W2 Replacement Request



Please provide the information listed below when requesting a replacement W2:

Full name
If married during W2 processing year include your maiden name
Social Security Number
Current Address
Signature

Please send your request to the address below and allow 7 to 10 business days to receive your replacement.

Attn: W2 - Payroll Department
JDK Management
1388 State Route #487
Bloomsburg, PA 17815

This is a Replacement Request. That is only to be used if you did not receive your original W2 issued to you no later than January 31st.