Box Description
1 Wages  - ORP, TSA, TRS & Parking Amounts Deducted From Taxable Wages
2 Federal  Income Tax Withheld (020 & 022)
3 Social Security Wages
4 Social Security Tax Withheld (010)
5 Medicare Wages
6 Medicare Tax Withheld (011)
9 Advance EIC Payment - Earned Income (040)
10 Dependent Care Benefits - Tex Flex Dependent Care (TFD)
12C Cost of Group Term Life Insurance - (LIT)
12CC FICA Hire Act - Applicable Gross (012)
12DD Health Plan Costs HGP, HOF, HOP, HSF, HSP (TPS, TPM, TPC, RO4, ROL, ROS)
12E Section 403 (b) Contributions - (ORP and TSA) - Amount Already Deducted From Wages
12EE Designated Roth Contributions Under 457(b) Effective 2012
12G Section 457 Contributions - TexaSaver 457 (TXS)
12P Nontaxable Relocation Reimbursements (116)
13R Retirement Contributions Not In Boxes 12D, E, F, H (TRS, T90) - Amount Already Deducted From Wages
14A Housing - Taxable (126)
14B Car Allowance - Taxable (122)
14C Tuition - Taxable (112)