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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 (Address while at UD if no longer UD employee)

Street Address/PO Box:

City: State: Zip:

Document Details

W-2 Years Needed:

Method of Delivery:

Comments:


  




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