University of Wisconsin Oshkosh

Previous Year Request Only (2007)

Employee Duplicate Tax Statement Request

Request Form

Allow 10 days to process.

Last Name: First Name: MI:

Social Security Number: or Person ID Number:

Date of Birth (mm/dd/yyyy):



Email Address:

US Address

Street Address, Apt #

City

State

Zip Code

Phone Number

Foreign Address

Street Address, Apt #

City

State

Zip Code

Phone Number

The Duplicate W2 form will be mailed to the address above.

Date Requested (mm/dd/yyyy):