Duplicate Tax Statement Request

Important: Tax statements for the previous 4 years are available in My UW System. If you have access to My UW System, you can print duplicate tax statements by viewing the Tax Statements tab in the Payroll Information module. These statements do not include social security numbers. If you require a tax document that displays your social security number, please follow the request process below.

Only complete the form below if you cannot access the tax statement you need in My UW System.

1042-S Requests: If you are eligible for a Glacier account, the current previous year 1042-S form should be available in Glacier by late February (an email will be sent when available). For those who have opted out of an electronic delivery the forms will be mailed in early March.

Fee Information

Requests for the previous year are processed at no charge. Please note that these requests will not be processed before February 15 of the new year, since the UW Service Center continues to mail out forms through January 31.

Processing fees for other years are as follows:

Requests for duplicates from 2-5 years ago are $5.00 per form, per year.
Requests for duplicates from before 6 or more years ago are $10.00 per form, per year.

Please submit a check payable to the University of Wisconsin for the correct dollar amount. Duplicates will not be processed or issued without payment. **Please allow 10 days for processing.

Mail the check to: UW Service Center, 660 W. Washington Ave., Suite 201, Madison, WI 53703

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

1-855-489-7877
608-890-1501

Fields marked with an asterisk are required.

Statement(s) Requested

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

Employee/Requestor Contact Information

First Name*

Middle Initial

Last Name*

Empl ID

(If known; this is an 8-digit number - do not enter your Social Security Number)

Date of Birth (ex. mm/dd/yyyy)*

Email Address*

Phone Number (Include area code)*

Mailing Information

Street Address 1*

Street Address 2

City*

State

Zip Code*

Province (if non-U.S. address)

Country (if non-U.S. address)

Payroll/Benefits Coordinator

Only complete this section if you are a payroll/benefits coordinator completing this request on behalf of an employee.

University Payroll/Benefit Coordinator Name:

University Payroll/Benefit Coordinator Email:

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

Payment Acknowledgement

I understand that this request will not be processed until the Service Center has received payment for the total due indicated above (if total is not $0.00).

Duplicate Tax Statement Request

Fee Information

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