Form ONRR-4444, Addressee of Record Designation fro Service of-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the effective date at the top of the form. This is crucial for record-keeping purposes.
3. Fill in your company name and payor code or operator number in the designated fields.
4. Mark the correspondence types that apply to your address by checking the appropriate boxes. This helps ensure that all relevant communications are directed correctly.
5. Provide the address of record, including line 1, line 2 (if necessary), city, state, and zip code. Accuracy here is essential for official correspondence.
6. Enter the contact person's name and title as the addressee of record, along with their phone number, extension, fax number, and email address.
7. Finally, have an authorized company official sign and date the form to complete your submission.

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