IRS Form 941 Schedule R "Allocation Schedule for Aggregate Form 941 Filers"

What Is IRS Form 941 Schedule R?

This is a tax form that was released by the Internal Revenue Service (IRS) - a subdivision of the U.S. Department of the Treasury on June 1, 2020. As of today, no separate filing guidelines for the form are provided by the IRS.

Form Details:

  • A 2-page form available for download in PDF;
  • Actual and valid for filing 2020 taxes;
  • Editable, printable, and free;
  • Fill out the form in our online filing application.

Download a fillable version of IRS Form 941 Schedule R through the link below or browse more documents in our library of IRS Forms.

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Schedule R (Form 941):
Allocation Schedule for Aggregate Form 941 Filers
Report for calendar year:
(Rev. June 2021)
Department of the Treasury — Internal Revenue Service
OMB No. 1545-0029
2021
Check the quarter (same as Form 941):
Employer identification number (EIN)
1: January, February, March
Name as shown on Form 941
2: April, May, June
Type of filer (check one):
3: July, August, September
Section 3504 Agent
CPEO
Other Third Party
Read the instructions before you complete Schedule R. Type or print within the boxes. Complete a separate line for the amounts
4: October, November, December
allocated to each of your clients. The term “client” as used on this form includes the term “customer.” See the instructions.
(a) Client’s EIN
(b) Type of wages
(c) Form 941, line 1
(d) Form 941, line 2
(e) Form 941, line 3
(f) Form 941, lines 5a(i)
(g) Form 941, lines 5a
(h) Form 941, line 5c,
(i) Form 941, line 5e
(CPEO only)
and 5a(ii), column 1, total
and 5b, column 2, total
column 2
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Subtotals for clients. Add lines 1 through 5
7
Enter the combined subtotal from line 9 of
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all Continuation Sheets for Schedule R
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Enter Form 941 amounts for your employees
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9
Totals. Add lines 6, 7, and 8.
(j) Form 941, line 5f
(k) Form 941, line 11a
(l) Form 941, lines 11b
(m) Form 941, lines 11c
(n) Form 941, lines 11d
(o) Form 941, lines 11e
(p) Form 941, line 11f
(q) Form 941, line 12
and 13c, total
and 13d, total
and 13e, total
and 13f, total
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(r) Form 941, line 13a
(s) Form 941, line 13h
(t) Form 941, line 18b
(u) Form 941, lines 19
(v) Form 941, lines 21
(w) Form 941, lines 23
(x) Form 941, lines 24
(y) Form 941, lines 26
checkbox (Answer Yes or No)
and 20, total
and 22, total
and 27, total
and 28, total
and 25, total
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For Paperwork Reduction Act Notice, see the separate instructions.
www.irs.gov/Form941
Cat. No. 49301K
Schedule R (Form 941) (Rev. 6-2021)
Schedule R (Form 941):
Allocation Schedule for Aggregate Form 941 Filers
Report for calendar year:
(Rev. June 2021)
Department of the Treasury — Internal Revenue Service
OMB No. 1545-0029
2021
Check the quarter (same as Form 941):
Employer identification number (EIN)
1: January, February, March
Name as shown on Form 941
2: April, May, June
Type of filer (check one):
3: July, August, September
Section 3504 Agent
CPEO
Other Third Party
Read the instructions before you complete Schedule R. Type or print within the boxes. Complete a separate line for the amounts
4: October, November, December
allocated to each of your clients. The term “client” as used on this form includes the term “customer.” See the instructions.
(a) Client’s EIN
(b) Type of wages
(c) Form 941, line 1
(d) Form 941, line 2
(e) Form 941, line 3
(f) Form 941, lines 5a(i)
(g) Form 941, lines 5a
(h) Form 941, line 5c,
(i) Form 941, line 5e
(CPEO only)
and 5a(ii), column 1, total
and 5b, column 2, total
column 2
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1
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2
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3
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4
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.
5
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.
.
.
.
.
6
Subtotals for clients. Add lines 1 through 5
7
Enter the combined subtotal from line 9 of
.
.
.
.
.
.
all Continuation Sheets for Schedule R
.
.
.
.
.
.
8
Enter Form 941 amounts for your employees
.
.
.
.
.
.
9
Totals. Add lines 6, 7, and 8.
(j) Form 941, line 5f
(k) Form 941, line 11a
(l) Form 941, lines 11b
(m) Form 941, lines 11c
(n) Form 941, lines 11d
(o) Form 941, lines 11e
(p) Form 941, line 11f
(q) Form 941, line 12
and 13c, total
and 13d, total
and 13e, total
and 13f, total
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(r) Form 941, line 13a
(s) Form 941, line 13h
(t) Form 941, line 18b
(u) Form 941, lines 19
(v) Form 941, lines 21
(w) Form 941, lines 23
(x) Form 941, lines 24
(y) Form 941, lines 26
checkbox (Answer Yes or No)
and 20, total
and 22, total
and 27, total
and 28, total
and 25, total
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For Paperwork Reduction Act Notice, see the separate instructions.
www.irs.gov/Form941
Cat. No. 49301K
Schedule R (Form 941) (Rev. 6-2021)
Page
of
Continuation Sheet for Schedule R (Form 941)
Report for calendar year:
(Rev. June 2021)
2021
Check the quarter (same as Form 941):
Employer identification number (EIN)
1: January, February, March
Name as shown on Form 941
2: April, May, June
Type of filer (check one):
3: July, August, September
Section 3504 Agent
CPEO
Other Third Party
4: October, November, December
(a) Client’s EIN
(b) Type of wages
(c) Form 941, line 1
(d) Form 941, line 2
(e) Form 941, line 3
(f) Form 941, lines 5a(i)
(g) Form 941, lines 5a
(h) Form 941, line 5c,
(i) Form 941, line 5e
(CPEO only)
and 5a(ii), column 1, total
and 5b, column 2, total
column 2
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1
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7
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8
9
Subtotals for clients. Add lines 1 through 8.
Include the subtotals from this line on
Schedule R, Page 1, line 7.
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(q) Form 941, line 12
(j) Form 941, line 5f
(k) Form 941, line 11a
(l) Form 941, lines 11b
(m) Form 941, lines 11c
(n) Form 941, lines 11d
(o) Form 941, lines 11e
(p) Form 941, line 11f
and 13c, total
and 13d, total
and 13e, total
and 13f, total
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(r) Form 941, line 13a
(s) Form 941, line 13h
(t) Form 941, line 18b
(u) Form 941, lines 19
(v) Form 941, lines 21
(w) Form 941, lines 23
(x) Form 941, lines 24
(y) Form 941, lines 26
checkbox (Answer Yes or No)
and 20, total
and 22, total
and 25, total
and 27, total
and 28, total
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Schedule R (Form 941) (Rev. 6-2021)
Page of 2