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Get Request Form for Duplicate Copies of W-2

______________ EMPLOYEE ID NUMBER: ______________________ Please hold for me @Schraffts Center; I will pick up on Friday ______/______, after 12:00pm. Please mail to my home address; I hereby certify that the address below matches the data on my pay document. W2 FORMS CAN NOT BE FAXED. (Please print while completing each of the following fields) Please reissue a Wage and Tax statement (Form W2) for the tax year ending ______________________. EMPLOYEE NAME: _______________________________.

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