Voluntary Withholding Request for Arizona Resident Employed Outside of Arizona

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.

Form Number
A-4V
Form Year Form Publish Date
Download 01/01/2024
Download 01/01/2023
Download 01/01/2023
Download 01/01/2023
Download 01/01/2023
Download 01/01/2023