W 2 Correction Request Form PDF Details

The intricate dance of correcting errors on a W-2 form involves a detailed procedure laid out by The City of New York, underlining the need for accuracy in reporting and documenting employees' wage and tax statements. Aimed at rectifying discrepancies that range from simple mistakes in an employee's name or social security number to more complex issues concerning retirement plans or non-resident visa statuses, the W-2 Correction Request form serves as a critical tool for ensuring the reliability of payroll records. This form, accessible through the Office of Payroll Administration, mandates that individuals seeking corrections attach supporting documentation relevant to their claim, such as photocopies of a social security card for identity verification or various forms from agencies for specific adjustment types like domestic partner corrections or third party sick pay. Notably, the process emphasizes the need for clear communication between employees and the payroll management system, providing spaces for detailed information about the requesting agency and the employee in question, alongside the option for representation through an authorized agent. Designed with precision to streamline the rectification process, the W-2 Correction Request form underscores the city's dedication to maintaining accurate and fair payroll practices, reflecting a broader commitment to the well-being of its workforce.

QuestionAnswer
Form NameW 2 Correction Request Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesHCFSA, Overpayment, 401k, TDA

Form Preview Example

THE CITY OF NEW YORK

SUBMIT COMPLETED FORM TO:

Fax completed form to:

Office of Payroll Administration

PAYROLL MANAGEMENT SYSTEM

(212) 669-4928

W-2 Adjustment Unit

W - 2 Correction Request

 

One Centre Street, Room 200N

www.NYC.gov/payroll

New York, NY 10007

 

AGENCY

Agency Name:

Payroll Number:

IDENTIFICATION

Agency Telephone:

W-2 Coordinator Name:

(If known)

EMPLOYEE SECTION

FIRSTM.I.LAST

EMPLOYEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IDENTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHECK HERE IF THIS AN AGENCY ADDRESS

 

 

 

 

STREET ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAILING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

STREET ADDRESS CONTINUATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Address to which

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

copies of documents

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

will be mailed)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BOROUGH / CITY / TOWN

 

STATE ZIP CODE + 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check reason for correction and attach corresponding supporting documentation

REASON

FOR W-2

CORRECTION

REQUEST

Incorrect Name

Photocopy of Social Security Card

 

 

 

 

 

Incorrect Social Security Number

Photocopy of Social Security Card

 

 

 

 

 

Domestic Partner

Domestic Partner Correction Form

 

 

from OLR

 

Late Check Refund

Check Refund Form from Agency

 

 

 

DeCAP/HCFSA

Notification from OLR

 

 

 

Line of Duty Injury (LoDI)

LoDI Correction Form from Agency

 

 

 

Non-Resident Visa

Photocopy of Non-Resident Visa

 

 

from Agency or employee

Legal Service Fringe

Notification from Union

 

 

 

 

Retirement Plan "X"

1099-R from Retiree

 

 

 

 

Social Security Disability

Social Security Disability

 

Award Certificate

 

Auto/Parking Fringe Benefit

Notification from Agency

 

 

 

 

Third Party Sick Pay

Notification from Union

 

 

 

 

TDA (403b/401k/457)

Notification from TDA provider

 

 

 

Overpayment

Payroll Deduction (PDN)

TAX YEAR

REQUESTED

Enter the year to be corrected. One Year per form.

YEAR

1127 STATEMENT

Requested by:

Employee Signature

Other Authorized Person

Relationship

Signature

How to Edit W 2 Correction Request Form Online for Free

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Guidelines on how to complete TDA part 1

2. When this section is completed, you should put in the essential specifics in REASON FOR W, CORRECTION, REQUEST, Incorrect Name, Photocopy of Social Security Card, Legal Service Fringe, Notification from Union, Incorrect Social Security Number, Retirement Plan X, R from Retiree, Domestic Partner, Domestic Partner Correction Form, Social Security Disability, Social Security Disability Award, and Late Check Refund so that you can go to the next stage.

Social Security Disability, CORRECTION, and Incorrect Social Security Number in TDA

Be really careful while filling in Social Security Disability and CORRECTION, because this is where a lot of people make a few mistakes.

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