Proliant W2 Reprint Request Form PDF Details

The importance of accurate and timely tax documentation cannot be overstated, especially when it comes to the essential W-2 forms that detail an employee's annual wages and tax withholdings. Sometimes, however, there arises a need to correct personal information or replace a lost W-2, a situation that calls for the Proliant W2 Reprint Request form. This form serves as a crucial tool for employers to rectify errors such as incorrect Social Security numbers or misspelled names, or to obtain a replacement for a W-2 document that has gone missing. It is particularly important to note that this form is intended for use prior to February 28 for corrections to names or Social Security numbers; beyond this date, a different process—the filing of a Form W-2C—is required. Additionally, the form outlines various delivery options for the reprinted W-2, including U.S. Mail and FedEx, among others, and mentions the associated fee. All requested reprints come marked as “REISSUED STATEMENT” to distinguish them from their originals. Completion and submission details are clearly specified, including a fax number for submission, thereby providing a structured and efficient pathway for employers to ensure their employees' records are accurate and up-to-date.

QuestionAnswer
Form NameProliant W2 Reprint Request Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesW2Reprint how to correct name misspelled on w2 form

Form Preview Example

W-2 REPRINT REQUEST FORM

Use this form to correct an employee’s Social Security Number, misspelled name, or to replace a W-2 that was lost.

DO NOT USE THIS FORM AFTER FEBRUARY 28 FOR A NAME OR SSN CHANGE. Form W-2C is required after that date.

Company Name: ______ Company #: ______________________

Contact Name:____________________________________________________________________

Employee's Correct Name: ________ ____________________________________________________

Employee's Name on W-2______________________________________________________________

Correct SSN:____________--______-- ___________

Tax Year Needed: _______________

SSN on W2:____________--______-- ____________

Employee #:_____________________

Information to correct on the W2:

____________________________________________________________________________________

____________________________________________________________________________________

W-2 reprints will be sent to the employer for distribution to the employee. Please check one of the following delivery methods:

____ U. S. Mail

____ FedEx 2-day

_____FedEx Overnight

____ Local Courier

____ Email PDF

Email Address:______ _______________________________________________

I understand the fee for a W-2 reprint is $25.00 , plus delivery charges, and will be debited from our company account on file. The IRS does not require a reprinted W-2 to be on an official W-2 form. A reprinted W-2 will be stamped with the words “REISSUED STATEMENT”.

Authorized Signature: ________ __________________ Date: _______________

PLEASE FAX THIS COMPLETED AND SIGNED FORM TO 770-395-6617.

Proliant Use Only:

 

Reprint Date: _______________________

Delivery Date:________________________

Billing Date: _______________________

Billing Amount: ______________________

 

 

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1. Complete the Proliant W2 Reprint Request Form with a group of essential blank fields. Note all the required information and make sure there is nothing omitted!

Writing part 1 of Proliant W2 Reprint Request Form

2. The next part would be to fill out these particular blanks: Company Name Company Contact, Local Courier, FedEx day, FedEx Overnight, PLEASE FAX THIS COMPLETED AND, and Proliant Use Only Reprint Date.

Stage no. 2 of filling in Proliant W2 Reprint Request Form

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