NEA W-9 Capture

In order for NEA to make a payment to any person or vendor, we must have an accurate, completed W-9 on file.

Instructions

Step 1: Please download IRS Form W9 (Request for Taxpayer Identification Number and Certification), and save a copy to your desktop, prior to filling it in.

IRS Form W9

IRS Form W9 Instructions

Step 2: Fill in the fields, and attach a copy of your completed W9 to the file upload section prior to submission.

Foreign Individuals & Entities

Individuals: Form W-8BEN

Entities: Form W-8BEN-E

Effectively Connected Income: Form W-8ECI

Exemption: Form W-8EXP

Intermediary: Form W-8IMY

General Information

Requester or Center*

Who sent you this link? (NEA department or contact name).

Select

Conference or Program (CRSJ)*

Select

Conference or Program (CFM)*

Select

Conference or Program (CFG)*

Select

Conference or Program (CPESL)*

Select

Conference or Program (C4OAS)*

Select

Vendor, Non-staff Traveler or Other*

Please select whether you are a member or vendor submitting this information

Non-staff Traveler

Consulting Services

Vendor

Part I. Name and Address

Please enter your details on this form as required by the Internal Revenue Service to verify the name, address and email address.

Federal tax classification*

Select

TIN Type*

EIN - Employer Identification Number (XX-XXXXXXX)

SSN - Social Security Number (XXX-XX-XXXX)

FTIN - Foreign Tax Identification Number - Entity (W-8BEN-E) - (XXXXXXXXXX)

FTIN - Foreign Tax Identification Number - Individual (W-8BEN) - (XXXXXXXXXX)

Company or Business Name*

(as shown on your income tax return) FORMAT ALL CAPS

First Name and Middle Initial*

(as shown on your income tax return) FORMAT ALL CAPS

Last Name*

(as shown on your income tax return) FORMAT ALL CAPS

Business name (if different)

(as shown on your income tax return) FORMAT ALL CAPS

Address*

(permanent address per income tax return) FORMAT ALL CAPS

Address (Line 2)

STE or APT #

City*

FORMAT ALL CAPS

State*

Select

Postal Code*

Requester Name (if different)

Phone Number*

Your Email Address*

Part II. Taxpayer Identification Number (TIN) or Foreign Tax Identification Number

The TIN or FTIN number provided must match the name given on line 1 to avoid backup withholding.

TIN Type Confirmation*

Select

Identification Number*

EIN, SSN or other identification number (Must be 9 digits) NO SPACES OR DASHES.

Identification Number (Foreign)*

FTIN (Entity) or FTIN (Individual). NO SPACES OR DASHES

File Attachments*

Please attach your completed, saved and signed W-9 form.

Drag and drop files here or

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