Staff Portal

Onboarding

Welcome to EmpowerED Unique Pathways! Please complete the IRS Form W-9 below so we can pay you and issue tax forms. Your information is stored securely and visible only to administration.

Form W-9 — Taxpayer Information

1. Name (as shown on your income tax return)

2. Business name / disregarded entity name (optional)

3. Federal tax classification

5. Address (number, street, apt.)

6. City, state, and ZIP code

Part I — Taxpayer Identification Number

SSN

Part II — Certification

Under penalties of perjury, I certify that: (1) the number shown on this form is my correct taxpayer identification number; (2) I am not subject to backup withholding because I am exempt, have not been notified by the IRS that I am subject to backup withholding, or the IRS has notified me that I am no longer subject to backup withholding; (3) I am a U.S. citizen or other U.S. person; and (4) any FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

I certify the statements above are true.

Signature (type your full name)

Date

Your W-9 is stored securely and is never shared or visible to other staff.