1099 MISC Request Form

1099 MISC Request Form
Requestor Information
Requestor Name
Requestor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Provider/Practice

Other
Provider Information
Provider/Practice Name as it appears on tax return
Tax Identification Number (TIN)
Email
This is where requested documents will be sent if email is selected as delivery method.
Line of Business
Select all that apply
1099 Request Details
Tax Year Requested

Other
What is the caller requesting assistance with?

Other
⚠ Important Notice: If the provider did not receive $600 or more in reportable payments from the line of business selected, a 1099-MISC have not have been generated.
Did the provider receive $600 or more in payments from the line of business they are inquiring about?
The provider is not eligible to receive a 1099-MISC, as they received less than $600 in payments from this line of business.
Upload W9 Form

(Limit of 5 files)
Cancelof
Please note:

The uploaded file must be DOC, DOCX, PDF, GIF, JPG, PNG, TIFF or TIF in format. The uploaded file must be less than 28MB in size.

Renaming a non-supported file type to a supported file types will not be accepted. EXAMPLE: myreceipt.png to myreceipt.pdf

Please ensure the file name is 25 characters or less.
Address Correction

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Delivery Method
How would the provider like to receive the 1099-MISC?
If Mail is selected, please confirm Mailing Address:
Should be Empty:

1099 MISC Request Form

Requestor Information

Provider Information

Line of Business

1099 Request Details

Delivery Method