Virginia Virginia Household Employer Registration Form

Virginia Household Employer Registration Form
Form R-1H - Virginia Household Employer Registration Form
FORM R-1H

Register online at
www.tax.virginia.gov/ireg

Virginia Household Employer Registration Form
Employers of household service employees may elect to file and pay the Virginia income tax withheld from their employees’
salaries on an annual basis at the same time they submit the employees’ Forms W-2 for the year. In order to qualify for the
annual filing, the employment must consist exclusively of domestic service in the private home of the employer as defined in
the Federal Employment Tax Regulations. Form VA-6H will be mailed to you in December. The annual return and payment
must be filed by January 31 of the year following the calendar year in which taxes were withheld from employees.
Household Employees Include:
- Baby sitters	
- Health aides
- Caretakers	
- Housekeepers
- Cleaning people	
- Maids
- Domestic workers	
- Nannies
- Drivers	
- Private nurses
- Yard workers

	
	
	
	
	
	

Instructions for Completing Form R-1H
Step 1 - If you are a household employer and you qualify for the annual filing, check the appropriate box on Form R-1H:
	v 	 New Household Employer. Use this box to indicate you are a new household employer registering with the
Virginia Department of Taxation.	
v 	 Convert My Existing Account. Use this box if you are currently registered with the Virginia Department of Taxation,
only have household employees and would like to change to an annual filing status.
v	 Create a New Account. Use this box if you are currently registered with the Virginia Department of Taxation, your
current account includes both household and non-household employees and you would like to change to an annual
filing status for the household employees only.
Step 2 - Enter your name, Federal ID Number, Social Security Number, physical location, mailing address and phone
number.
Step 3 - Sign and date the form.
Step 4 - Fax completed form to (804) 367-2603 or mail it to:
Virginia Department of Taxation
P.O. Box 1114
Richmond, Virginia 23218-1114
For questions or assistance completing this form contact us at (804) 367-8037

FORM R-1H 	
	

for office use only

WITHHOLDING REGISTRATION FORM
HOUSEHOLD EMPLOYER ANNUAL FILER

Use this form to notify the Department of Taxation that you are a household employer who will be filing and paying withholding
taxes on an annual basis. You can also register online using iReg at www.tax.virginia.gov.

/
/
	 New household employer beginning ___________________________
	
month

/

day

/ year

	 Convert my existing account. I only have household employees.

	 Create a new withholding account. My current withholding account includes more than household employees.
File Form VA-6H by January 31 of the year following the calendar year in which taxes were withheld from employees.
FEDERAL ID NUMBER 		

SOCIAL SECURITY NUMBER	 

PHYSICAL STREET ADDRESS 	

CITY				

STATE			

ZIP	

MAILING ADDRESS (if different from physical address)	

CITY				

STATE			

ZIP

I certify that I qualify as a household employer. This registration form must be signed by the above applicant.
SIGNATURE 	

DATE	

TELEPHONE NUMBER			

	
	

(	

)

01/16 1501219

NAME OF HOUSEHOLD EMPLOYER