University of Wisconsin Oshkosh


Employee Duplicate Tax Statement Request
Previous Year Request Only (2008)

Duplicate W-2 will be mailed to the address you list below

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:

Is the address below a permanent change for all Human Resources, Benefits and Payroll purposes?

YES, this is a permanent address change
NO, this is not a permanent address change. This is for the duplicate W-2 request only

US Address

Street Address, Apt #

City

State

Zip Code

Phone Number

Foreign Address

Street Address, Apt #

City

State

Zip Code

Phone Number

Date Requested (mm/dd/yyyy):