US Gov Navigator

Taxes & IRS

Form 15417-G — 403(b) Plan - Elective Deferrals Worksheet 12A - Determination of 403(b) Status

Form 15417-G

403(b) Plan - Elective Deferrals Worksheet 12A - Determination of 403(b) Status

Download official PDFOfficial page / online filing

Last checked Aug 18, 2026

Official sources:

Related

US Gov Navigator does not host government forms. Always download or file on the linked .gov page.