Form W-10 for Wyoming 2020-2025

Form W-10 for Wyoming: What You Should Know

W-9 is not available for filing a joint return with a U.S. dependent. A U.S. holder or spouse should use the Form 8829. The Department of Homeland Security no longer issues Form W-9, due to lack of accuracy in the use of this form. Form W-10 — W-9 Identification Form (Revised June 2010) The W-9 Identification and Certification Information for Medicaid recipients. This form is available to use for the following programs as of July 21, 2015: Medicaid program Supplemental Security Income (SSI) program Child Support Enforcement program (CSL) A separate W-10 for every beneficiary age 65 or older. (Form W-9-A) A W10 is for Medicaid recipients, SSI program beneficiaries (including those age 70 or older), and CSL beneficiaries (including those age 18 or younger). A W-10 must include the following: The information on page 1 of the application The name, address, and TIN of the person being certified, along with any name changes (if any). The health insurance company in which the person is enrolled for which the person has provided sufficient proof of coverage. Provide the W-9 at least seven days in advance of the date the provider will provide care. Provide to the provider and to the Social Security Administration (SSA) any required information about the person being certified. The health insurance provider is responsible, at its own expense, for completing the W9 and returning the completed and signed form to the Social Security Administration (SSA). W-9-A — Provider's W9 and Certification Information for Medicaid Beneficiaries W-9-A, W-9 Certification Request, (Jan 2014) A W-9-A is for the purpose of reporting the provider's health insurance coverage for Medicaid patients. It includes the following: The full name of person requesting Medicaid services. The address to which the person is expected to receive services. The person's name, address, and TIN. A copy of the health insurance company or provider's letter of acceptance from the person receiving services. The provider's name and address, if available. Providing information about the person's income, including Social Security numbers, SSN, and tax identification numbers.

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