A qualified dividends worksheet is available on TaxMap.NTIS.gov, as of 2015. The worksheet is available in HTML or PDF format. The website also includes directions for completing a qualified dividends worksheet.
Find a qualified dividends worksheet on TaxMap.NTIS.gov by clicking Capital Gains and Losses on the homepage and then clicking Qualified Dividends and Capital Gain Tax Worksheet on the next page. The page displays links to download the worksheet in PDF or HTML format. Clicking a link displays the form along with directions for completing the form.
The website also provides other forms related to qualified dividends by clicking Qualified Dividends on the right side of the page.