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Form NJ-2440

Form NJ-2440

The Form NJ-2440 is used by employees in New Jersey to certify the exclusion of amounts received under an accident and health insurance plan for personal injuries or sickness.

Originally published by nj.gov

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Frequently asked questions

The Form NJ-2440 is used by employees in New Jersey to certify the exclusion of amounts received under an accident and health insurance plan for personal injuries or sickness. It requires the employee's social security number, employer identification number and the total sick pay for the year. The employer must sign and date the form. The completed document should be submitted to the State of New Jersey Division of Taxation.
Employees in New Jersey who received payments under accident and health insurance plans for personal injuries or sickness.
The completed Form NJ-2440 should be submitted to the State of New Jersey Division of Taxation, PO Box 019, Trenton, New Jersey 086950019.

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