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DS 5860 - Payee Data Record ICF DD SPA Program

DS 5860 - Payee Data Record ICF DD SPA Program-2025

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The document is a Payee Data Record (DS 5860) required by the State of California's Department of Developmental Services for non-governmental entities receiving payments. It outlines the necessary information to be completed, including legal business name, entity type, taxpayer identification number, residency status, and certification of accuracy. The form is essential for processing payments and ensuring compliance with tax regulations.

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How do I fill out a payee data record?

PAYEES LEGAL NAME - AS SHOWN ON FEDERAL INCOME TAX RETURN. BUSINESS NAME - IF DIFFERENT FROM ABOVE. E-MAIL ADDRESS. REMITTANCE MAILING ADDRESS. Payee. Entity. Type. Complete. Vendor. Contact. Information. and. VENDOR REPRESENTATIVES NAME (Type or Print) TITLE. E-MAIL. SECTION 6 TO BE COMPLETED BY COURT. Vendor. Category.

What is the payee data record for STD 204?

The STD. 204 provides, among other data, a suppliers taxpayer identification number and is used to determine when the payment(s) to the supplier is reportable (see SAM, Section 8422.190) and is needed in order to process payments of invoices.

What is a 204 form?

204 form is to obtain payee information for income tax reporting and to ensure tax compliance with federal and state law. The STD. 204 is required for any non-governmental entity or individual entering into a transaction that may lead to a payment from the state.

How do I fill out a data collection form?

5 tips: Making effective data collection forms Better variable names. As a form is designed, the variable names that are assigned to each question will end up formatting your data dictionary. Keep forms short. Automated survey invitations. Use skip logic. Use validation rules for responses.

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