Address Change Form and W-2 Request
The Address Change Form and W-2 Reprint Request is essential for H-E-B employees to update their personal information and request W-2 reprints. This form helps maintain accurate employment records for payroll and tax purposes. Ensure to provide proof of identification when submitting the form.
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How do I fill this out?
To fill out this form, begin by entering your personal details like name and employee ID. Next, provide your former and current address along with the required proof of identification. Finally, sign and date the form before submission.

How to fill out the Address Change Form and W-2 Request?
1
Enter your personal details including name and employee ID.
2
Provide your former and current addresses accurately.
3
Attach proof of identification as required.
4
Sign and date the form.
5
Submit the completed form to the specified address or email.
Who needs the Address Change Form and W-2 Request?
1
H-E-B employees needing to update their home address for payroll.
2
Individuals requesting W-2 reprints for tax filing.
3
Employees who have recently moved and need to update their records.
4
Workers looking to ensure their personal information is accurate.
5
Employees requiring proof of address change for other documentation.
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Review your changes for accuracy and completeness.
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What are the instructions for submitting this form?
To submit this form, you can choose from several options. Send it via email to Imaging.services@heb.com, fax it to (210) 938-4797, or mail it to H-E-B Partner Pay, Attn: Transaction Services, 3503 Fredericksburg Rd. Suite 150, San Antonio, TX 78201. Ensure that you include all required information and proof of identification to avoid delays.
What are the important dates for this form in 2024 and 2025?
Ensure to submit your address change prior to March 15th for updates to be reflected in the current tax year. For W-2 reprints, requests must be made before April 30th following the tax year in question. It's essential to keep these dates in mind for timely processing.

What is the purpose of this form?
The Address Change Form and W-2 Reprint Request is designed to help H-E-B employees maintain accurate records with their employer. This form is crucial for ensuring that payroll, benefits, and tax documentation reflect correct personal information. By keeping your details updated, you help the company communicate effectively and manage employee records accurately.

Tell me about this form and its components and fields line-by-line.

- 1. Name: Your full name as registered with H-E-B.
- 2. Phone: Your current contact number.
- 3. Employee ID: Your unique 7-digit employee identification number.
- 4. Former Address: Your previous home address.
- 5. City: Your city of residence.
- 6. State: Your state of residence.
- 7. Zip Code: Your postal code.
- 8. Current Address: Your new or current home address.
- 9. Signature: Your signature confirming the information is accurate.
- 10. Date: The date you complete the form.
What happens if I fail to submit this form?
Failing to submit this form could result in delays in processing your payroll and tax documents. It may also lead to receiving important correspondence at an outdated address, which can affect your benefits and retirement plans.
- Delayed Payroll: Inaccurate address can lead to issues with receiving your paycheck.
- Missing Tax Documents: W-2 forms may be sent to the wrong address.
- Ineligibility for Benefits: Outdated information could affect health and retirement benefits.
How do I know when to use this form?

- 1. Change of Address: To update your address due to a move.
- 2. W-2 Request: To obtain a copy of your W-2 for tax filing purposes.
- 3. Record Keeping: To keep your employee records accurate.
Frequently Asked Questions
How do I update my address using this form?
Simply fill in your personal details and provide your current address along with a proof of identification.
What do I do if I need a W-2 reprint?
Complete the W-2 reprint section of the form and submit it with your identification.
Where can I submit this form?
You can submit the form via fax, email, or in person at the designated address.
How long will it take to process my request?
W-2 reprint requests are processed within 30 days.
Do I need to sign the form?
Yes, a signature and date are required to validate your request.
What if I submit incomplete information?
Submitting incomplete information will invalidate your request.
Can I use this form for other requests?
This specific form is meant for address changes and W-2 requests only.
Is proof of identification mandatory?
Yes, proof of identification is necessary for both address changes and W-2 reprints.
What if my address on the ID is different?
The address on your ID must match one of the addresses provided on the form.
Can I complete this form digitally?
Yes, you can fill out the form digitally using PrintFriendly's editing tools.
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