Form W-4

Marital Status
Note: If married, but legally separated, or spouse is a nonresident alien, check the "Single" box *
Is your last name different then that shown on your social security card? *
You must call 1-800-772-1213 for a replacement card
Are you 18 years or older? *
I agree to apply my electronic signature to the Form W-4 (if you do not agree please contact the YMCA HR department) *
Form W-4 Signature *
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