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Travis Texas online Form W-9: What You Should Know

The information you provide on this form will not be provided by the vendor, nor may you expect it.  Your information may only be shared with a vendor to provide you with accurate and timely information to make a tax payment. Any information regarding a request for a reimbursement is required to be included in the request for a reimbursement form. Please use the information provided in the W-9 form to make a payment only. If your business cannot use electronic payment because of payment restrictions on the vendor account, please call the Business Reporting Office to discuss the situation with a business professional. If you have questions, you are welcome to contact us. Contact Form 8-K Form for Schedule of Fees & Expenses (PDF) — Texas Businesses & Industries Form 8-K (PDF) — Texas Corporation Commission Form 8-K (PDF) — Texas General Land Office Form 8-K (PDF) — Texas Lottery Commission Form 8-K (PDF) — Texas Public Safety Commission This form is used to request additional information from the Texas Department of Health Services(DOH) for the Texas Health Cooperative Services and Texas Department of Agriculture and Consumer Affairs (DAC). The information you provide may be released for marketing purposes to entities for which you are a consultant or are providing training, support or services to private entities. This form may not be used to create an individual profile that will be used for any purpose other than information sharing with DOH. The Information that you provide on this form will be protected from unauthorized use and disclosure; however, you may use this form to request and provide DOH with information that is not currently available from DOH. The Information shared with DAC under this form is only for the purposes of determining eligibility for Medicaid and CHIP. No information shared below will be shared with any state or federal agency. This form is for use in the following State Departments: For State Employees Information Shared with Health and Human Services for Health Care Program This form does not permit you to determine your eligibility for enrollment or a specific plan, or the cost of the plan. If the information has been provided under this form to another state agency, you may not use it for any purposes other than information sharing with the other State agency, such as determining eligibility for Medicaid or CHIP, or a specific plan, or fee information.

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