W-2 Reprint Request Form

If you have any questions, contact Payroll & Records Management at (302) 831-8677.


Employee Information

Employee ID:

First Name: Last Name:

Date of Birth:

Email Address:

Phone Number:

Current Address

Street Address/PO Box:

City: State: Zip:

Previous Address if applicable*

Street Address/PO Box:

City: State: Zip:

Document Details

W-2 Years Needed:

Method of Delivery:

Comments:



  

*Address while at UD if no longer UD employee