ࡱ> KJ T8\pWright, Jeff G. Ba==i=,@8X@"1oArial1oArial1oArial1oArial1oArial1@oArial1 oArial1$oArial1oArial1oArial1oArial1oCalibri1 oCalibri1Calibri14Calibri1 Calibri1Calibri1Calibri1,8Calibri18Calibri18Calibri1>141<Calibri1?Calibri1h8Cambria1Calibri1 Calibri"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_) mm/dd/yy m/d/yy 0.00094_(* #,##0.000_);_(* \(#,##0.000\);_(* "-"???_);_(@_)<7_(* #,##0.0000_);_(* \(#,##0.0000\);_(* "-"????_);_(@_)                                                                      ff + ) , *      P  P         `            a>  ! @@ @   @ @    @    #  @     !      @    @       (  + +   + +  )    # "@@ "@ ! ! ! #  !  @  "@@ "@ "  @  @   @@)  x @)  x@ )  x ) ||y/}A} 0.0000\)ef@_)@_) }A} 0.0000\)ef@_)@_) }A} 0.0000\)ef@_)@_) }A} 0.0000\)ef@_)@_) }A} 0.0000\)ef@_)@_) }A} 0.0000\)ef @_)@_) }A} 0.0000\)L@_)@_) }A} 0.0000\)L@_)@_) }A} 0.0000\)L@_)@_) }A} 0.0000\)L@_)@_) }A} 0.0000\)L@_)@_) }A} 0.0000\)L @_)@_) }A} 0.0000\)23@_)@_) }A} 0.0000\)23@_)@_) }A} 0.0000\)23@_)@_) }A} 0.0000\)23@_)@_) }A}  0.0000\)23@_)@_) }A}! 0.0000\)23 @_)@_) }A}" 0.0000\)@_)@_) }A}# 0.0000\)@_)@_) }A}$ 0.0000\)@_)@_) }A}% 0.0000\)@_)@_) }A}& 0.0000\)@_)@_) }A}' 0.0000\) @_)@_) }A}( 0.0000\)@_)@_) }}) }0.0000\)@_)@_)    }}* 0.0000\)@_)@_) ??? ??? ??? ???}-}/ 0.0000\)}A}1 a0.0000\)@_)@_) }A}2 0.0000\)@_)@_) }A}3 0.0000\)?@_)@_) }A}4 0.0000\)23@_)@_) }-}5 0.0000\)}}7 ??v0.0000\)̙@_)@_)    }A}8 }0.0000\)@_)@_) }A}9 e0.0000\)@_)@_) }x}:0.0000\)@_)  }}; ???0.0000\)@_)??? ???  ??? ???}-}= 0.0000\)}U}> 0.0000\)@_) }-}? 0.0000\) 20% - Accent1M 20% - Accent1 ef % 20% - Accent2M" 20% - Accent2 ef % 20% - Accent3M& 20% - Accent3 ef % 20% - Accent4M* 20% - Accent4 ef % 20% - Accent5M. 20% - Accent5 ef % 20% - Accent6M2 20% - Accent6  ef % 40% - Accent1M 40% - Accent1 L % 40% - Accent2M# 40% - Accent2 L渷 % 40% - Accent3M' 40% - Accent3 L % 40% - Accent4M+ 40% - Accent4 L % 40% - Accent5M/ 40% - Accent5 L % 40% - Accent6M3 40% - Accent6  Lմ % 60% - Accent1M 60% - Accent1 23 % 60% - Accent2M$ 60% - Accent2 23ږ % 60% - Accent3M( 60% - Accent3 23כ % 60% - Accent4M, 60% - Accent4 23 % 60% - Accent5M0 60% - Accent5 23 %! 60% - Accent6M4 60% - Accent6  23 % "Accent1AAccent1 O % #Accent2A!Accent2 PM % $Accent3A%Accent3 Y % %Accent4A)Accent4 d % &Accent5A-Accent5 K % 'Accent6A1Accent6  F %(Bad9Bad  %) Calculation Calculation  }% * Check Cell Check Cell  %????????? ???+ Comma,( Comma [0]-&Currency.. Currency [0]/Explanatory TextG5Explanatory Text %0 : Followed Hyperlink 1Good;Good  a%2 Heading 1G Heading 1 I}%O3 Heading 2G Heading 2 I}%?4 Heading 3G Heading 3 I}%235 Heading 49 Heading 4 I}%6( Hyperlink 7InputuInput ̙ ??v% 8 Linked CellK Linked Cell }% 9NeutralANeutral  e%"Normal :Noteb Note   ;OutputwOutput  ???%????????? ???<$Percent =Title1Title I}% >TotalMTotal %OO? Warning Text? Warning Text %XTableStyleMedium2PivotStyleLight16`v: Request Formh Instructions  ;2 S,,W-2c Request Form Name on W-2:Date of W-2c Issue:!Date Received in Central Payroll:Date Prepared:Requestor's Name/Contact #:City: Street:,REASON (and necessary adjustments) for W-2c: Apartment:State: Zip Code:GThe W-2c Request Form is to accompany all requests for W-2 corrections.Steps:>1. Enter the name of the employee needing the W-2 correction.Purpose:The purpose of the form is to have documentation on who sent the form, why they sent it and what corrections should be made. It is a beneficial document to make corrections quick and easy and it will be beneficial if the form is reviewed in later years. Other:It doesn't matter if this form is typed up on-line and then printed or printed off and filled in by hand. Just make sure it is legible.aIf the W-2c is resulting in a refund, my signature on this form authorizes the refund to be made..(signature of Payroll/HR Staff making request)?3. Explain the reason for the adjustment. Show the adjustment(s) that should be made. Also attach any necessary documents as backup. An example would be the VISA, I-94 and I-20 for a FICA refund based on F-1 VISA status; Copy of SS card for # change and name changes; Copy of CRR for overpayments; etcBOX 'SCorrectPreviousChangeEmplid: TAX YEAR:Email:_____________Mail:_______________ Select W-2c notification option:5. Fill in the address in which to send the W-2 if it is different than the address on the original W-2. The address on the W-2c will remain as the original address because the change is not required by the IRS.m6. Please provide your name and contact number in case the person preparing the W-2c has any questions.Revised: 03/01/2014,Address to mail W-2c, if different than W-2:4. Once processed the W-2c will be available electronically through myHR. Select how the employee should be notified. The email notification will only use University email addresses on file.Central Payroll Use OnlyBatch Number: IRS Date: Refunded:Voucher:%2. Enter the emplid of the employee.:7. The final three lines will be used by Central Payroll.revised: 01/27/2016261 12F67y`96cc6B T8 3Xaf  dMbP?_*+%&(\?')\(?(?)Q?M\\doit-print\WOODRL7 330 BW C odXXLetter (8.5 x 11")DINU"DȅISMTJXerox GPD PCL V3.2.303.16.0RESDLLUniresDLLGraphicsModeHPGL2MODEXrxTrueTypeFontDlOptionTTF_DOWNLOAD_AS_TRUETYPEXrxEdgeToEdgeEDGE_TO_EDGE_OFFColorModeMonoXrxHalftoneXRX_NORMAL_HTXEROX_JOB_SETUP_BEGINCBXEROX_JOB_SETUP_ENDCBXEROX_DOC_BEGINCBXEROX_DOC_SETUP_ENDCBXEROX_PAGE_SETUP_BEGINCBXEROX_PAGE_SETUP_ENDCBXEROX_PAGE_FINISH_BEGINCBXEROX_PAGE_FINISH_ENDCBXEROX_DOC_FINISH_BEGINCBXEROX_DOC_FINISH_ENDCBXEROX_JOB_FINISH_BEGINCBXEROX_JOB_FINISH_ENDCBPaperSizeLETTEROrientationPORTRAITResolutionRes600x600CollateONDuplexNONED1NRX &  @MSCF ,90R://Uncompressed-Data//,Q :CKśpUn^Ҥ?th7%yԴI^~6I I:#Tg&iؤiGaqX 3yWQQAc+u,NǪs˾:6=Ϟ{g{ii=QZZhi(aѹuuQ|)Z)*yg˥yBT"/g9&-,rݬ*yPoP=,\@rOccWJҿ&%.rը!rۿxo'OyoirlcOvulGUG%ֹ;uunW9]gzJ봃 T6/ /~-z~7 ~SڎFS"`F#\>}NE>FU5qiW6aևu9+QNSe='a}N@(M7>(-Dtq"~/WoOzRF. Q:4ZXlLQD]R⚂b[j|7=ƨnno;Xv0(ԉ+C]VCZ5u%dDAZt5,,רe? Č_ykO],i'N>RY_<< 2ײBh֋_y]/.Ea<)<|䱬qe5*M9dlījHbOٯb}qժhIxSgdu94K[}m}-3׳ڀq6ך0Vu\b*f*P{s6A0lrv2TI3Y :02Ǒ"NSiks4CMp#;લq) `dJcsQ6}1ۊ}ŒV/siqt"-3DJM3Gdщq4GʈYh 8Gq4sA4sf".FNQ}\+! 3d 3RzūO3Eqt rݾx%%ngjKl0vN\ I}~.GNժPUPB?] g!Q߇3އvdޚ \⤬h }S4К{1doq!QTf5#[\\s@:rεvYdkԑ>p;-\ s}wj Ndk#WS\-;ڍlqWWydk W.d.==.\A{{-{]_@w ߋlqq ߇lq=ǿ Wd=dK.jAd`kjڀS n6$&߻W7w̠ο*Mǡ};(ðpqڣ:qބI^.~޸:kz E>oz _K7`D )-x>"UmR:m5ҁ|RmxZ^HI5 M=I)NFpDS?eHDS?ehDS?eXDS?exDJ'F.y00qHI߾T,*Q)qv}i;t1oATM8tETJ%:/(*#6=Q)jPfTl4R֫gdnT>מˢR٦6{SxQ\m$RGה}j,Oc5\х:˧J.+û3lSiw:lx_JNG ˒};3/~4ix_N3~G ai=D;}6z~/8~{(wz&7~Wӄ=;3~G [܄Uϡs?=1NNɍf).%*<=~>_ MQ]K/1c:COM5excel.exeharmska 14.0.6117.5003128.206.76.101qo"dXX??&U} I } I }  3  +@                                     pqqqqqqqqr LMMMMMMMMN stlllllO O PLMMMMMMMuv nohhhhhQwx LMMMMMMMMN LMMMMMMMMN ABBBBBBBBC DEEEEEEEEF  EEEEEEEEEF  DE]EEEEEEF  D ^^^EEEF  D E E ^ ^ ^EEEF  D~ E? ^^" ^ D D  ^EEEF D~ [@ _b^ LL^EEEF D~ E@%aDX9v?^^b EEF D~ E@ ^^^^EEEF D~ `@%_DV-?^^^EEEF D~ E0@ ^^^^EEEF D~ E1@ a^^ ^EEEF D^^^EEEF DE]EEEEEEF DEEEEEEEEF DEEEEEEEEF DEEEEEEEEF GHHHHEEEEF fggggHHHHI LMMMMMMMMN LM MM M MN LMMMMMMMMN L"MMMMMMMMN LMMMMMMMMN D$ l*>**"V`sY~YY"**L*  ! "  # $ % &  ' (  ) * + ,  - .  / 0  1 2  L lllll k k@R !LSSSSSSSST "L"hhhh "K "@ "M "hm #LMMMMMMMMN $XYYYYYYYYZ %LMMMMMMMMN &n&oohhhhhhT 'LMMMMMMMMN (L(MjjJSSSST )LMMMMMMMMN *XYY *Y$*YYYYYZ +LMMMMMMMMN ,n,oooiiM ,M& ,VW -OMMN .n.ojjMMM .M' .VW /MMMMMN 0L%0MVMMMM 0M( 0VW 1LMMMMMMMMN 2UVVVVVV 2d+ 2VW *h@T**4@@@><dWR222..&&,,..  &&,,((  """" 7ggD T8 >pLr  dMbP?_*+%&C&"Arial,Bold"&14&F - &A"&C&"Arial,Bold"&12Page &P of &N&?'zG?(?)?MLexmark Optra E312 PS2 odXLetter 8 1/2 x 11 in'@'''',,<-XX<-XX<-(None)(None)(None)(None)& <'"dX??&U} U[     [ \\ \ \ [ [) \ c# \ \ \* \ \ e! >@\Z7ggD Oh+'0HP`x dewsdWright, Jeff G.Microsoft Excel@μ@1m@ogY՜.+,00 PX   ҹӰԺ System  Request Form Instructions'Request Form'!Print_Area  Worksheets Named Ranges  !"#$%&'()*+,-./0123456789;<=>?@ACDEFGHIRoot Entry FWorkbookrSummaryInformation(:DocumentSummaryInformation8B