Duplicate Tax Statement Request

2022 Forms

Form	Earliest Processing Date
W-2 reprints	February 6
Fellowship Letters	March 2
1042-S	March 22

Currently Active Employees

Statements from 2018 and later are available in the MyUW portal. Go to the Payroll Information module and Tax Statements tab. Use the form below for statements prior to 2018.

Inactive or Former Employees

All requests must follow the process below.

1042-S Requests

This form only apply to people who:

had a tax treaty exemption applied to their incomes OR
received a scholarship or fellowship through payroll before passing the IRS substantial presence test

Before requesting a duplicate 1042-S, make sure you were eligible to receive one.

Fees

Documents from 2017 and earlier are $10 per form, per year.

Request Form

Fields marked with an asterisk are required.

Tax Year*	Statement(s)*	Cost
Tax Year*:	W-2 1042-S Fellowship Tax Letter	Line Total:

Total Cost		Total:

Employee/Requestor Contact Information

Campus(es) Worked at

Mailing Address

Legal First Name*

Middle Initial

Legal Last Name*

Date of Birth*

Use this format: mm/dd/yyyy

Email Address*

Phone*

Include your area code or complete international number.

Country*

United States
Other

Address*

City*

State*

Zip Code*

Address*

City*

State / County / Prefecture / Province

Postal Code

Country*

Additional Information

If you would like to add any additional information about this request, enter that here:

Payments and Processing

Please allow 10 days for processing.
Duplicate forms are emailed to the email address provided and do not include Social Security numbers.
Duplicates will not be processed without payment. Submit a check, cashier's check or money order payable to:

UW-Shared Services
660 W. Washington Ave., Suite 201
Madison, WI 53703

If you have any questions, please contact the Support Center:

Acknowledgement*

I agree to the above terms and understand if payment is due, this request will not be processed until payment is received.

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