Pest Care Employee Onboarding (W9

CONSENT FOR BACKGROUND CHECK
Name*

First NameLast Name
I hereby certify I have no disqualifications for employment as described above and specified in Title 63 of the Oklahoma Statutes, Section 1-1950.1(C My signature below authorizes the employer to run a check with the Nurse Aide Registry of the Oklahoma State Department of Health for notations of abuse, neglect or misappropriation of resident’s property. I hereby give the Oklahoma State Bureau of Investigation authority to proceed with a criminal history records check as authorized by Title 63 of the Oklahoma Statutes, Section 1
Signature*

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Upload a clear photo of your Social Security Card*

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FORM - W9

Request for Taxpayer Identification Number and Certification
1 Name as shown on your income tax return Name is required on this line; do not leave this line blank.*
2 Business name/disregarded entity name, if different from above
3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes.

C CorporationIndividual/sole proprietor or single-member LLCS CorporationPartnershipTrust/estateLimited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Exempt payee code (if any)
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)
Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.

Other (see instructions)Other (see instructions)
code (if any)
(Applies to accounts maintained outside the U.S
5 Address number, street, and apt. or suite no See instructions.*
6 Address number, street, and apt. or suite no See instructions.*
Taxpayer Identification Number (TIN)
Social security number (First 3 digits)*
Social security number (Middle 2 digits)*
Social security number (Last 4 digits)*
Should be Empty:

CONSENT FOR BACKGROUND CHECK

FORM - W9

Taxpayer Identification Number (TIN)