Form L-15 "Substitute for Form Hw-2 or W-2, Wage and Tax Statement" - Hawaii

Form L-15 or the "Substitute For Form Hw-2 Or W-2, Wage And Tax Statement" is a form issued by the Hawaii Department of Taxation.

The form was last revised in January 1, 2018 and is available for digital filing. Download an up-to-date Form L-15 in PDF-format down below or look it up on the Hawaii Department of Taxation Forms website.

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Download Form L-15 "Substitute for Form Hw-2 or W-2, Wage and Tax Statement" - Hawaii

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FORM L-15
STATE OF HAWAII — DEPARTMENT OF TAXATION
(REV. 2018)
SUBSTITUTE FOR FORM HW-2 or W-2, WAGE AND TAX STATEMENT
( A separate Form L-15 must be submitted for each employer.
Attach to Form N-11 or N-15.)
PLEASE TYPE OR PRINT
1. NAME (First, middle, last)
2. SOCIAL SECURITY NUMBER
    
3. ADDRESS (Number, street, city, State, Postal/ZIP code) Has your present address been furnished to employer or payer?
Yes
No
4. EMPLOYER’S OR PAYER’S NAME, ADDRESS, AND POSTAL/ZIP CODE
5. EMPLOYER’S OR PAYER’S
IDENTIFICATION NUMBER (If known)
6. TYPE OF BUSINESS:
7. TAX YEAR
8. GROSS WAGES*
9. STATE INCOME TAX WITHHELD
20
*NOTE: Include the total wages paid, noncash payments, tips/reported, and all other compensation before deductions for taxes, insurance, etc.
10. Check applicable box and give all facts relating to your situation:
Employer has not furnished me with Form HW-2 or W-2.
Form HW-2 or W-2 given to me by my employer is incorrect.
11. How did you estimate the above gross wages and State income tax withheld? (Submit copies of payroll statements or show computation below.)
Wages were paid by:
Check
Cash
12. Give reason Form HW-2, W-2 or W-2c, Statement of Corrected Income and Tax Amounts, was not furnished by employer or payer, if
known, and explain your efforts to obtain it.
I declare under penalties set forth in section 231-36, HRS, the above statements made by me are true, correct, and complete, to the
best of my knowledge and belief.
13. Your Signature
14. Date
ID NO 01
L15_I 2018A 01 VID01
Clear Form
FORM L-15
STATE OF HAWAII — DEPARTMENT OF TAXATION
(REV. 2018)
SUBSTITUTE FOR FORM HW-2 or W-2, WAGE AND TAX STATEMENT
( A separate Form L-15 must be submitted for each employer.
Attach to Form N-11 or N-15.)
PLEASE TYPE OR PRINT
1. NAME (First, middle, last)
2. SOCIAL SECURITY NUMBER
    
3. ADDRESS (Number, street, city, State, Postal/ZIP code) Has your present address been furnished to employer or payer?
Yes
No
4. EMPLOYER’S OR PAYER’S NAME, ADDRESS, AND POSTAL/ZIP CODE
5. EMPLOYER’S OR PAYER’S
IDENTIFICATION NUMBER (If known)
6. TYPE OF BUSINESS:
7. TAX YEAR
8. GROSS WAGES*
9. STATE INCOME TAX WITHHELD
20
*NOTE: Include the total wages paid, noncash payments, tips/reported, and all other compensation before deductions for taxes, insurance, etc.
10. Check applicable box and give all facts relating to your situation:
Employer has not furnished me with Form HW-2 or W-2.
Form HW-2 or W-2 given to me by my employer is incorrect.
11. How did you estimate the above gross wages and State income tax withheld? (Submit copies of payroll statements or show computation below.)
Wages were paid by:
Check
Cash
12. Give reason Form HW-2, W-2 or W-2c, Statement of Corrected Income and Tax Amounts, was not furnished by employer or payer, if
known, and explain your efforts to obtain it.
I declare under penalties set forth in section 231-36, HRS, the above statements made by me are true, correct, and complete, to the
best of my knowledge and belief.
13. Your Signature
14. Date
ID NO 01
L15_I 2018A 01 VID01
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