Form 4852

IRS title for this form number: “Substitute for Form W-2, Wage and Tax Statement, or Form 1099-R, Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.”. Other rows in this family carry slightly different titles, listed verbatim below.

2 records in this family: 2 Form rows, 0 Instruction rows, 1 other-language row. Every link below goes to the IRS’s own PDF for that record.

Form

Form records for this number, exactly as the IRS listing gives them.
Record idProduct numberTitleRevision datePosted dateLanguage / editionIRS copy
Form 4852Form 4852Substitute for Form W-2, Wage and Tax Statement, or Form 1099-R, Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.Sep 202009/09/2020EnglishOpen the IRS copy
Form 4852 (sp)Form 4852 (sp)Substitute for Form W-2, Wage and Tax Statement, or Form 1099-R, Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. (Spanish Version)Sep 202009/22/2022SpanishOpen the IRS copy

Other-language versions are inside the tables above, each with its own link: Form 4852 (sp). They are also collected on the other-languages page.

Source: IRS listing, retrieved September 2026. Record ids: Form 4852, Form 4852 (sp).

Every revision date, posted date, title and PDF link above is copied from the row with that record id in the listing, unchanged.

Full listing: IRS, ‘Forms, instructions and publications’.

Where this form number sits

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