W-2 Request
Reissue Returned
Year(s) Requested: __________, _________, _________
Social Security Number: ________ - ______ - ________
Name: __________________________________
Address: __________________________________
Signature: __________________________ Date: _________
Please include a copy of your driver’s license or other form of official
State or Federal ID. Scan and email completed form to
or mail to:
City of Little Rock
500 W Markham, Suite 338
Attn: Payroll
Little Rock, AR 72201
Please note. Current year W-2s that have been mailed will not be re-
issued until March 1
. If you have not received your W-2 in the mail
due to an address change please contact payroll at the email address
listed above to see if it has been returned.