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doc14668 w2-reissue-request.pdf
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figure (1)
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Page 1 JSON
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"text": "FORM W-2\n(Wage & Tax Statement) Reissue Request",
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"text": "Please provide all requested information and return the completed, signed form to your local payroll office, or mail/fax to:"
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"text": "Kentucky State University\nATTN: Payroll\n400 East Main St. ASB 428\nFrankfort, KY 40601\nFax: 502-597-6450"
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"text": "All W-2 Reissue requests will be processed by Kentucky State University Payroll Staff. Please allow up to three business days for form processing. Requests for most recent year tax forms will not be processed prior to February 8."
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"text": "Employee ID___ Last Four Digits of SSN ___"
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"text": "Active employees, seeking to make a change to their current contact information, please use employee self-service: https://workforcenow.adp.com/workforcenow/login.html",
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"text": "W-2 forms contain confidential, personal information. Due to security reasons, reissued W-2's cannot be transmitted via fax or e-mail. All forms will be mailed to the address listed above.",
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"text": "Tax year to be reissued:_____"
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"text": "___ Never Received"
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"text": "Please reissue IRS Form W-2, Wage and Tax Statement for the single tax year requested. I certify I am the individual listed above. I acknowledge KYSU is not responsible for reprint requests that are lost, incomplete, misdirected, stolen, mutilated, illegible, postage due, or any combination thereof."
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