W-2 Request Form

Please note that all fields marked with an asterisk (*) are required. Please do not attempt to provide more than the last 2 digits of your Social Security Number.

Your W-2 has been provided to you via the View My Paycheck process, at www.paychecks.intuit.com. If you request another copy, use this form.

It may take up to 3 business day for our accounting department to process your request. We appreciate your patience in advance.

If email option is selected, please check your spam folder for reply.

W-2 Request Form

Name*
First Middle Last
Last 2 Digits of Social Security Number*
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone*
Make This Your Current Address For Future Correspondence?
- Yes Please
Which Company Did You Work For?*
Supervisor's Name*
For Which Calendar Year Are You Requesting A W2?*
How Would You Like To Receive Your W-2?*
- Postal mail to the address I provided above. *Note this may take up to 2 weeks.
- Email to the email address I provided above
Signature
I hereby give permission for my W-2 to be sent via the method I selected above.
Signature*
Date*
MM slash DD slash YYYY

W-2 Request Form

W-2 Request Form

Signature