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W9 Information

Form W-9 Request for Taxpayer Identification Number and Certification

We must obtain a copy of the completed W-9 from each provider before claims can be processed for a covered member. For your convenience, we have provided you with a link to retrieve a copy of the W-9 Form and instructions. Please download, complete, and fax or mail your completed form to the attention of Roseanne Saller or Connie Cydylo at Stirling Benefits.

Please contact us if we can be of further assistance.

W-9 Form more>