W-9 Form | DIRECTV Class Action

W-9 Form Information

Complete the information below and click Submit to send the Claims Administrator your Form W-9 electronically. Your Claimant ID can be found on the email or hard copy notice that you received from the Claims Administrator with information regarding the Form W-9. If you do not provide a completed Form W-9 by June 23, 2023, or if any of your information is incorrect or invalid, your settlement payment will be subject to IRS backup withholdings. Doublecheck all your information before submitting your Form. If you need to change your payment method, contact the Claims Administrator.

Click here for instructions on completing a Form W-9.

Claimant ID

(Enter the alpha-numeric Claimant ID found on your Form W-9 Notice.)

Name

First Name

Middle Name

Last Name

Suffix

Business Name

Current Contact Information

Street Address 1

Street Address 2

City

State

Zip Code

Tax Information

Tax Classification

Taxpayer Identification Number
SSN/ITIN EIN

Tax Exempt

Exempt payee code (if any)

Exemption from FATCA reporting code (if any)

Required Field

Jenny Brown v. DIRECTV, LLC

Case No. 2:13-cv-01170

United States District Court for the Central District of California

W-9 Form Information

Claimant ID

Name

Current Contact Information

Tax Information