# W-4 Form

The following is a sample of the W-4 Form

![Sample - W-4 Form](https://documentation.payfacto.com/POS/MaitreD/Fulldoc/assets/images/ReportCenter/Sample-W4-Form.gif)

 

![Sample - W-4 Employee Evaluation Card](https://documentation.payfacto.com/POS/MaitreD/Fulldoc/assets/images/ReportCenter/Sample-W4-EmployeeEvaluationForm.gif)