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Blank W2 Bob Evans Indianapolis PDF Template

The W-2 Bob Evans Indianapolis form is a document used by employees of Bob Evans Farms to request a duplicate W-2 form or to change their address. This form ensures that personal information is handled securely and that duplicates are issued only to the employee making the request. Completion of the form is necessary to protect the privacy of individuals and facilitate the processing of requests.

Open W2 Bob Evans Indianapolis Here

Open W2 Bob Evans Indianapolis Here

Outline

The W-2 Bob Evans Indianapolis form serves as a vital tool for both current and former employees of Bob Evans Farms and Mimi’s Café. This form, designated as Form #335 and implemented in December 2009, facilitates the request for a duplicate W-2 or an address change for those who are no longer employed. Employees are required to provide essential information such as their name, Social Security number, and the calendar year for which they need the duplicate. In order to protect personal privacy, the form mandates that all requests be completed in full and submitted clearly. Importantly, the payroll department emphasizes that duplicate W-2 forms will not be faxed or emailed, ensuring confidentiality throughout the process. Individuals must allow approximately five business days for processing after their request is received. The form also includes checkboxes for the reason behind the request, whether it be due to non-receipt, loss, or other circumstances. To further safeguard employee information, only the individual employee can initiate the request, underscoring the importance of maintaining secure and accurate records. Completing this form correctly is crucial for timely receipt of tax documents, which are essential for annual tax filings.

Form Sample

Form # 335

I mplement ed 12/ 09

EMPLOYEE’S REQUEST FOR DUPLICATE W-2 FORM OR

ADDRESS CHANGE FOR FORMER EMPLOYEES

I am/was employed by:

Bob Evans Farms

Mimi’s Café

To protect your privacy, a duplicate W-2 form will be issued only through completion of this form. All information must be complete.

PLEASE PRINT CLEARLY

Employee Name

Social Security Number

Please release a duplicate W-2 form for the calendar year______.

	We do not Fax duplicate W-2’s
Mailing Address:	 Please check box if this is a new address

Street

City

State

Zip Code

Day Time

Phone Number

Reason for request (please check the appropriate box):

Never received

Lost/Misplaced/Destroyed

Other: ___________________

Note:

1.To ensure confidentiality, a duplicate W-2 form will not be faxed or e-mailed regardless of location or time constraints. Please allow approximately five (5) business days processing time after receipt of request by the payroll department.

2.An employee is the only person allowed to request additional copies of his/her W-2 form(s)

I hereby authorize Bob Evans Farms, Inc. to release a copy of my W-2 form to the mailing address indicated above:

Signature:

Date:

Mail this request form to: Payroll Department	Fax: 614-409-2173
Bob Evans Farms, Inc.
3776 S. High Street
Columbus, OH 43207
For Payroll Use Only
Date request received: ______________________
Processed by: _____________________________	Date: ____________________

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Form Specifics

Fact Name	Description
Form Number	The form is identified as Form #335.
Implementation Date	This form was implemented on December 9, 2009.
Privacy Protection	A duplicate W-2 will only be issued upon completion of the form to protect employee privacy.
Request Processing Time	Employees should allow approximately five business days for processing after the payroll department receives the request.
Eligibility to Request	Only the employee can request additional copies of their W-2 form.

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