W-4 Tax Withholding | BridgeCare Employee Portal

BridgeCare

W-4 Tax Withholding

Tax

Complete your federal tax withholding form. Contact HR with questions.

Note: This is an electronic W-4 submission. For the official IRS W-4 form, visit irs.gov. Contact HR at (513) 587-4923 with any questions.

1Personal Information

2Filing Status & Withholding

3Signature

Under penalties of perjury, I declare that this certificate is correct to the best of my knowledge.

BridgeCare

Your submission will be sent securely to our team at referrals@bridgecareohio.com. A completed PDF copy will be available for download after submission.