Fillable W2 Reprint Request

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W2 Reprint Request

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BROWSE CITY (AR) FORMS

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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
payroll@littlerock.gov
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
st
. 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.
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W2 Reprint Request

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Completed 21 March 2020

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