Reprint Request For Irs Form W-2

ADVERTISEMENT

REPRINT REQUEST FOR IRS FORM W-2
Please reissue a WAGE AND TAX STATEMENT (Form W-2) for the following
employee, for the tax year _________.
Please print
EMPLOYEE NAME: _______________________________________________
SOCIAL SECURITY # (Last 4 Digits):
XXX-XX- ___________
EMPLOYEE CURRENT MAILING ADDRESS:
Street Address _____________________________________________________
City ___________________________ State _______ Zip Code ____________
Company where employed: __________________________________________
The Form W-2 is requested for the following reason:
_________ Never Received
_________ Misplaced or Destroyed
_________ Social Security Number or Name Incorrect (need documentation)
_________ Other – Explain __________________________________________
Fax request:
I take full responsibility for my Form W-2 being faxed to _________________________.
______________________________
Signature of Employee
Once completed, please return form by:
• Fax: (586) 997-3714
• Mail:
AES
13486 Canal Road
Sterling Heights, MI 48313
If the W-2 is returned to us due to an incorrect address, we will mail the form out
once we receive the corrected address at no charge.
There is a $20.00 fee for reprints of the W-2. Payment must be
received before reprint is sent out. Payment must be made by
either money order, cashier’s check or you can come in a pay
by cash. If you are an active employee, we can deduct the
$20.00 from your paycheck to make it easier.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go