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5.06a-Electronic Form W2 Disclosure & Consent Statement
Handle: Document-14250
Owner: Carrell, Janea (User-136, 05492:EVERETT)DS
Tuesday, January 8, 2008 11:50:05 AM PST
Friday, October 28, 2022 08:47:29 AM PDT
Modified By: Diaz, Ailienette (User-392, 08810:EVERETT)DS
Locked By:
  • Electronic Form W-2
Disclosure & Consent StatementPlease send signed consent form to the payroll office.
  • Only those employees who elect to start receiving
electronic Form W-2’s need to submit this form.
  • 砀 An employee may withdraw his or her consent with 30 days’ notice by sending a written confirmation of the
withdrawal and its effective date.
  • A former
employee must contact Everett Public Schools Payroll office immediately with any updated contact information.
  • 07/16
5.06a
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
5.06a Electronic W-2 Disclosure and Consent Statement 020160725.pdf
4
84111
No
Appears In: Forms
Preferred Version: 5.06a-Electronic W-2 Disclosure and Consent form.doc