N.C. Department of Health and Human Services
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State Health Plan
First 30 Days
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W-4 Federal Withholding Form

Why do I need to fill out this form?

The W-4 form allows your employer to withhold the correct amount of Federal income tax from your salary.

Be sure to sign your form before you turn it in!

What happens if I do not identify a number of allowances?

Your tax will be based on zero deductions.

What happens if I have not submitted my form in enough time for payroll to deduct the correct number of allowances?

Your tax will be based on zero deductions for your first paycheck. The number you entered will be used as soon as your W-4 is submitted and processed.

May I change my number of allowances? If so, how do I do that?

Yes, you may change your number of allowances at any time during the year. Submit a new signed and dated W-4 form to your HR office.

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