W-2 Address Change Form

Use this form to change the address your W2 form is sent to.

Please note that this form is intended solely for the use of employees of:
  • Pacific Bells, Inc.
  • World Wide Wings US
  • European Wax Centers in the Portland metro area
  • Fat Head's of Portland
  • By Design Pizza @ Cascade Station

  • We operate:
  • Taco Bells in the states of AL, KY, OH, OR, MS, WA and WI
  • Buffalo Wild Wings restaurants in CA, OR, and WA
  • Fat Heads in Portland, OR
  • By Design Pizza @ Cascade Station in Portland, OR

  • If you did not work in these restaurants in these
    states, you were given this web link in error.

    Buffalo Wild Wings operated by World Wide Wings, US

    Store #AddressCityStateZip
    31745121 W American Prairie DrivePeoriaIL61615
    32333220 East EmpireBloomingtonIL61704
    3246833 West Camp StreetEast PeoriaIL61611
    32478188 Day Creek Blvd #140Rancho CucamongaCA91739
    32922219 NW Allie Avenue Suite 1440HillsboroOR97124
    33174420 Wabash AvenueSpringfieldIL62711
    33333160 Chino AveChino HillsCA91709
    33696120 BroadwayQuincyIL62305
    3371327 SW Morrison StPortlandOR97204
    338412411 Limonite Ave. #650EastvaleCA91752
    340340155 10th Street WestPalmdaleCA93551
    34099810 NE Cascades ParkwayPortlandOR97220
    34131001 Ave of Mid America Ste 1EffinghamIL62401
    3415851 South US Route 51ForsythIL62535
    342118965 Bear Valley RdApple ValleyCA92308
    345822849 NE Glisan StWood VillageOR97060
    3466127 East Palm AveBurbankCA91502
    34772807 Plaza DrivePeruIL61354
    34842548 East Workman AveWest CovinaCA91791
    349411995 SW Beaverton HillsdaleBeavertonOR97005
    3499240 South Brea BlvdBreaCA92821
    35137704 NE 5th AvenueVancouverWA98665
    35262808 North Dirksen ParkwaySpringfieldIL62702
    35275677 Gosford RdBakersfieldCA93313
    35621000 S Fair Oaks AvePasadenaCA91105
    35748505 SW Tualatin Sherwood RdTualatinOR97062
    36051200 NE Broadway St. Suite 20PortlandOR97232
    36131820 NW 9th StreetCorvallisOR97330
    36193892 Center Street NESalemOR97301
    36572770 Gateway StreetSpringfieldOR97477
    3662142 S Brand BlvdGlendaleCA91205
    36791700 Delta Waters RdMedfordOR97504
    368719252 Soledad Canyon RdSanta ClaritaCA91351
    3698401 Kenilworth Drive, Suite 810PetalumaCA94952
    37412529 Main StUnion GapWA98603
    3743801 East AveChicoCA95926
    37441090 Harter ParkwayYuba CityCA95993
    3752603 S Main StreetNormalIL61761
    37668551 W Gage BlvdKennewickWA99336
    If you worked for a Buffalo Wild Wings that is NOT listed above please DO NOT USE THIS FORM.

    NOTE: All W-2 forms are mailed on or before January 31 in accordance with IRS regulations;
    no W-2 forms are processed prior to this date. If your address change is after the initial W-2 forms
    are processed and mailed, please allow an additional 2 to 3 weeks for delivery of a replacement W-2 form.



    I am/was an employee of:    Buffalo Wild Wings
    By Design Pizza
    European Wax Centers
    Fat Head's of Portland
    Taco Bell


    First Name:
    Last Name:
    Last 4 digits of your SSN:
    For Tax Year:
    Address:
    Address:
    City:
    State:
    Zip:
    City Worked In:
    State Worked In
    Your e-Mail