Tax Form Request
Custom Workforce Solutions LLC
Employee Name
*
First Name
Last Name
Email
*
example@example.com
Today's Date
*
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Last 4 of your Social Security Number
*
Year Requested
*
Tax Form Requested
*
1099
W4
Unsure
Preferred Delivery
*
Pick Up (Arlington Office)
Email
Upload a form of Idenfication
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Signature
Submit
Should be Empty: