Mary-Grace Sutton

Professional with experience in leadership and operations management. Demonstrates strong focus on team collaboration and achieving results. Possesses skills in conflict resolution, time management, and effective communication. Adaptable and reliable, meeting changing needs and ensuring smooth workflow. Prepared to drive team performance and operational excellence.

• Completed the CNA program through a High-School Nursing program during senior year of high school.

• CPR certified for the past 4 years. (2021-Current)

• Part of the Women's Varsity Swim and Lacrosse teams in High-School; captains for both teams senior year of High-School.

• Certified Nursing Assistant , - May 2025
• CPR Certified, Red Cross - May 2021-Current

Found spending abundance of free time babysitting neighborhood kids, playing lacrosse and swimming, volunteering at homeless shelters for holidays and at nursing homes to give care.

• Form I-9 Edition 08/01/23
• LISTS OF ACCEPTABLE DOCUMENTS
• All documents containing an expiration date must be unexpired.
• Documents extended by the issuing authority are considered unexpired.
• Employees may present one selection from List A or a combination of one selection from List B and one selection from List C.
• Examples of many of these documents appear in the Handbook for Employers (M-274).
• LIST A Documents that Establish Both Identity and Employment Authorization
• LIST B Documents that Establish Identity
• AND LIST C Documents that Establish Employment Authorization
• 1. U.S. Passport or U.S. Passport Card
• 1. Driver's license or ID card issued by a State or outlying possession of the United States provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address
• 1. A Social Security Account Number card, unless the card includes one of the following restrictions:
• (1) NOT VALID FOR EMPLOYMENT
• (2) VALID FOR WORK ONLY WITH INS AUTHORIZATION
• (3) VALID FOR WORK ONLY WITH DHS AUTHORIZATION
• 2. Permanent Resident Card or Alien Registration Receipt Card (Form I-551)
• 2. ID card issued by federal, state or local government agencies or entities, provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address
• 2. Certification of report of birth issued by the Department of State (Forms DS-1350, FS-545, FS-240)
• 3. Foreign passport that contains a temporary I-551 stamp or temporary I-551 printed notation on a machine-readable immigrant visa
• 3. School ID card with a photograph
• 3. Original or certified copy of birth certificate issued by a State, county, municipal authority, or territory of the United States bearing an official seal
• 4. Employment Authorization Document that contains a photograph (Form I-766)
• 4. Voter's registration card
• 4. Native American tribal document
• 5. For an individual temporarily authorized to work for a specific employer because of his or her status or parole:
• A. Foreign passport; and
• B. Form I-94 or Form I-94A that has
• (1) The same name as the passport; and
• (2) An endorsement of the individual's status or parole as long as that period of endorsement has not yet expired and the proposed employment is not in conflict with any restrictions or limitations identified on the form.
• 5. U.S. Military card or draft record
• 5. U.S. Citizen ID Card (Form I-197)
• 6. Passport from the Federated States of Micronesia (FSM) or the Republic of the Marshall Islands (RMI) with Form I-94 or Form I-94A indicating nonimmigrant admission under the Compact of Free Association Between the United States and the FSM or RMI
• 6. Military dependent's ID card
• 6. Identification Card for Use of Resident Citizen in the United States (Form I-179)
• 7. U.S. Coast Guard Merchant Mariner Card
• 7. Employment authorization document issued by the Department of Homeland Security
• 8. Native American tribal document
• For examples, see Section 7 and Section 13 of the M-274 on uscis.gov/i-9-central.
• 9. Driver's license issued by a Canadian government authority
• The Form I-766, Employment Authorization Document, is a List A, Item Number 4. document, not a List C document.
• For persons under age 18 who are unable to present a document listed above:
• 10. School record or report card
• 11. Clinic, doctor, or hospital record
• 12. Day-care or nursery school record
• Acceptable Receipts
• May be presented in lieu of a document listed above for a temporary period.
• For receipt validity dates, see the M-274.
• Receipt for a replacement of a lost, stolen, or damaged List A document.
• OR Receipt for a replacement of a lost, stolen, or damaged List B document.
• Receipt for a replacement of a lost, stolen, or damaged List C document.
• Form I-94 issued to a lawful permanent resident that contains an I-551 stamp and a photograph of the individual.
• Form I-94 with "RE" notation or refugee stamp issued to a refugee.
• Refer to the Employment Authorization Extensions page on I-9 Central for more information.

• USCIS Form I-9 Supplement A
• Preparer and/or Translator Certification for Section 1
• Department of Homeland Security
• U.S. Citizenship and Immigration Services
• OMB No. 1615-0047
• Expires 07/31/2026
• Last Name (Family Name) from Section 1.
• First Name (Given Name) from Section 1.
• Middle Initial (if any) from Section 1.
• Instructions: This supplement must be completed by any preparer and/or translator who assists an employee in completing Section 1 of Form I-9. The preparer and/or translator must enter the employee's name in the spaces provided above. Each preparer or translator must complete, sign, and date a separate certification area. Employers must retain completed supplement sheets with the employee's completed Form I-9.
• I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct.
• Signature of Preparer or Translator
• Date (mm/dd/yyyy)
• Last Name (Family Name)
• First Name (Given Name)
• Middle Initial (if any)
• Address (Street Number and Name)
• City or Town
• State
• ZIP Code
• Form I-9 Edition 08/01/23

• USCIS Form I-9 Employment Eligibility Verification
• Department of Homeland Security
• U.S. Citizenship and Immigration Services
• OMB No. 1615-0047
• Expires 07/31/2026
• START HERE: Employers must ensure the form Instructions are available to employees when completing this form. Employers are liable for failing to comply with the requirements for completing this form. See below and the Instructions.
• ANTI-DISCRIMINATION NOTICE: All employees can choose which acceptable documentation to present for Form I-9. Employers cannot ask employees for documentation to verify information in Section 1, or specify which acceptable documentation employees must present for Section 2 or Supplement B, Reverification and Rehire. Treating employees differently based on their citizenship, immigration status, or national origin may be illegal.
• Section 1. Employee Information and Attestation: Employees must complete and sign Section 1 of Form I-9 no later than the first day of employment, but not before accepting a job offer.
• Last Name (Family Name)
• First Name (Given Name)
• Middle Initial (if any)
• Other Last Names Used (if any)
• Address (Street Number and Name)
• Apt. Number (if any)
• City or Town
• State
• ZIP Code
• Date of Birth (mm/dd/yyyy)
• U.S. Social Security Number
• Employee's Email Address
• Employee's Telephone Number
• I am aware that federal law provides for imprisonment and/or fines for false statements, or the use of false documents, in connection with the completion of this form. I attest, under penalty of perjury, that I am (check one of the following boxes to attest to your citizenship or immigration status (See page 2 and 3 of the Instructions.):
• 1. A citizen of the United States
• 2. A noncitizen national of the United States (See Instructions.)
• 3. A lawful permanent resident (Enter USCIS or A-Number):
• 4. A noncitizen (other than Item Numbers 2 and 3, above) authorized to work until (exp. date, if any)
• If you check Item Number 4, enter one of these:
• USCIS A-Number
• Form I-94 Admission Number
• Foreign Passport Number and Country of Issuance
• Signature of Employee
• Today's Date (mm/dd/yyyy)
• If a preparer and/or translator assisted you in completing Section 1, that person MUST complete the Preparer and/or Translator Certification on Page 3.
• Section 2. Employer Review and Verification: Employers or their authorized representative must complete and sign Section 2 within three business days after the employee's first day of employment; and must physically examine, or examine consistent with an alternative procedure authorized by the Secretary of DHS, documentation from List A OR a combination of documentation from List B and List C. Enter any additional documentation in the Additional Information box; see Instructions.
• List A OR List B AND List C
• Document Title 1
• Issuing Authority
• Document Number (if any)
• Expiration Date (if any)
• Document Title 2 (if any)
• Additional Information
• Document Title 3 (if any)
• Check here if you used an alternative procedure authorized by DHS to examine documents.
• Certification: I attest, under penalty of perjury, that (1) I have examined the documentation presented by the above-named employee, (2) the above-listed documentation appears to be genuine and to relate to the employee named, and (3) to the best of my knowledge, the employee is authorized to work in the United States.
• Last Name, First Name and Title of Employer or Authorized Representative
• Signature of Employer or Authorized Representative
• Employer's Business or Organization Name
• Employer's Business or Organization Address, City or Town, State, ZIP Code
• For reverification or rehire, complete Supplement B, Reverification and Rehire on Page 4.
• Form I-9 Edition 08/01/23

• Town of Stratford Direct Deposit Election Form
• RETURN COMPLETED FORM WITH VOIDED CHECK TO PAYROLL
• I understand that funds will be available in my account(s) on Friday morning each payday. In lieu of a check, I will receive a pay advice stating my earnings and deductions. I hereby authorize direct deposit into my personal accounts as designated below:
• Checking Account
• Savings Account
• 1.
• Depository Institution
• ABA Transit Routing Number
• Account Number
• Amount
• 2.
• SIGNATURE REQUIRED
• Name (please print)
• Employee Number
• Signature
• Date
• ATTACH VOIDED CHECK
• Rev 6-29-20

• Form W-4 (2023)
• Married Filing Jointly or Qualifying Surviving Spouse
• Higher Paying Job Annual Taxable Wage & Salary
• Lower Paying Job Annual Taxable Wage & Salary
• $0 - $10,000
• $10,000 - $20,000
• $20,000 - $30,000
• $30,000 - $40,000
• $40,000 - $50,000
• $50,000 - $60,000
• $60,000 - $70,000
• $70,000 - $80,000
• $80,000 - $90,000
• $90,000 - $100,000
• $100,000 - $110,000
• $110,000 - $120,000
• $0 - 9,999
• $9,999 - 19,999
• $19,999 - 29,999
• $29,999 - 39,999
• $39,999 - 49,999
• $49,999 - 59,999
• $59,999 - 69,999
• $69,999 - 79,999
• $79,999 - 89,999
• $89,999 - 99,999
• $99,999 - 109,999
• $109,999 - 120,000
• $0
• $620
• $860
• $1,020
• $1,650
• $1,870
• $1,980
• $2,040
• $1,630
• $2,060
• $2,220
• $2,850
• $3,850
• $4,070
• $4,090
• $4,290
• $4,440
• $20,000 - 29,999
• $2,450
• $2,650
• $3,280
• $4,280
• $5,280
• $5,720
• $6,520
• $30,000 - 39,999
• $930
• $1,850
• $2,810
• $3,440
• $5,440
• $6,680
• $7,680
• $8,780
• $40,000 - 49,999
• $2,200
• $3,130
• $5,290
• $6,290
• $7,280
• $8,280
• $9,280
• $50,000 - 59,999
• $3,340
• $4,340
• $5,340
• $6,340
• $7,340
• $8,340
• $9,340
• $10,340
• $60,000 - 69,999
• $4,750
• $5,750
• $6,750
• $7,750
• $8,750
• $9,750
• $10,610
• $11,610
• $70,000 - 79,999
• $10,750
• $12,610
• $80,000 - 89,999
• $4,170
• $5,370
• $6,570
• $7,570
• $8,570
• $9,570
• $10,570
• $13,610
• $90,000 - 99,999
• $14,610
• $100,000 - 109,999
• $11,750
• $15,610
• $110,000 - 120,000
• $12,750
• $16,610
• Single or Married Filing Separately
• Head of Household

• Form W-4 (2023)
• Step 2(b)—Multiple Jobs Worksheet (Keep for your records.)
• If you choose the option in Step 2(b) on Form W-4, complete this worksheet which calculates the total extra tax for all jobs on only ONE Form W-4. Withholding will be most accurate if you complete the worksheet and enter the result on Form W-4 for the highest paying job. To be accurate, submit a new Form W-4 for all other jobs if you have not updated your withholding since 2019.
• Note: If more than one job has annual wages of more than $120,000 or there are more than three jobs, see Pub. 505 for additional tables.
• 1 Two jobs. If you have two jobs or you're married filing jointly and you and your spouse each have one job, find the amount from the appropriate table on page 4. Using the "Higher Paying Job" row and the "Lower Paying Job" column, find the value at the intersection of the two household salaries and enter that value on line 1. Then, skip to line 3.
• 2 Three jobs. If you and/or your spouse have three jobs at the same time, complete lines 2a, 2b, and 2c below. Otherwise, skip to line 3.
• A Find the amount from the appropriate table on page 4 using the annual wages from the highest paying job in the "Higher Paying Job" row and the annual wages for your next highest paying job in the "Lower Paying Job" column. Find the value at the intersection of the two household salaries and enter that value on line 2a.
• B Add the annual wages of the two highest paying jobs from line 2a together and use the total to find the annual wages in the "Higher Paying Job" row and use the annual wages for your third job in the "Lower Paying Job" column to find the amount from the appropriate table on page 4 and enter this amount on line 2b.
• C Add the amounts from lines 2a and 2b and enter the result on line 2c.
• 3 Enter the number of pay periods per year for the highest paying job. For example, if that job pays weekly, enter 52; if it pays every other week, enter 26; if it pays monthly, enter 12, etc.
• 4 Divide the amount on line 1 or line 2c by the number of pay periods on line 3. Enter this amount on line 4 and in Step 4(c) of Form W-4 for the highest paying job (along with any other additional amount you want withheld).
• Step 4(b)—Deductions Worksheet (Keep for your records.)
• 1 Enter an estimate of your 2023 itemized deductions (from Schedule A (Form 1040)). Such deductions may include qualifying home mortgage interest, charitable contributions, state and local taxes (up to $10,000), and medical expenses in excess of 7.5% of your income.
• 2 Enter:
• $27,700 if you're married filing jointly or a qualifying surviving spouse
• $20,800 if you're head of household
• $13,850 if you're single or married filing separately
• 3 If line 1 is greater than line 2, subtract line 2 from line 1 and enter the result here. If line 2 is greater than line 1, enter "-0-".
• 4 Enter an estimate of your student loan interest, deductible IRA contributions, and certain other adjustments (from Part II of Schedule 1 (Form 1040)). See Pub. 505 for more information.
• 5 Add lines 3 and 4. Enter the result here and in Step 4(b) of Form W-4.
• Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. Internal Revenue Code sections 3402(f)(2) and 6109 and their regulations require you to provide this information, your employer uses it to determine your federal income tax withholding, and failure to provide properly completed form will result in you being treated as a single person with no other entries. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation; to cities, states, the District of Columbia, and U.S. commonwealths and territories for use in administering their tax laws; and to the Department of Health and Human Services to use in the National Directory of New Hires. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism.
• You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Code section 6103.
• The average time and expenses required to complete and file this form will vary depending on individual circumstances. For estimated averages, see the instructions for your income tax return.
• If you have suggestions for making this form simpler, we would be happy to hear from you. See the instructions for your income tax return.

• Form W-4 (2023)
• General Instructions
• Section references are to the Internal Revenue Code.
• Future Developments
• For the latest information about developments related to Form W-4, such as legislation enacted after it was published, go to www.irs.gov/FormW4.
• Purpose of Form
• Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. If too little is withheld, you will generally owe tax when you file your tax return and may owe a penalty. If too much is withheld, you will generally be due a refund. Complete a new Form W-4 when changes to your personal or financial situation would change the entries on the form. For more information on withholding and when you must furnish a new Form W-4, see Pub. 505, Tax Withholding and Estimated Tax.
• Exemption from withholding. You may claim exemption from withholding for 2023 if you meet both of the following conditions: you had no federal income tax liability in 2022 and you expect to have no federal income tax liability in 2023. You had no federal income tax liability in 2022 if (1) your total tax on line 24 on your 2022 Form 1040 or 1040-SR is zero (or less than the sum of lines 27, 28, and 29), or (2) you were not required to file a return because your income was below the filing threshold for your correct filing status. If you claim exemption, you will have no income tax withheld from your paycheck and may owe taxes and penalties when you file your 2023 tax return. To claim exemption from withholding, certify that you meet both conditions by writing "Exempt" on Form W-4 in the space below Step 4(c). Then, complete Steps 1(a), 1(b), and 5. Do not complete any other steps. You will need to submit a new Form W-4 by February 15, 2024.
• Your privacy. If you have concerns with Step 2(c), you may check the box in Step 2(c). If you have concerns with Step 4(a), you may enter an additional amount you want withheld per pay period in Step 4(c).
• Self-employment. Generally, you will owe both income and self-employment taxes on any self-employment income you receive separate from the wages you receive as an employee. If you want to pay income and self-employment taxes through withholding from your wages, you should enter the self-employment income on Step 4(a). Then compute your self-employment tax, divide that tax by the number of pay periods remaining in the year, and include that resulting amount per pay period on Step 4(c). You can also add half of the annual amount of self-employment tax to Step 4(b) as a deduction. To calculate self-employment tax, you generally multiply the self-employment income by 14.13% (this rate is a quick way to figure your self-employment tax and equals the sum of the 12.4% social security tax and the 2.9% Medicare tax multiplied by 0.9235). See Pub. 505 for more information, especially if the amount of self-employment income multiplied by 0.9235 and wages exceeds $160,200 for a given individual.
• Nonresident alien. If you're a nonresident alien, see Notice 1392, Supplemental Form W-4 Instructions for Nonresident Aliens, before completing this form.
• Specific Instructions
• Step 1(c). Check your anticipated filing status. This will determine the standard deduction and tax rates used to compute your withholding.
• Step 2. Use this step if you (1) have more than one job at the same time, or (2) are married filing jointly and you and your spouse both work.
• If you (and your spouse) have a total of only two jobs, you may check the box in option (c). The box must also be checked on the Form W-4 for the other job. If the box is checked, the standard deduction and tax brackets will be cut in half for each job to calculate withholding. This option is roughly accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld, and this extra amount will be larger the greater the difference in pay is between the two jobs.
• Multiple jobs. Complete Steps 3 through 4(b) on only one Form W-4. Withholding will be most accurate if you do this on the Form W-4 for the highest paying job.
• Step 3. This step provides instructions for determining the amount of the child tax credit and the credit for other dependents that you may be able to claim on your federal tax return. To qualify for the child tax credit, the child must be under age 17 as of December 31, must be your dependent who generally lives with you for more than half the year, and must have the required social security number. You may be able to claim a credit for other dependents for whom a child tax credit can't be claimed, such as an older child or a qualifying relative. For additional eligibility requirements, see Pub. 501, Dependents, Standard Deduction, and Filing Information. You can also include other tax credits for which you are eligible in this step, such as the foreign tax credit and the education tax credits. To do so, add an estimate of the amount for the year to your credits for dependents and enter the total amount in Step 3. Using these credits will increase your paycheck and reduce the amount of any refund you may receive when you file your tax return.
• Step 4 (optional).
• Step 4(a). Enter in this step the total of your other estimated income for the year, if any. You shouldn't include income from any jobs or self-employment. If you complete Step 4(a), you likely won't have to make estimated tax payments for that income. If you prefer to pay estimated tax rather than having tax on other income withheld from your paycheck, see Form 1040-ES, Estimated Tax for Individuals.
• Step 4(b). Enter in this step the amount from the Deductions Worksheet, line 5, if you expect to claim deductions other than the basic standard deduction on your 2023 tax return and want to reduce your withholding to account for these deductions. This includes both itemized deductions and other deductions such as for student loan interest and IRAs.
• Step 4(c). Enter in this step any additional tax you want withheld from your pay each pay period, including any amounts from the Multiple Jobs Worksheet, line 4, if you want an amount here will reduce your paycheck and will either increase your refund or reduce any amount of tax that you owe.

• Form W-4 Employee's Withholding Certificate
• Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
• Give Form W-4 to your employer.
• Your withholding is subject to review by the IRS.
• Step 1: Enter Personal Information
• (a) First name and middle initial
• Last name
• (b) Social security number
• Address
• City or town, state, and ZIP code
• Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
• (c) Single or Married filing separately
• Married filing jointly or Qualifying surviving spouse
• Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
• Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can claim exemption from withholding, other details, and privacy.
• Step 2: Multiple Jobs or Spouse Works
• Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs.
• Do only one of the following.
• (a) Reserved for future use.
• (b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below; or
• (c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is generally more accurate than (b) if pay at the lower paying job is more than half of the pay at the higher paying job. Otherwise, (b) is more accurate.
• TIP: If you have self-employment income, see page 2.
• Complete Steps 3-4(b) on Form W-4 for ONLY one of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
• Step 3: Claim Dependent and Other Credits
• If your total income will be $200,000 or less ($400,000 or less if married filing jointly):
• Multiply the number of qualifying children under age 17 by $2,000
• Multiply the number of other dependents by $500
• Add the amounts above for qualifying children and other dependents. You may add to this the amount of any other credits. Enter the total here
• Step 4 (optional): Other Adjustments
• (a) Other income (not from jobs). If you want tax withheld for other income you expect this year that won't have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income
• (b) Deductions. If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 and enter the result here
• (c) Extra withholding. Enter any additional tax you want withheld each pay period
• Step 5: Sign Here
• Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
• Employee's signature (This form is not valid unless you sign it.)
• Date
• Employers Only
• Employer's name and address
• First date of employment
• Employer identification number (EIN)
• For Privacy Act and Paperwork Reduction Act Notice, see page 3.
• Cat. No. 10220Q
• Form W-4 (2023)

• Form CT-W4 Instructions
• Employee General Instructions
• Form CT-W4, Employee's Withholding Certificate, provides your employer with the necessary information to withhold the correct amount of Connecticut income tax from your wages to ensure that you will not be underwithheld or overwithheld.
• You are required to pay Connecticut income tax as income is earned or received during the year. You should complete a new Form CT-W4 at least once a year or if your tax situation changes.
• If your circumstances change, such as you receive a bonus or your filing status changes, you must furnish your employer with a new Form CT-W4 within ten days of the change.
• Gross Income
• For Form CT-W4 purposes, gross income means all income from all sources, whether received in the form of money, goods, property, or services, not exempt from federal income tax, and includes any additions to income from Schedule 1 of Form CT-1040, Connecticut Resident Income Tax Return, or Form CT-1040NR/PY, Connecticut Nonresident and Part-Year Resident Income Tax Return.
• Filing Status
• Generally, the filing status you expect to report on your Connecticut income tax return is the same as the filing status you expect to report on your federal income tax return. However, special rules apply to married individuals who file a joint federal return but have a different residency status. Nonresidents and part-year residents should use the filing status on the Form CT-1040NR/PY.
• Check Your Withholding
• You may be underwithheld if any of the following apply:
• You have more than one job;
• You qualify under Certain Married Individuals; or
• You have significant nonwage income.
• If you are underwithheld, you should consider adjusting your withholding and making estimated payments using Form CT-1040ES, Estimated Connecticut Income Tax Payment Coupon for Individuals. You may also select Withholding Code "D" to elect the highest level of withholding.
• If you owe $1,000 or more, after subtracting from your Connecticut income tax the amount withheld from your income for the prior taxable year, and any PE Tax Credit, you may be subject to interest on the underpayment at the rate of 1% per month or fraction of a month.
• To help determine if your withholding is correct, see Informational Publication 2023(7), Is My Connecticut Withholding Correct?
• Certain Married Individuals
• If you are a married individual filing jointly and you and your spouse both select Withholding Code "A," you may have too much or too little Connecticut income tax withheld from your pay. This is because of the phase-out of the personal exemption and credit is based on your combined incomes. The withholding tables cannot reflect your exact withholding requirement without considering the income of your spouse.
• To minimize this problem, and determine if you need to adjust your withholding using Line 2 or Line 3, see IP 2023(7).
• Nonresident Employees Working Partly Within and Partly Outside of Connecticut
• If you work partly within and partly outside of Connecticut for the same employer, you should also complete Form CT-W4NA, Employee's Withholding or Exemption Certificate - Nonresident Apportionment, and provide it to your employer. The information on Form CT-W4NA and Form CT-W4 will help your employer determine how much to withhold from your wages for services performed within Connecticut. Residents of states with a "convenience of the employer" test will be subject to similar rules for work performed for a Connecticut employer. Any nonresident who expects to have no Connecticut income tax liability should choose Withholding Code "E."
• Armed Forces Personnel and Veterans
• If you are a Connecticut resident, your armed forces pay is subject to Connecticut income tax withholding unless you qualify as a nonresident for Connecticut income tax purposes. If you qualify as a nonresident, you may request that no Connecticut income tax be withheld from your armed forces pay by entering Withholding Code "E" on Line 1.
• Military Spouses Residency Relief Act (MSRRA)
• If you are claiming an exemption from Connecticut income tax under the MSRRA, you must provide your employer with a copy of your military spouse's Leave and Earnings Statement (LES) and a copy of your military dependent ID card.
• See Informational Publication 2022(12), Connecticut Income Tax Information for Armed Forces Personnel and Veterans.
• Employer Instructions
• For any employee who does not complete Form CT-W4, you are required to withhold at the highest marginal rate of 6.99% without allowance for exemption. You are required to keep Form CT-W4 in your files for each employee. See Informational Publication 2023(1), Connecticut Employer's Tax Guide, Circular CT, for complete instructions.
• Report Certain Employees Claiming Exemption From Withholding to DRS
• Employers are required to file copies of Form CT-W4 with DRS for certain employees claiming "E" (no withholding is necessary). See IP 2023(1). Mail copies of Forms CT-W4 meeting the conditions listed in IP 2023(1) under Reporting Certain Employees to:
• Department of Revenue Services
• PO Box 2931
• Hartford CT 06104-2931
• New and Rehired Employees to the Department of Labor
• New employees are workers not previously employed by your business, or workers rehired after having been separated from your business for more than sixty consecutive days.
• Employers with offices in Connecticut or transacting business in Connecticut are required to report new hires to the Department of Labor (DOL) within 20 days of the date of hire.
• New hires can be reported by:
• Using the Connecticut New Hire Reporting website at www.ctnewhires.com;
• Faxing copies of completed Forms CT-W4 to 800-816-1108; or
• Mailing copies of completed Forms CT-W4 to:
• Connecticut Department of Labor
• Office of Research, CT-W4
• 200 Folly Brook Blvd
• Wethersfield CT 06109
• For more information on DOL requirements or for alternative reporting options, visit the DOL website at www.ctdol.state.ct.us or call DOL at 860-263-6310.
• For the Latest News
• Visit the DRS website at portal.ct.gov/DRS.

• Department of Revenue Services State of Connecticut (Rev. 12/22)
• Employee Instructions
• Read the instructions on Page 2 before completing this form.
• Select the filing status you expect to report on your Connecticut income tax return.
• Choose the statement that best describes your gross income.
• Enter the Withholding Code on Line 1 below.
• Married Filing Jointly
• Our expected combined annual gross income is less than or equal to $24,000 or I am claiming exemption under the Military Spouses Residency Relief Act (MSRRA)
• And no withholding is necessary.
• My spouse is employed and our expected combined annual gross income is greater than $24,000 and less than or equal to $100,500. See Certain Married Individuals, Page 2.
• My spouse is not employed and our expected combined annual gross income is greater than $24,000.
• My spouse is employed and our expected combined annual gross income is greater than $100,500.
• I have significant nonwage income and wish to avoid having too little tax withheld.
• I am a nonresident of Connecticut with substantial other income.
• Qualifying Surviving Spouse
• My expected annual gross income is less than or equal to $24,000 or I am claiming exemption under the MSRRA
• My expected annual gross income is greater than $24,000.
• Married Filing Separately
• My expected annual gross income is less than or equal to $12,000 or I am claiming exemption under the MSRRA
• My expected annual gross income is greater than $12,000.
• Single
• My expected annual gross income is less than or equal to $15,000 and no withholding is necessary.
• My expected annual gross income is greater than $15,000.
• Head of Household
• My expected annual gross income is less than or equal to $19,000 and no withholding is necessary.
• My expected annual gross income is greater than $19,000.
• If you are claiming the Military Spouses Residency Relief Act (MSRRA) exemption, see Instructions on Page 2.
• Employees: See Employee General Instructions on Page 2. Sign and return Form CT-W4 to your employer. Keep a copy for your records.
• 1. Withholding Code: Enter Withholding Code letter chosen from above.
• 2. Additional withholding amount per pay period: If any, see instructions.
• 3. Reduced withholding amount per pay period: If any, see instructions.
• First name
• MI
• Last name
• Social Security Number
• Home address (number and street, apartment number, suite number, PO Box)
• City/town
• State
• ZIP code
• Declaration: I declare under penalty of law that I have examined this certificate and, to the best of my knowledge and belief, it is true, complete, and correct. I understand the penalty for reporting false information is a fine of not more than $5,000, imprisonment for not more than five years, or both.
• Employee's signature
• Date
• Employers: See Employer Instructions, on Page 2.
• Is this a new or rehired employee?
• No
• Yes
• Enter date hired:
• Employer's business name
• Federal Employer Identification Number
• Employer's business address
• Contact person
• Telephone number
• Visit us at portal.ct.gov/DRS for more information.