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Form W-700 - Request For Waiver Of Requirement To Submit Employee Wage Attachment Payments Electronically

Form W-700

Request for Waiver of Requirement to Submit

Employee Wage Attachment Payments Electronically

Wisconsin Department of

Revenue

Note: This form is used when an employer is requesting a waiver of the requirement to submit wage

attachment payments electronically.

Business Name:

Identification Number

(FEIN,

SSN, or Wisconsin WH number):

Address:

City:

State:

Zip:

Contact Name:

Telephone:

Please check the appropriate reason(s) for requesting a waiver:

1. Employer meets exception because files withholding return annually.

2. Employer does not have access to computer and/or the internet.

3. Would create hardship for other reason (explain): ________________________________

________________________________________________________________________

Use the Employer's Wage Attachment Remittance Form (W-118a) when submitting payments. A fill-in

form is available online at

If you have additional questions regarding this waiver form, please call the Central Collection Section at

(608) 264-9956.

Mail completed form to:

Wisconsin Department of Revenue

P.O. Box 8901

Madison, WI 53708-8901

Signature

Title

Date

W-700 (N. 11/07)

Wisconsin Department of Revenue

Form W-700 - Request For Waiver Of Requirement To Submit Employee Wage Attachment Payments Electronically