Current and Former Rose Group Employee
Address Change & Form W-2 Request

Important: This is a Secure Web Page Do not submit personal information if you are using a public wireless internet connection.

Welcome to The Rose Group Secure Address Change and Form W-2 Request Page

IMPORTANT: This form is only for current and former
ROSE GROUP Applebee's and Corner Bakery Cafe employees.
If you are NOT a current or former Rose Group employee, click here.

Form W-2 is mailed the last week of January using the employee home address on file at the end of the prior calendar year. Postal delivery may take as long as two weeks. Receipt of your Form W-2 will be further delayed if you have moved and do not have an active forwarding address registered with the US Postal Service.

Current and former Rose Group restaurant employees can request a duplicate Form W-2 if the original is not received by February 7. Please allow 2-4 weeks for delivery.

To submit a duplicate Form W-2 request via fax or US Postal Service click here. Delivery may take up to 4 weeks.

Please select the appropriate 'Address Change' or 'Duplicate Form W-2 Request' check box below to begin your submission. Delivery of duplicate W-2 Forms may take up to 2 weeks. Required Information is indicated with ""

Request Type              
I am requesting a Duplicate W-2 for wages earned in tax year: 
I am submitting an address change

First Name Middle Initial Last Name  
           
Social Security Number (9 digits - Do not include dashes) Date of Birth (E.g. 07/05/1969)  
 
Your Daytime Phone Number Alternate Phone Number  
 

Current Street Address   Apartment # / Address 2  
City State Zip Code  
 

Store Location Name Location City State Restaurant
  Additional Comments (Optional)  
To submit this form, you must enter the security words that are displayed below
and click the "Submit" button.