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5.06a Employee Request- W-2 Duplicate
Handle: Document-105379
Owner: Carrell, Janea (User-136, 05492:EVERETT)DS
Thursday, February 28, 2019 10:11:01 AM PST
Friday, October 28, 2022 08:47:29 AM PDT
Modified By: Diaz, Ailienette (User-392, 08810:EVERETT)DS
Locked By:
  • Employee's Request For Duplicate W-2
Employee NameSocial Security NumberDaytime Phone NumberCurrent Mailing AddressStreet AddressCity State ZipEmployee’s SignatureDate of RequestYear(s) RequestingThe FORM W-2 is requested for the following reason:Never ReceivedMisplaced or DestroyedSocial Security Number or Name IncorrectOther (Explain)
  • -----------------------------------------------------------------------------------------------------------------------------
For Business Office Use OnlyDate Request Received Date ProcessedProcessed By Mailed OnRev.
  • 02/19 ...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
5.06a Employee Request- W-2 Duplicate.pdf
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358013
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Appears In: Forms
Preferred Version: 5.06a Employee Request- W-2 Duplicate