CT-1, line 37, or, if corrected, the
                  amount from Form CT-1 X, line 34, column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                    2b
          2c      Amounts under certain collectively bargained agreements allocable to qualified sick leave
                  compensation for leave taken after March 31, 2021, and before October 1, 2021, reported on
                  Form CT-1, line 38, or, if corrected, the amount from Form CT-1 X, line 35, column 1 . . . . . . .                                  2c
          2d      Tier 1 Employer tax on qualified sick leave compensation. Multiply line 2a(iv) by 6.2%
                  (0.062) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   2d
          2e      Tier 1 Employer Medicare tax on qualified sick leave compensation. Multiply line 2a(ii) by 1.45%
                  (0.0145) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    2e
          2f      Credit for qualified sick leave compensation. Add lines 2a, 2b, 2c, 2d, and 2e . . . . . . . . .                                                      2f
          2g      Qualified family leave compensation for leave taken after March 31, 2021, and before October
                  1, 2021, reported on Form CT-1, line 39, or, if corrected, the amount from Form CT-1 X, line 36,
                  column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      2g
          2g(i) Enter the amount, if any, included on line 2g that is compensation excluded from the definition
                  of compensation under section 3231(e)(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                    2g(i)
          2g(ii) Subtract line 2g(i) from line 2g . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .           2g(ii)
          2g(iii) Enter the amount, if any, included on line 2g that was not included as compensation on Form
                  CT-1, lines 1, 4, 8, and 10, or, if corrected, on Form CT-1 X, lines 6, 9, 13, and 15, because the
                  qualified family leave compensation was limited by the Tier 1 compensation base . . . . . . . . .                                   2g(iii)
          2g(iv) Subtract line 2g(iii) from line 2g(ii) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .           2g(iv)
          2h      Qualified health plan expenses allocable to qualified family leave compensation taken after
                  March 31, 2021, and before October 1, 2021, reported on Form CT-1, line 40, or, if corrected,
                  the amount from Form CT-1 X, line 37, column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                      2h
          2i      Amounts under certain collectively bargained agreements allocable to qualified family leave
                  compensation for leave taken after March 31, 2021, and before October 1, 2021, reported on
                  Form CT-1, line 41, or, if corrected, the amount from Form CT-1 X, line 38, column 1 . . . . . . .                                  2i
          2j      Tier 1 Employer tax on qualified family leave compensation. Multiply line 2g(iv) by 6.2%
                  (0.062) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   2j
          2k      Tier 1 Employer Medicare tax on qualified family leave compensation. Multiply line 2g(ii) by
                  1.45% (0.0145) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        2k
          2l      Credit for qualified family leave compensation. Add lines 2g, 2h, 2i, 2j, and 2k . . . . . . . . .                                                    2l
          2m      Credit for qualified sick and family leave compensation. Add lines 2f and 2l . . . . . . . . . .                                                      2m
          2n      Reserved for future use
          2o      Enter any credit claimed under section 41 for increasing research activities with respect to any
                  compensation taken into account for the credit for qualified sick and family leave
                  compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        2o
          2p      Reserved for future use
          2q      Credit for qualified sick and family leave compensation after adjusting for other credits.
                  Subtract line 2o from line 2m . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                             2q
          2r      Nonrefundable portion of credit for qualified sick and family leave compensation for
                  leave taken after March 31, 2021, and before October 1, 2021. Enter the smaller of line 1c
                  or line 2q. Enter this amount on Form CT-1 X, line 20b, column 1 . . . . . . . . . . . . . . . . . . . . .                                            2r
          2s      Refundable portion of credit for qualified sick and family leave compensation for leave
                  taken after March 31, 2021, and before October 1, 2021. Subtract line 2r from line 2q and
                  enter this amount on Form CT-1 X, line 25b, column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                          2s




22                                                                                                                                      Instructions for Form CT-1 X (Rev. 4-2025)
Worksheet 3. Adjusted COBRA Premium Assistance Credit                                                                                                  Keep for Your Records
You must use this worksheet if you claimed the COBRA premium assistance credit on your original Form CT-1 and you correct any amounts used to figure the
COBRA premium assistance credit. You'll also use this worksheet to figure this credit if you're claiming it for the first time on Form CT-1 X.

Step 1.          Figure the Tier 1 Employer Medicare Tax
          1a     If you completed Worksheet 2 and you’re also claiming the COBRA premium assistance credit,
                 enter the amount from Worksheet 2, Step 1, line 1c. Otherwise, complete lines 1b–1d below
                 and then go to Step 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                         1a
          1b     Enter the amount from Form CT-1, line 2 (Tax Column), or, if corrected, the amount from Form
                 CT-1 X, line 7, column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .         1b
          1c     Enter the amount from Form CT-1, line 9 (Tax Column), or, if corrected, the amount from Form
                 CT-1 X, line 14, column 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .          1c
          1d     Tier 1 Employer Medicare tax. Add lines 1b and 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                         1d

Step 2.          Figure the COBRA premium assistance credit
          2a     Enter the COBRA premium assistance that you provided for periods of coverage beginning on
                 or after April 1, 2021, through periods of coverage beginning on or before September 30,
                 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   2a
          2b     Enter the amount of the Tier 1 Employer Medicare tax from Step 1, line 1a, or, if applicable,
                 Step 1, line 1d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    2b
          2c     Enter the amount of the nonrefundable portion of the credit for qualified sick and family leave
                 compensation for leave taken after March 31, 2021, and before October 1, 2021 (this amount
                 may come from Worksheet 2, Step 2, line 2r, in these instructions if you're correcting that credit
                 or you may need to enter the credit claimed on your original Form CT-1) . . . . . . . . . . . . . . .                            2c
          2d     Reserved for future use
          2e     Reserved for future use
          2f     Subtract line 2c from line 2b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .          2f
          2g     Nonrefundable portion of the COBRA premium assistance credit. Enter the smaller of
                 line 2a or line 2f. Enter this amount on Form CT-1 X, line 20c, column 1 . . . . . . . . . . . . . . . .                                          2g
          2h     Refundable portion of the COBRA premium assistance credit. Subtract line 2g from
                 line 2a and enter this amount on Form CT-1 X, line 25c, column 1 . . . . . . . . . . . . . . . . . . .                                            2h




Instructions for Form CT-1 X (Rev. 4-2025)                                                                                                                                     23


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