Enclosure 5 - W-9 Domestic 2024.pdf

This is a Form W-9 (Rev. March 2024) Request for Taxpayer Identification Number and Certification form provided by the Department of the Treasury Internal Revenue Service. The form is included as Enclosure 5 in solicitation number 460297 for a Laser Ablation Sample Preparation Tool being procured by Brookhaven Science Associates, LLC for Brookhaven National Laboratory.

The form is used to request taxpayer identification information from vendors/contractors and includes sections for entering business entity information, tax classification, exemptions, address, and TIN/SSN. It contains detailed instructions for completing each section, information about backup withholding requirements, FATCA reporting codes, and certifications that must be signed by U.S. persons. This is a standard IRS form template that must be completed by vendors responding to the solicitation, rather than a document specifying any products or services requirements.