W-9

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W-9

REQUESTOR INFORMATION

Please complete the W-9 form found at irs.gov if you are:

U.S. Citizen or U.S. resident alien
Partnership, Corporation or Company organized in the U.S.

Please remember to sign and date the W-9 prior to uploading the attachment.

W-9 Upload

Please include the information below for the person representing the company or the individual that is sending the W-9.

Taxpayer Name

Contact First Name

Contact Last Name

Phone Number

Please provide a brief explanation of the payment associated with this W-9 submission:

Please provide the name or e-mail of the person who asked you to complete this form.

What is your reason for submitting a new W-9 form?

First-time Vendor Set-up

New Address Only

Middle Tennessee State University does not discriminate against students, employees, or applicants for admission or employment on the basis of race, color, religion, creed, national origin, sex, sexual orientation, gender identity/expression, disability, age, status as a protected veteran, genetic information, or against any other legally protected class with respect to all employment, programs, and activites. The following person has been desinated to handle inquiries related to nondiscrimination policies for MTSU: Assistant to the President for Institutional Equity and Compliance. For additional information about these policies and the procedures for resolution, please contact Christy Sigler, Assistant to the President and Title IX Coordinator, Institutional Equity and Compliance, Middle Tennessee State University, Cope Administration Building 116, 1301 East Main Street, Murfreesboro, TN 37132; Christy.Sigler@mtsu.edu; or call (615) 898-2185. MTSU's policy of nondiscrimination can be found at http://www.mtsu.edu/titleix/.

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