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Get NY W-2 Duplicate/ Correction Request Form 2020-2024

0001-2633 PAYROLL # W-2 COORDINATOR NAME AGENCY PHONE (if known) EMPLOYEE SECTION M.I. FIRST EMPLOYEE IDENTIFICATION MAILING ADDRESS (Address to which copies of documents will be mailed) DAYTIME TELEPHONE SOCIAL SECURITY NUMBER STREET ADDRESS LAST EMAIL ADDRESS CHECK HERE IF THIS IS AN AGENCY ADDRESS STREET ADDRESS CONTINUATION BOROUGH / CITY / TOWN STATE Enter the year(s) of your request (YYYY). YEAR TAX YEAR(S) REQUESTED YEAR YEAR YEAR W-2 Employee Signature REQUES.

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