Request For A Reissued W-2 printable pdf download

Request For A Reissued W-2

Office of Human Resources

Human Resources: 315-312-2227

Payroll: 315-312-2227

SUNY Oswego

7060 New York 104,

Oswego, NY 13126

REQUEST FOR A REISSUED W-2

Name:

Last 4 Digits of SSN:

Agency Code:

Phone #:

Department:

E-mail:

CURRENT MAILING ADDRESS:

Street Address:

City:

State/Zip:

DO YOU WANT YOUR W-2:

______ Picked up

_____ Mailed

Year(s) of W-2(s) Needed: ____________________________________________

THE REQUEST FOR THE REISSUED W-2 IS FOR THE FOLLIWING

REASON:

________ Never Received

________ Misplaced or Destroyed

________ Other – Explain: ____________________________________________________

Please note: All duplicate W-2 forms are subject to the authorization of the Office of the State

Comptroller. Duplicate W-2 requests for the current available tax year will be processed by

our staff. Please allow 3-5 business days for your duplicate to be available for pickup.

All duplicate W-2 forms from 1998 through the prior tax year are processed by the Office of

the State Comptroller, and will be mailed to our office via the USPS. Please allow 30 days for

processing. Our office will contact you as soon as your duplicate form arrives.

Signature: ___________________________________ Date: _____________

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For Department Use Only

Tax statement requested on: _________________________ Requested by: _______________

Tax statement reissued on: __________________________ Processed by: ________________

Request For A Reissued W-2