SCHEDULE H 

(Form 1040) 

Department of the Treasury 

Internal Revenue Service 

Household Employment Taxes 

(For Social Security, Medicare, Withheld Income, and Federal Unemployment (FUTA) Taxes)

Attach to Form 1040, 1040-SR, 1040-NR, 1040-SS, or 1041.

Go to www.irs.gov/ScheduleH for instructions and the latest information.

OMB No. 1545-0074

2023

Attachment 

Sequence No. 44

Name of employer Social security number 

Employer identification number

Calendar year taxpayers having no household employees in 2023 don’t have to complete this form for 2023.

A Did you pay any one household employee cash wages of $2,600 or more in 2023? (If any household employee was your spouse, 

your child under age 21, your parent, or anyone under age 18, see the line A instructions before you answer this question.) 

Yes. Skip lines B and C and go to line 1a.

No. Go to line B.

B Did you withhold federal income tax during 2023 for any household employee? 

Yes. Skip line C and go to line 7.

No. Go to line C.

C Did you pay total cash wages of $1,000 or more in any calendar quarter of 2022 or 2023 to all household employees? 

(Don’t count cash wages paid in 2022 or 2023 to your spouse, your child under age 21, or your parent.) 

No. Stop. Don’t file this schedule. 

Yes. Skip lines 1a–9 and go to line 10. 

Part I Social Security, Medicare, and Federal Income Taxes 

1 a Total cash wages subject to social security tax . . . . . . . . . . 1a

b Qualified sick and family leave wages paid in 2023 for leave taken after March

31, 2020, and before April 1, 2021, included on line 1a . . . . . . . . 1b

2a Social security tax. Multiply line 1a by 12.4% (0.124) . . . . . . . . . . . . . . . . 2a

b Employer share of social security tax on qualified sick and family leave wages paid in 2023 for leave 

taken after March 31, 2020, and before April 1, 2021. Multiply line 1b by 6.2% (0.062) . . . . . 2b

c Total social security tax. Subtract line 2b from line 2a . . . . . . . . . . . . . . . . 2c

3 Total cash wages subject to Medicare tax . . . . . . . . . . . . 3 

4 Medicare tax. Multiply line 3 by 2.9% (0.029) . . . . . . . . . . . . . . . . . . . 4 

5 Total cash wages subject to Additional Medicare Tax withholding . . . . 5

6 Additional Medicare Tax withholding. Multiply line 5 by 0.9% (0.009) . . . . . . . . . . . 6

7 Federal income tax withheld, if any . . . . . . . . . . . . . . . . . . . . . . 7

8a Total social security, Medicare, and federal income taxes. Add lines 2c, 4, 6, and 7. . . . . . . 8a

b Nonrefundable portion of credit for qualified sick and family leave wages for leave taken before April 1, 2021 8b

c Nonrefundable portion of credit for qualified sick and family leave wages for leave taken after March

31, 2021, and before October 1, 2021 . . . . . . . . . . . . . . . . . . . . . 8c

d Total social security, Medicare, and federal income taxes after nonrefundable credits. Add lines 8b 

and 8c and then subtract that total from line 8a . . . . . . . . . . . . . . . . . . 8d

e Refundable portion of credit for qualified sick and family leave wages for leave taken before April 1, 2021 8e

f Refundable portion of credit for qualified sick and family leave wages for leave taken after March 31, 

2021, and before October 1, 2021 . . . . . . . . . . . . . . . . . . . . . . . 8f

g Qualified sick leave wages for leave taken before April 1, 2021 . . . . . . . . . . . . . 8g

h Qualified health plan expenses allocable to qualified sick leave wages reported on line 8g . . . . 8h

i Qualified family leave wages for leave taken before April 1, 2021 . . . . . . . . . . . . 8i

j Qualified health plan expenses allocable to qualified family leave wages reported on line 8i . . . . 8j

k Qualified sick leave wages for leave taken after March 31, 2021, and before October 1, 2021 . . . 8k

l Qualified health plan expenses allocable to qualified sick leave wages reported on line 8k . . . . 8l

m Qualified family leave wages for leave taken after March 31, 2021, and before October 1, 2021 . . 8m

n Qualified health plan expenses allocable to qualified family leave wages reported on line 8m . . . 8n

9 Did you pay total cash wages of $1,000 or more in any calendar quarter of 2022 or 2023 to all household employees? 

(Don’t count cash wages paid in 2022 or 2023 to your spouse, your child under age 21, or your parent.) 

No. Stop. Include the amount from line 8d above on Schedule 2 (Form 1040), line 9. Include the amounts, if any, from lines 

8e and 8f on Schedule 3 (Form 1040), line 13z. If you’re not required to file Form 1040, see the line 9 instructions. 

Yes. Go to line 10.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions. Cat. No. 12187K Schedule H (Form 1040) 2023
Schedule H (Form 1040) 2023 Page 2 

Part II Federal Unemployment (FUTA) Tax 

Yes No 

10 Did you pay unemployment contributions to only one state? If you paid contributions to a credit reduction

state, see instructions and check “No” . . . . . . . . . . . . . . . . . . . . . . . 10

11 Did you pay all state unemployment contributions for 2023 by April 15, 2024? Fiscal year filers, see instructions 11

12 Were all wages that are taxable for FUTA tax also taxable for your state’s unemployment tax? . . . . . 12

Next: If you checked the “Yes” box on all the lines above, complete Section A.

If you checked the “No” box on any of the lines above, skip Section A and complete Section B. 

Section A 

13 Name of the state where you paid unemployment contributions 

14 Contributions paid to your state unemployment fund . . . . . . . . 14

15 Total cash wages subject to FUTA tax . . . . . . . . . . . . . . . . . . . . . 15

16 FUTA tax. Multiply line 15 by 0.6% (0.006). Enter the result here, skip Section B, and go to line 25 . 16

Section B 

17 Complete all columns below that apply (if you need more space, see instructions): 

(a)

Name of state 

(b) 

Taxable wages 

(as defined in 

state act) 

(c) 

State experience 

rate period 

(d) 

State 

experience 

rate 

(e) 

Multiply col. (b) 

by 0.054 

(f) 

Multiply col. (b) 

by col. (d) 

(g) 

Subtract col. (f) 

from col. (e). 

If zero or less, 

enter -0-. 

(h) 

Contributions 

paid to state 

unemployment fund 

 From To 

18 Totals . . . . . . . . . . . . . . . . . . . . . . . . . . 18

19 Add columns (g) and (h) of line 18 . . . . . . . . . . . . . . . 19

20 Total cash wages subject to FUTA tax (see the line 15 instructions) . . . . . . . . . . . . 20

21 Multiply line 20 by 6.0% (0.06) . . . . . . . . . . . . . . . . . . . . . . . . 21

22 Multiply line 20 by 5.4% (0.054) . . . . . . . . . . . . . . . 22

23 Enter the smaller of line 19 or line 22.

(If you paid state unemployment contributions late or you’re in a credit reduction state, see instructions 

and check here) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

24 FUTA tax. Subtract line 23 from line 21. Enter the result here and go to line 25 . . . . . . . . 24

Part III Total Household Employment Taxes 

25 Enter the amount from line 8d. If you checked the “Yes” box on line C of page 1, enter -0- . . . . 25

26 Add line 16 (or line 24) and line 25 . . . . . . . . . . . . . . . . . . . . . . 26

27 Are you required to file Form 1040? 

Yes. Stop. Include the amount from line 26 above on Schedule 2 (Form 1040), line 9. Include the amounts, if any, from lines 

8e and 8f on Schedule 3 (Form 1040), line 13z. Don’t complete Part IV below.

No. You may have to complete Part IV. See instructions for details.

Part IV Address and Signature — Complete this part only if required. See the line 27 instructions.

Address (number and street) or P.O. box if mail isn’t delivered to street address Apt., room, or suite no. 

City, town or post office, state, and ZIP code 

Under penalties of perjury, I declare that I have examined this schedule, including accompanying statements, and to the best of my knowledge and belief, it is true, correct, 

and complete. No part of any payment made to a state unemployment fund claimed as a credit was, or is to be, deducted from the payments to employees. Declaration of 

preparer (other than taxpayer) is based on all information of which preparer has any knowledge. 

Employer’s signature Date 

Paid 

Preparer 

Use Only

Print/Type preparer’s name Preparer’s signature Date Check if 

self-employed

PTIN

Firm’s name 

Firm’s address 

Firm’s EIN 

Phone no.

Schedule H (Form 1040) 2023