W-9 Request for Taxpayer Identification Number and Certification 400-28-105-50

(Revised 10/1/22 ML #3678)

A "W-9,” Request for Taxpayer Identification Number and Certification" is required from a provider upon initial acceptance of a CCAP household. CCAP will not make payment to providers before a W-9 is on file. A new W-9 is required when the following occurs:

Change in either Social Security Number (SSN) or Employee Identification Number (EIN) when either is being used as the Taxpayer Identification (TIN)
Change in name or address associated to EIN or SSN
Change in provider type (family to group, group to center, et cetera)
Change in address

The W-9’s need to be uploaded through the provider self-service portal.