PSP New IC Verification
These questions are to certify that you are a business following all local, state and federal requirements. PSP only contracts with independent businesses that meet these requirements.
Email *
What is your legal business name?  Please also list any DBA. *
What is your legal business entity type? S-Corp, LLC, PLLC, Sole Proprietor, etc. *
What is your business EIN? *
What is your WA State Business UBI? *
Did you file your 2017 business IRS tax return? *
Do you plan to file your 2018 business IRS tax return? *
Did you file your annual state and city taxes for 2018? *
What is your business address for us to send your 2019 1099-MISC form for your PSP independent contractor earnings? *
Do you have banking accounts for your business and do you maintain accurate business banking accounting per your responsibilities as an independent business? *
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This form was created inside of Puget Sound Psychotherapy & Psychiatry, PS.