1099 Tax Form in Doc

							                                    DUKE CORPORATE PAYROLL SERVICES
                                      TAX DOCUMENT REQUEST FORM
                                           (Employer Request Form)
 Duke Payroll Services will distribute W-2's, 1099's, and Letters the week of Jan 25. 1042-S forms will be distributed
 the week of March 15. Copies will not be issued prior to these dates. Please allow sufficient time for delivery before
                                                requesting a duplicate.

             For use by Departments accepting responsibility and expense for replacement tax documents.
                    Faxed forms are not accepted. All fees are nonrefundable processing charges.

                       Pricing:          Year                    Cost per form
                                          2009                       $5.00
                                          2008                       $10.00
                                       2003-2007                     $15.00
Type of Form Requested (select only one box for the group of employees listed):
                                         Employee Tax Documents:
               W-2 Form                         1042S Form (for foreign national claiming tax treaty)

                                            NonCompensatory Tax Documents:
                   1099-MISC Form                Courtesy Letter      1042S Form (for foreign national)
(Please type or print clearly)
Cost Allocation:
                   Company Code:                Cost Center:                           GL Account: 751000

Department Name:

Department Representative Signature:
                                                (Must have Department Head Authorization)

Print Department Representative’s name:

Department Contact Phone Number:                                         E-mail:

Delivery Method:                  Pick up at Corporate Payroll         Deliver to Campus Box #

List the Information for Requested Tax Documents:

Employee Name                                       Duke Univ Unique         Org Key        Year(s) for Tax Form




Upon receipt of this form, a duplicate Wage and Tax Statement will be available to the employee
within 3 business days. The IRS has stated that a fee may be charged for furnishing additional copies
of the forms because once an employer has timely furnished correct W-2, 1099, and 1042S Forms, it
has met its statutory obligations.
FOR PAYROLL USE ONLY:

Date Request Received________________

Processed by________________________                Date Request completed_____________          Initials_______

TOTAL COST_______________________                   JV Processed______________________           Initials_______

Duke Corporate Payroll Services           705 Broad St., Box 90484, Durham, NC 27708         Phone (919) 684-2642