What Is This Form For?
To identify and withhold the correct federal income tax from your pay. If you do not submit this form, your withholdings will default to a filing status of “single” and you claim “0” allowances.
If you transferred from another state agency, your withholding elections will transfer with you.
Download the Form:
Is This Form Mandatory?
How to Complete This Form
Where to Submit This Form
BSC Payroll Administration
W. Averell Harriman State Office Campus
1220 Washington Avenue
Building 5, Floor 4
Albany, NY 12226-1900
Contact the BSC Payroll Admin Team
Still have questions? Try the BSC Help Center where you can send a question to our support team or search a database of FAQs.