Dedicated School Staffing - Request Mailed Copy of W2 Form
Request Mailed Copy of W2 Form
Organization:
Dedicated School Staffing
Assigned To:
Public User
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Please complete this form if you would like to request a physical copy of your W-2 form mailed to you. By submitting this form you certify all the above information is correct.
If you have any questions, please contact our office at 419-725-9499 or, email at hello@dedicatedschoolstaffing.com
Full Name
Last four (4) digits of your Social Security Number (SSN)
Mailing Address
Current Address
City
State
Zip
Would you like us to update your address on file?
Yes
No
Signing
Signature is required
By typing in your name (your “eSignature”), you accept and consent to be legally bound by this document’s statements, terms and conditions as if this document was signed by you in writing with pen on paper. You agree that no third party or other means of verification is necessary to validate your eSignature and that the lack of such third party or other means of verification will not in any way affect the enforceability of this document.
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History
Step:
Someone fills out the form
Sent To: Public User, On:
2/7/2025 7:53:34 PM Eastern Standard Time