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
ADDRESS CHANGE FOR FORMER EMPLOYEES
I am/was employed by: |
|
Bob Evans Farms |
|
Mimi’s Café |
To protect your privacy, a duplicate
PLEASE PRINT CLEARLY
Employee Name
Social Security Number
Please release a duplicate
|
We do not Fax duplicate |
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
2.An employee is the only person allowed to request additional copies of his/her
I hereby authorize Bob Evans Farms, Inc. to release a copy of my
Signature:
Date:
Mail this request form to: Payroll Department |
Fax: |
Bob Evans Farms, Inc. |
|
3776 S. High Street |
|
Columbus, OH 43207 |
|
For Payroll Use Only |
|
Date request received: ______________________ |
|
Processed by: _____________________________ |
Date: ____________________ |
|
|
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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