Learning Center
Plans & pricing Sign in
Sign Out

Request for Duplicate W-2 Form


									Request for Duplicate W-2 Form
INSTRUCTIONS W-2 forms are available on HRConnect, which can be accessed through Single Sign On
at This is available to you no matter which delivery option you selected; sign in
using your UIN and password.
Former employees have access to HRConnect for eighteen months from termination. To have your
password reset, please email your date of birth and last 4 digits of your social security number to
If you are not able to access HRConnect, use this form to request a duplicate W-2 Form. Forms may be
submitted by mail, email, fax or hand delivered to Payroll Services as noted at the bottom of the page.
Your requests will be processed within 3 business days of receipt of this form and will be delivered to you
by one of the following methods below. Please make a selection.
Delivery options for your Duplicate W-2 Form:
1.    Pick up – General Services Complex, 750 Agronomy Road, Suite 1201 – Payroll Services
                ID is required to pick forms up in person.
2.    U.S. Mail – Your duplicate form will be mailed to the address you provide below.
3.    Image Scan via Email – Your duplicate form will be emailed to the email address provided below.
4.    Fax – Provide fax number _____________________________________

Today’s Date                                              Tax Year Requested

UIN                                                       Name

Mailing address

Email Address                                             Telephone
Privacy Notice: State law requires that you be informed that you are entitled to: (1) request to be informed about the
information collected about yourself on this form (with a few exceptions as provided by law); (2) receive and review
that information; and (3) have the information corrected at no charge. To request this information, contact

Email is not a secure method of delivery. Your signature below indicates your consent.

_______________________________________________________                           ________________________________
Signature Required                                                                Date

 SUBMIT FORM BY MAIL, EMAIL or                    DROP OFF FORM TO:                        SEND QUESTIONS TO :
               FAX TO:
        Texas A&M University                    General Services Complex            
           Payroll Services                         750 Agronomy Rd
             1261 TAMU                                  Suite 1201
  College Station, Texas 77843-1261            College Station, Texas 77843
         Fax (979) 845-4134

Request for Duplicate W-2 Form                                                                        revised 10/20/10
#340                                                                                                        page 1 of 1

To top