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

Current Contact Information

Tax Information

Required Field