Form                                  Request for Waiver                                  Wisconsin
                       of Requirement to Submit Employee                                  Department of
     W-700
                       Wage Attachment Payments Electronically                            Revenue

Note:  Use this form to request a waiver of the requirement to make electronic wage attachment payments.  
Begin sending your payments immediately after requesting a waiver to: 

                                Wisconsin Department of Revenue
                                PO Box 8906
                                Madison WI  53708‑8906

Employer Information
Business name                                                          Identification number (FEIN, SSN, or Wisconsin tax number)

Address

City                            State         Zip              Email address

Contact name                                                   Telephone number
                                                               (       )       ‑

Please check the appropriate reason(s) for requesting a waiver:

     1. I file my withholding return annually.

     2. I do not have access to a computer or the internet.

     3. I use a payroll provider that is unable to pay electronically.
       If checked, what payroll provider?

     4. This creates a hardship for another reason (explain):

• Use  the  Employer’s  Wage  Attachment  Remittance  Form  (W‑118a)  to  submit  payments.  A  fill‑in  form  is
available online at revenue.wi.gov/TaxForms2017through2019/W‑118af.pdf.

• If you have more questions about this form, please call the department at (608) 264‑9956

• Waiver requests are subject to review and may require recertification

Mail completed form to:
                                                           Applicable Laws and Rules
Wisconsin Department of Revenue          This document provides statements or interpretations of the follow‑
PO Box 8906                              ing laws and regulations enacted as of November 15, 2021: secs. 
Madison WI  53708‑8906                   71.65 and 71.91(7), Wis. Stats., and sec. Tax 1.12, Wis. Adm. Code.

Contact signature                                 Title                         Date

W-700 (R. 11-21)