W-2 1-Wide Form 8-Part Carbonless (CW2058)

Use this form to report wage and withholding information

Order quantity equal to number of employees you are filing

9 1/2"x11"

8-Part

2up

Copies: (Left to Right, Top to Bottom)

A Federal

1/D State, City or Local

1/D State, City or Local

B Employee Federal

C Employee Record

2 Employee State, City or Local

2 Employee State, City or Local

1/D Employer Record

Pricing:

25....$81.95

50....$109.27

100...$163.90

300...$437.07

500...$655.60

1000..$1092.67

Compatible Envelopes: DWENV05, DWENVS05 (self seal)