2. First Name*
3. Last Name*
5. Employee Number
   Enter your employee number
6. Phone Number*
   Will be used if there are any questions
8. Year(s) Requested*
   Enter which years you need copies of
10. Type of Employee*

    1. Past County Employee
    2. Current County Employee
    3. Past District Employee
    4. Current District Employee
12. Reprinted W-2s will be mailed to the address we have on file. For any questions contact the Payroll Supervisor at (360)778-5331.
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14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

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