REQUEST FOR IRS FORM W-2 PLEASE PRINT by hml51741

VIEWS: 0 PAGES: 1

									MAIL TO:           Johnson County Community College
                   Payroll Department, Box 44
                   12345 College Boulevard
                   Overland Park, KS 66210-1299

FAX No:            (913) 469-2316

                             REQUEST FOR IRS FORM W-2
                                  PLEASE PRINT


Please reissue a WAGE AND TAX STATEMENT (W-2) for the following employee, for
the tax year ending _____________.

             EMPLOYEE NAME: _______________________________________________

             SOCIAL SECURITY NO: ___________________________________________

             EMPLOYEE CURRENT MAILING ADDRESS:

             Street Address _____________________________________________________

             City _________________________________ State _______ Zip Code ________


The FORM W-2 is requested for the following reason:

             __________ Never Received
             __________ Misplaced or Destroyed
             __________ Social Security Number or Name Incorrect
             __________ Other (Explain) __________________________________________


______________________________                        ______________________________
Date of request                                       Signature of Employee


FOR PAYROLL DEPT. USE ONLY

Date request rec’d: ____________________      Original W-2 remailed: _______________

Processed by: ________________________         Duplicate W-2 reissued: ______________



Rev. 10/04

								
To top