Statewide Payee Registration for Washington State Department of Labor and Industries NonMIPS Please read the following instructions before completing the form: The legal name on both pages must match.

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How to fill out the WA F120-115-000 online

The WA F120-115-000 form is used for statewide payee registration with the Washington State Department of Labor and Industries. This guide provides a comprehensive walkthrough of how to accurately complete and submit this form online.

Follow the steps to complete your payee registration online.

  1. Click 'Get Form' button to obtain the form and open it for editing.
  2. Begin by entering the information about the payee and the contact person. Fill in the legal name as shown on your income tax return, along with the taxpayer identification number (either SSN or EIN). If applicable, add the business name (Doing Business As), contact person's name, and the payment address, including city, state, and zip code.
  3. Select your preferred payment option. Choose between direct deposit (recommended) or receiving payment by check. If you choose direct deposit, ensure to fill out an additional section with your financial institution's name, phone number, routing number, and account number. Specify whether the account is checking or savings.
  4. Complete and sign the Request for Taxpayer Identification Number (W-9). Fill in the legal name, business name if applicable, and check the appropriate box regarding your entity type. Ensure to provide the correct taxpayer identification number and sign the certification.
  5. Submit the completed form through one of the provided methods: email, fax, or by mail. Allow up to 7 business days for processing and up to 10 additional days for banking verifications when using direct deposit.

Be sure to gather all necessary information and complete your registration online today!

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What is vendor payee?

A Vendor Payee may be a payee for many vendor Service Approvals but can only have one account for all vendor payments. A Vendor Payee can have a payment method of either Direct Deposit or Debit Card.

What Is a Vendor Registration Form? A vendor registration form includes vendor names, contact information, banking information (if applicable), the products or services provided by the vendor, and a certification section that verifies the information on the form is true and accurate.

How do I register as a Washington State Statewide Vendor? Complete the Vendor/payee Registration form electronically (paperless) using ™ and submit with a digital signature. - OR - print and manually submit your Vendor/payee registration form in PDF.

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