Request Form 2018

Request Form
Former Employees: Your 2018 W-2 has been mailed to the address on file. If you would like another copy, you can access your W-2(s) online by clicking on the link below.
Click on the "W-2 ONLINE" link below to access your W-2 online. Note: You will not need your previous QC Express login. You will be prompted to create a new account.

W-2 ONLINE
If you are unable to complete the Credential Verification window, please submit a "Request for help to login" using the "I would like to" option.
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

Please allow up to 7 business days for your request to be processed.
Start Date

- Month - Day Year
Date
End Date

- Month - Day Year
Date
We're sorry to hear you are having difficulties login in. Please provide your information below and we will investigate the issue. We will email you as soon as we can and once we have fixed the issue. Please allow up to two business days for your request to be processed.
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.
Phone Number

- Area Code Phone Number
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