Continuous W-2 E-file Form 4-part - Self Mailer

(MMQMW2D053)
Use this 4-part W-2 form to report wage and withholding information when you have e-filed with the SSA. 

When you use your typewriter or pin-fed printer, the mailing address will also print on the envelope.  Tear off the employer copies and file. 
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Construction: Continuous - Carbon
Form: W-2
Form Name: Wage and Tax Statement
Pages: 1
Size: 10 1/4" x 11"
Parts: 3pt
Copies:(Left to Right, Top to Bottom): D/1 - Employer or Employer State, City or Local Carbon Tissue Sheet Carbon Envelope B - Employee Federal C - Employee Record 2 - Employee State, City or Local
Forms /Sheet: 2up
Ink Color: Black
Horizontal Perforation: 5 1/2"
Vertical Perforation: 7/8"
Other: Self-Mailer, Electronic Reporting