W-2 Reissue Request Form (Former Employees) | Human Resources

Requests will be accepted beginning ten (10) business days after January 31.

FEES MAY APPLY

Please reissue for these tax year(s)(Required)

All W-2 reissue requests for a year other than the most recent year will require a $5.00 replacement fee. Payment can be mailed to: Human Resources, Payroll Department 6004 Campus Delivery Fort Collins, CO 80523

Name(Required)

First Middle Last

Last Four Digits of Social Security Number

Please enter a number from 0 to 9999.

To make a permanent change to your home and/or mailing address, please submit the appropriate address change form to your home department.

Address(Required)

Street Address or PO Box City State / Province / Region ZIP / Postal Code

Home Phone

Work Phone

Email Address

Method of delivery for the reissued W-2(Required)

Mail paper W-2 to mailing address above

Email via secured email delivery

Image of Photo ID

Max. file size: 49 MB.

An uploaded image of your photo ID is required to verify your identity for secured email delivery or for mail delivery if the mailing address above differs from the address currently in the payroll system.