Employers use this form to report contributions made by their employees to qualifying charitable organizations.  This form is completed quarterly and forwarded to the qualifying charitable organization(s), not the department.

The employee completes this form to notify his/her employer of the amount by which he/she wishes his/her withholding be reduced and the amount(s) sent as a quarterly payment to qualifying charitable organizations.

Arizona residents employed outside of Arizona complete this form to elect to have Arizona income tax withheld from their paychecks.  This form is submitted to the employer, not the department.

Arizona residents who qualify, complete this form to request to have no Arizona income tax withheld from their wages.  This form is submitted to the employer, not the department.

Beginning in 2017, the WECI and WECM forms were merged into the WEC form,  no longer a separate form.

Arizona residents who qualify, complete this form to request to have no Arizona income tax withheld from their wages.  This form is submitted to the employer, not the department. (For years 2013-2016)

Withholding Tax Information Authorization

Withholding Tax Payroll Service Company Authorization

If submitting more than 10 authorization forms, they must be mailed to:

Arizona Department of Revenue

ATTN: Power of Attorney

PO Box 29086

Phoenix, AZ 85038-9086

This form is used by employers that electronically file Form(s) A1-R or A1-APR to transmit wage and tax statements to the department.