W-2 Reissue Request Form

    • Please complete the following fields to formally request a copy of your Form W-2.
    • Requests can only be made for W-2s issued within the last four (4) years.
    • 2019 W-2’s will not be reissued due to an address change until the original W-2 has been returned to the Office of Payroll Services via US Mail.
    • For security purposes, you must provide your Banner Identification number.

    Employee Information








    Mailing Address