Is this page for you?
Plainly: this is a lower-fit page. A Form 4852 is usually used once, for one missing or wrong Form W-2 or Form 1099-R. Reuse helps most if you complete one for a second employer or payer, for another year, or for someone else, because your name, social security number and address stay the same. If this is your first and only Form 4852, the benefit is small.