W2 Request

W2's for 2008 will be mailed by January 31, 2009. They have not been mailed out yet. Please allow time for delivery.

To request a reprint of your W2, please complete the form below. All W2 reprints are $10.00.

Employee Name

First Name	Middle Initial	Last Name	Last 4 SSN Digits

Current Mailing Address

Address
Address 2
City, State Zip	,

Contact Information

Email Address
Call Back Phone Number

W2 Year:

Reason for Reprint
W2 was lost
Address change
Incorrect Wages
Wrong SSN
Other

Additional Information: (fax to, mail to, payment method, etc...)

If you are mailing you payment, please send your payment to:

Workforce Business Services, Inc.
Attn: W2 Requests
1401 Manatee Ave West
Suite 600
Bradenton, FL 34205