Fillable Request for Duplicate or Corrected Wage and Tax Statement (W-2) - mnsu
Request for Duplicate or Corrected Wage and Tax Statement (W-2) For Calendar Year:___
Please type or print.
Employee ID Social Security Number
Daytime Phone Number
Employee Name (Last, First, Initial)
Current Address (Street, City, State, Zip)
Former Address (Street, City, State, Zip)
Check one: ___ I have lost or not received my W-2 for the year above
___ My W-2 form is not correct. (Enclose...
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