Request Form 2018

Request Form
Former Employees: Your 2018 W-2 is NOT YET READY but will be available for download soon. You will receive an email notification when your 2018 W-2 is ready for download. If you would like to receive a printed copy of your 2018 W-2 instead, please complete the form below. Printed W-2's will be post marked by January 31, 2019.
Click on the link below to access your W-2 online. Note: You will not be able to register/log in until your W-2 is ready for download.

W-2 ONLINE
Current Team Members: You can access your W-2 forms in QC Express. You can print your 2018 W-2 from your store's office computer.
I would like to *
Select an option
Year requested

2018 2017 2016 2015
Year requested

2018 2017 2016

New address *

Please allow up to 10 business days for your request to be processed.
Start Date

- Month - Day Year
Date
End Date

- Month - Day Year
Date
Full name *

First Name Last Name
Last 4 digits of your Social Security Number *
Birth year *
Email address
QuickChek Corporation cannot and will not email copies of your W-2 forms.
Enter the message as it's shown *
Agreement and Terms

I hereby authorize QuickChek Corporation to release a copy of my W-2 form to the mailing address indicated above. I understand that the information I provided above are accurate and correct. QuickChek Corporation will not mail my W-2 forms if the information I provided fail to match the authentication requirements.
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Request Form