
NY 1095C/W-2 Duplicate Request and Information Correction Form 2022-2025 free printable template
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Division of Financial Operations
65 Court Street, Brooklyn, N.Y. 112011095C / W2 Duplicate Request and Information Correction Form
DUPLICATE REQUEST
Please Check One: 1095CTax year(s)*: 2022 W2 2021
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How to fill out w2 request form 2022-2025

How to fill out NY 1095C/W-2 Duplicate Request and Information Correction
01
Obtain the NY 1095C/W-2 Duplicate Request Form from the New York State Department of Taxation and Finance website.
02
Fill out your personal information, including your name, address, and Social Security number.
03
Specify the tax year for which you are requesting the duplicate W-2 or 1095C form.
04
Indicate the reason for your duplicate request (e.g., lost, never received, or incorrect information).
05
If applicable, provide the original employer's name and Federal Employer Identification Number (FEIN).
06
Sign and date the form to verify that the information provided is accurate.
07
Submit the completed form via mail or electronically, following the instructions provided on the form.
Who needs NY 1095C/W-2 Duplicate Request and Information Correction?
01
Individuals who did not receive their W-2 or 1095C forms from their employer.
02
Taxpayers who need corrected forms due to errors in information on their original W-2 or 1095C.
03
Employees who have lost their W-2 or 1095C forms and need a duplicate for tax filing purposes.
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What is NY 1095C/W-2 Duplicate Request and Information Correction?
The NY 1095C/W-2 Duplicate Request and Information Correction is a form used by employers to request a duplicate copy of a W-2 or to correct erroneous information reported on forms 1095-C or W-2 for employees.
Who is required to file NY 1095C/W-2 Duplicate Request and Information Correction?
Employers who have issued W-2s or 1095-Cs and need to correct information or issue duplicate copies must file the NY 1095C/W-2 Duplicate Request and Information Correction.
How to fill out NY 1095C/W-2 Duplicate Request and Information Correction?
To fill out the NY 1095C/W-2 Duplicate Request and Information Correction, provide the employer's information, employee's details, the specific corrections needed, and indicate whether a duplicate copy is requested.
What is the purpose of NY 1095C/W-2 Duplicate Request and Information Correction?
The purpose is to ensure accurate reporting of income and tax information to the IRS and state authorities, as well as to provide employees with correct copies of their tax documents.
What information must be reported on NY 1095C/W-2 Duplicate Request and Information Correction?
The information that must be reported includes the employer's identification details, the employee's name, Social Security number, the tax year, and any specific corrections being requested.
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