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F120-115-000 Statewide Payee Registration and W-9. F120-115-000 Statewide Payee Registration and W-9

F120-115-000 Statewide Payee Registration and W-9. F120-115-000 Statewide Payee Registration and W-9 2026

F120-115-000 Statewide Payee Registration and W-9. F120-115-000 Statewide Payee Registration and W-9 Preview on Page 1

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The document outlines the process for registering as a payee with the State of Washington, including steps for new registrations or changes to existing ones. It details the required information such as legal name, contact details, payment options (direct deposit or check), and the completion of a W-9 form for taxpayer identification. The instructions emphasize the importance of accurate and complete information to ensure prompt payment.

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Click ‘Get Form’ to open it in the editor.
Select whether this is a NEW registration or a CHANGE to an existing registration. If it's a change, complete the entire form and check the items that have changed.
Enter your payee information, including the legal name as it appears on federal tax forms, SSN or EIN, contact details, and mailing address.
Choose your payment option: Direct Deposit or Check via US Mail. If selecting Direct Deposit, provide your financial institution's details.
Complete the W-9 section by entering your legal name, business name (if applicable), and taxpayer identification number. Ensure you sign this section.
For submission, print, sign, scan and email the completed form to gaga235@Lni.wa.gov. Alternatively, you can fax or mail it as instructed.

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