Reimbursement allocation worksheet

(Keep for your records)

1 Enter the total amount of reimbursements your employer gave you that weren’t reported to you in federal Form W-2, box 1 1 ___________ 2 Enter the total amount of your expenses for the periods covered by this reimbursement 2 ___________ 3 Enter the part of the amount on line 2 that was your total expense for meals and entertainment 3 ___________ 4 Divide line 3 by line 2. Enter the result as a decimal (rounded to three places) 4 ___________ 5 Multiply line 1 by line 4. Enter the result here and in column B, line 7 5 ___________ 6 Subtract line 5 from line 1. Enter the result here and in column A, line 7 6 ___________