request for irs form w-2
TRANSCRIPT
REQUEST FOR IRS FORM W-2
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Inst
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s Read all instructions prior to completing this form.
The use of this form is for employees how have not received their Form W-2. Employees should receive their Form W-2 no later than January 31. If you do not receive a Form W-2, the Controller’s Office, Payroll Division will reprint requests on the first business day following January 31.
To avoid processing delays do not leave any field blank.
First Name: ______________________________ Last Name: ________________________
Employee ID: ____ ____ ____ ____ ____ ____ Last 4 digits of SSN: ____ ____ ____ ____
Employee Phone Number: (_____) _____ -_______ Employee DOB: _____ / _____ / _____
Address: ________________________________ City: _______ State: ___ Zip Code: ________
Pay
roll
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If the address in Workday is different from the request, send the address to OHR Records. Once the address is changed in Workday, reissue the Form W-2.
Ret
urn
Return the form by mail to Controller’s Office, Payroll Division at: 201 W. Colfax Ave, Dept. 1109, Denver, CO 80202, or save the form and email to [email protected], or fax to (720) 913-5249. Questions? Email [email protected].
Req
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s Select a minimum of one tax year. Should you require more than four tax years, use a new form.
Issue a WAGE AND TAX STATEMENT (Form W-2) for the following Tax Years:
20 ____ 20 ____ 20 ____ 20 ____
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Select the preferred method of delivery.
Provide current mailing address regardless of preferred delivery method.
Address: _________________________________ Email: _________________________
City: ______________ State: ____ Zip Code: ___ Confirm Email: ___________________
Mail ____ Email ____
This section is for Payroll Office only.