Form w 10 rev august 2009-2025

1. Click 'Get Form' to open it in the editor.
2. In Part I, enter the dependent care provider's name, taxpayer identification number (TIN), and address. If the TIN is a Social Security Number (SSN), check the corresponding box.
3. The dependent care provider must sign and date the form in the Certification and Signature section, confirming that all information provided is accurate.
4. In Part II, fill out your name and address as the person requesting this information. This part is only necessary if you are leaving the form with the provider for later return.
5. Once completed, you can print, download, or share the form directly from our platform for free.

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