Fillable Payroll ReqDupFormW-2 - Request for Duplicate Form W2

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Payroll ReqDupFormW-2 - Request for Duplicate Form W2

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Revised 4/19/06
Request for Duplicate Form W-2
Send completed request forms to University of West Florida, Attn:
Payroll, Bldg 20E, Pensacola, FL 32514. You may also fax the
completed form to 850-474-3053.
Date of Request:
Please re-issue Form W-2 for tax year ending 20
Employee Name:
UWF ID Number:
Re-issued W-2 will be:
Picked up in payroll. Please call when ready for pick-up.
Delivered via Campus Mail to:
Bldg Room No
Mailed to:
Street Address
City State Zip
The Form W-2 is requested for the following reason:
Signature of Employee
For Payroll Use Only:
W-2 re-issued on:
Processed By:
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Payroll ReqDupFormW-2 - Request for Duplicate Form W2

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Completed 25 February 2020

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