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Request for a corrected Form W-2
[YOUR FULL NAME]
[ADDRESS] · [PHONE] · [EMAIL]
Employee ID: [NUMBER, IF ANY]
To: [EMPLOYER NAME], Payroll / Human Resources
[EMPLOYER ADDRESS OR EMAIL]
[DATE]
Subject: Corrected Form W-2 for tax year [YEAR]
I received my Form W-2 for [YEAR] on [DATE]. It has the following errors:
Box Shown on my W-2 Correct amount or information Proof
[BOX NUMBER AND NAME] [WHAT IT SAYS] [WHAT IT SHOULD SAY] [PAY STUB OF …, FINAL PAY STUB]
[BOX NUMBER AND NAME] [WHAT IT SAYS] [WHAT IT SHOULD SAY] [PROOF]
Please send me a corrected Form W-2 by [DATE] to the address or email above.
If I do not have it by the end of February, I will contact the IRS, as the IRS advises.
Sincerely,
[YOUR FULL NAME]
Signature: ____________________
For me: if the correction does not come
[ ] Asked the employer on [DATE], by [EMAIL / LETTER / IN PERSON]
[ ] End of February passed — called the IRS at 800-829-1040 on [DATE]
[ ] Ready for the call: name, address with ZIP code, date of birth, SSN or ITIN, employer name, address, phone and EIN if I have it, dates I worked there
[ ] If still missing at filing time: Form 4852 with wages and withholding estimated from my final pay stub
[ ] If the corrected W-2 arrives after I file and numbers differ: Form 1040-X