If providers have never had payment from the State before and are not in the statewide FMIS system, they will need to submit a W-9 form with their packets. They can’t get paid until it is received.

Here is the link to a printable version of the form:

https://www.irs.gov/pub/irs-pdf/fw9.pdf

W-9 Request for Taxpayer
http://www.irs.gov
Form W-9 (Rev. December 2014) Department of the Treasury Internal Revenue Service . Request for Taxpayer Identification Number and Certification

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