Form 1099-G Template

Use this form to record certain government payments, including unemployment compensation and taxable grants.

By using this template, you agree to our Template Terms of Use.

Why use a Form 1099-G?

A Form 1099-G helps organize payer, recipient, payment, withholding, and state tax details in one record.

Capture payment amounts

Record government payment amounts with boxes for refunds, grants, and benefits.
Identify both parties

Keep payer and recipient names, addresses, and taxpayer IDs together.
Support tax records

Use the recipient copies and state copy details for organized tax reporting records.

This template covers payer details, recipient information, payment boxes, withholding, and state reporting fields.

Payer and recipient details
Fields capture names, addresses, telephone number, and taxpayer identification numbers.
Government payment boxes
Includes unemployment compensation, tax refunds, RTAA payments, grants, and agriculture payments.
Withholding fields
Provides fields for federal income tax withheld and state income tax withheld.
State reporting details
Includes state name, state identification number, and related state tax fields.
Account and correction fields
Includes account number, corrected return, void, and second TIN notice fields.