W-2 Duplicate Request For State Employees

State employees request a duplicate copy of a tax statement.

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Completing the PDF Form

  1. Read through all pages of the document to find specific instructions, if any
  2. Enter requested information into the form
  3. Print the form
  4. Get required signatures
  5. Scan a copy of the signed form for your records
  6. Send the original, completed, signed form to:         

Human Resources
University at Buffalo
Townsend Hall
205 Hayes Road
Buffalo, NY 14214

Need Help Completing the Form?

Faculty, Staff, TA/GA, Hourly Non-Student and Student Assistant Payroll

If Last Name Starts A-CLI

Katie Cartwright.

Katie Cartwright

State Payroll Services

Phone: 645-5347

Email: kmangana@buffalo.edu

If Last Name Starts CLJ-GAP  

Kathy Pohlman.

Kathy Pohlman

State Payroll Services

Phone: 716-645-5202

Email: pohlman@buffalo.edu

If Last Name Starts GAQ-KENK  

Roseann Brzozowiec.

Roseann Brzozowiec

State Payroll Services

Phone: 716-645-4449

Email: rbrzozow@buffalo.edu

If Last Name Starts KENL--MOF

Suzie Frank.

Suzie Lesswing

State Payroll Services

Phone: 645-4425

Email: stfrank@buffalo.edu

If Last Name Starts MOG-SAD

Cheryl Delano.

Cheryl Delano

State Payroll Services

Phone: 716-645-4446

Email: cadelano@buffalo.edu

If Last Name Starts SAE-T

Joanne Intorre.

Joanne Intorre

State Payroll Services

Phone: 716-645-4424

Email: jintorre@buffalo.edu

If Last Name Starts U-Z

Melissa Barone.

Melissa Barone

State Payroll Services

Phone: 716-645-4445

Email: mbarone@buffalo.edu

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: 2/2016

Owner: Human Resources