Disneyland California Adventure w-2

1. Disney Worldwide Services, Inc. W-2 Request Form
Withdrawn Cast Member Request
Requests fulfilled via Fax or E-Mail for 2010 will be completed at no charge once we process the signed form with your
SSN.
All requests for 2009 and prior years will be charged per the table below.
Requests will not be sent until payment has been received and processed. (Applicable by Fax, E-Mail, or US Mail)
Please enclose a cashiers check made payable to Disney Worldwide Services, Inc. DO NO SEND CASH.
US Mail Requested Year Requested
Year Cost Year US Mail Cost Year
2010 $0 2007 $10
2009 $10 2006 $10
2008 $10 2005 $10
Prior to 2005 $25
PLEASE PRINT
FULL NAME:
(Last) (First) (M.I.)
SOCIAL SECURITY NUMBER:
(XXX-XX-XXXX)
PHONE NUMBER WHERE WE CAN REACH YOU:
How would you like to receive your W-2: Choose one (1) Option Only
Your Fax Number:
Your Email:
Please return the completed form with payment to:
DWSS Payroll Tax Team P.O. Box 10125, Lake Buena Vista, Fl 32830-0125
Signature must be included. Turnaround time for reissues is 7 to 10 business days.
For 2010 Re-Issues:
• Fax completed form to: 407-938-4499, Or
• Scan and Email completed form to: DWSS.Payroll.Taxes@disney.com . Subject: “W-2
Reissue Request”
Date: Signature Required:
Incomplete and illegible forms will not be processed.