W2 Reprint Request Form
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1W2 Reprint Request Form
Instructions: W2 Reprint form must be submitted for all requests. Please allow 10 business days for processing. All active associates’ complete form and email to
or fax 704-295-5144, former associates must complete form and mail along with payment (no personal checks accepted) see address below.
Requests received without payment will not be processed.
Fee Schedule per Reprint Requested - Please allow 10 business days for processing
Associate Status:
Active
Former ***payment must be received prior to processing***
Current Year
$0
$20
Prior Year
$20
$20
Reprint Information (All fields required unless otherwise specified)
*If personnel number is unknown leave blank, must include name and last 4 digits of ssn.
Associate Name:_____________________________________________________________________________
*Personnel Number:_____________________________
Date:_____________________________
Last 4 digits of SSN:____________________________
Unit #:____________________________
Reprint Years Requested:_______________________________________________________________________
Reason for request:
Incorrect Address
Lost or Destroyed
Other (please explain):_________________________________________________________________________________
If a SSN or Name change is needed please call Payroll Customer Service at 1-888-295-7206
Contact Information:
Address:___________________________________________________________________________________________________
Address #2:_________________________________________________________________________________________________
City:_____________________________________________________
State:__________________________________
Zip:_______________________
Primary Phone Number:________________________________________________________________________
Email Address: ______________________________________________________________________________
Method of Payment (Payment by certified check or money order must accompany reprint form.) If you are paying by credit card, fill out the following.
I authorize Compass Group USA to charge my:
Visa
Discover
Master Card
Expiration Date:
Card #
Name on credit card:__________________________________________________________________________
Signature of cardholder:________________________________________________________________________
Make money order or cashiers checks payable and mail along with this form to:
Compass Group USA, NAD
Attn: Payroll Dept. W2 Reprints
2400 Yorkmont Rd.
Charlotte, NC 28217
Telephone: 1-888-295-7206
Email:
Fax: 704-295-5144
For Payroll use only:
Address Validated
Payment Processed
Date Received_________________________________
Check Received
Database Entry Complete
Payment Waived
Comments:____________________________________________________________________________________________________________________
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