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United Way of Fairfield County
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 What to Bring

Basic Information

  • Social Security Card for yourself, spouse, and any dependents
  • Valid Photo ID
  • Savings and Checking account numbers and routing number

Tax Forms

  • A copy of your 2010 tax return
  • W-2 from all jobs held during the 2011 year
  • 1099-G (unemployment)
  • 1099-INT (bank interest)
  • 1099-MISC and business expenses
  • W-2G (gambling)
  • 1098 (divident or interest)
  • Alimony Income
  • Retirement income and contributions
  • Social Security Benefits or S.S.I.
  • Information regarding education expenses, including student loan interest, tuition, or other student fees paid during the year
  • Mortgage interest paid, real estate taxes paid, charitable contributions, and medical expenses
  • Unreimbursed childcare expenses, paid provider's name, address, and SSN or tax ID number
  • Any other tax documents maied to you

*Please do not call to schedule before you have all necessary documents and tax forms*

Fitness Pledge

Please take a moment to describe your Fitness Pledge:

Fitness Pledge*

Please enter the phrase as it is shown in the box above.