Use form FTB 3805P, Additional Taxes on Qualified Plans (Including IRAs) and Other Tax-Favored Accounts, to report any additional tax you may owe on an early distribution from an IRA, other qualified retirement plan, annuity, modified endowment contract, or medical savings account (MSA).
State of California
The form won't be available for e-file or to print until 02/09/2023