Employer Letter Template (REV-757) - Pennsylvania Department of Revenue 2026

1. Click ‘Get Form’ to open the Employer Letter Template (REV-757) in the editor.
2. Begin by filling out Section I: General Information. Enter your name, Social Security Number (SSN), and the tax year. Provide the primary taxpayer's name and SSN as shown on the PA-40, followed by your employer's name and Federal Employer Identification Number (FEIN).
3. In Section II, complete the employer contact details including their title and phone number. This ensures there is a point of contact for verification.
4. Proceed to the affidavit section. Confirm that you have incurred employee business expenses as indicated, check applicable reimbursement options, and sign the form. Remember to date it appropriately.
5. In Section III, provide a detailed summary of your claimed expenses. List each expense along with its description and amount. Ensure you have photocopies of receipts ready to support your claims.

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