Who can use the Non-Resident Employee Refund Application?

An employee whose job required work both inside and outside Massillon may use it to request a refund of Massillon income tax withheld for eligible days worked outside the city.

What must I include with the refund application?

Include a completed itinerary with employer verification, copies of W-2s showing Massillon wages and tax withheld, income tax returns filed with other cities where tax was paid, and proof of non-residency.

How do I submit the Non-Resident Employee Refund Application?

The form lists the Massillon City Income Tax Department and a city mailing address, but does not give a submission instruction. Check the city website for current contact details.

Massillon, OH · Stark County

No notary required

Non-Resident Employee Refund Application

Massillon employees use this application to request a refund of city income tax for eligible workdays performed outside the city.

What this form is

Employees submit this application to request a refund of Massillon income tax withheld for days they worked outside the city. It asks for employment and workday details, tax withheld, and employee contact information. The request must include a completed itinerary with employer verification, W-2 copies, income tax returns filed with other cities where tax was paid, and proof of non-residency.

Who needs it

A non-resident employee who worked both inside and outside Massillon and seeks a refund of Massillon tax withheld may submit this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application does not require notarization; the employee signs and dates the claim, and the employer signs and dates the itinerary verification.

How to submit this form

1
Download The Application
Download the Non-Resident Employee Refund Application and itinerary form.
2
Complete The Claim
Enter employment, workday, tax, and contact details, then sign and date the application.
3
Gather Required Attachments
Include the employer-verified itinerary, W-2 copies, applicable other-city income tax returns, and proof of non-residency.
4
Submit To The City
Submit the completed application and attachments to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Who can use the Non-Resident Employee Refund Application?: An employee whose job required work both inside and outside Massillon may use it to request a refund of Massillon income tax withheld for eligible days worked outside the city.
What must I include with the refund application?: Include a completed itinerary with employer verification, copies of W-2s showing Massillon wages and tax withheld, income tax returns filed with other cities where tax was paid, and proof of non-residency.
Do I need a notary for the Non-Resident Employee Refund Application?: No. The employee signs and dates the claim, and the employer signs and dates the itinerary verification; the form does not call for notarization.
How do I submit the Non-Resident Employee Refund Application?: The form lists the Massillon City Income Tax Department and a city mailing address, but does not give a submission instruction. Check the city website for current contact details.

Need something notarized?

This Non-Resident Employee Refund Application doesn’t need a notary — but if you have another Massillon form that does, a commissioned online notary can help.

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