TeamWorks Payroll W-2 Reporting Authorized Approver Registration - Tax Year 2019

This form is used to submit Authorized Approver information for agency W-2 submission to the State Accounting Office.

Please complete only 1 form per agency.

Special Note for Payroll Shared Services Agencies: If your agency participates in SAO’s Payroll Shared Services initiative, no further action is required from your agency. Per the Service Level Agreement, SAO will approve W-2 data for all PYSS agencies.

Section 1 - Agency Authorization

Please provide the requested information of the individual at the agency who has approved the authorized approvers.

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Form Completed by:

Section 2 - Authorized Approvers

Please provide the requested information for at least 2 individuals.

Authorized Approver #1:

Authorized Approver #2:

Authorized Approver #3: