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INSTRUCTIONS:1) Complete the below form. All portions of the form are mandatory.2) To ensure expedited outcome of your complaint, be specific when completing the Description of Dispute and Expected
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Form W-2
Employers
Employers must enter information about wages paid and taxes withheld for employees
To report income and taxes withheld for employees
Employee wages, tips, and other compensation; Social Security, Medicare, and income taxes withheld; and employer contributions to retirement plans
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