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Get Ny W-2 Duplicate/ Correction Request Form 2018

York, NY 10001 PAYROLL # AGENCY NAME 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 (Mandatory for DoE employees) SOCIAL SECURITY NUMBER CHECK HERE IF THIS IS AN AGENCY ADDRESS STREET ADDRESS STREET ADDRESS CONTINUATION BOROUGH / CITY / TOWN STATE Enter the year(s) of your request (YYYY). YEAR TAX YEAR(S) REQUESTED YEAR Employee Signature.

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