Railroad Retirement Act Tax Statement Mailers
The "original" Railroad Retirement Act (RRA) tax statement mailers are released in January. The front sides of the above tax statements are for illustrative purposes only. The back sides of the above tax statements contain general information and explanations of items found on each tax statement form. The back sides can be magnified on this website for easier readability. Recipients of RRA tax statements should use the actual paper copies of the tax statement forms they received from the RRB when filing income tax returns. You cannot use the sample copies of the tax statements shown on this website for filing purposes. If you need duplicate copies, please contact your nearest RRB field office or request a duplicate online using the RRB Online Services Request page.
All information and amounts shown on the actual paper tax statement forms are sent to the IRS by the RRB. Do not alter your tax statements in any way
.2012 Sample Tax Statement Forms
1099/1099-R ![]() |
Front Side - Tax Statements for U.S. citizens |
1099/1099-R ![]() |
Back Side - General Information |
1042S/1099-R ![]() |
Front Side - Tax Statements for nonresident aliens |
1042S/1099-R ![]() |
Back Side - General Information |
2011 Sample Tax Statement Forms
1099/1099-R ![]() |
Front Side - Tax Statements for U.S. citizens |
1099/1099-R ![]() |
Back Side - General Information |
1042S/1099-R ![]() |
Front Side - Tax Statements for nonresident aliens |
1042S/1099-R ![]() |
Back Side - General Information |
2010 Sample Tax Statement Forms
1099/1099-R ![]() |
Front Side - Tax Statements for U.S. citizens |
1099/1099-R ![]() |
Back Side - General Information |
1042S/1099-R ![]() |
Front Side - Tax Statements for nonresident aliens |
1042S/1099-R ![]() |
Back Side - General Information |