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1.1.3.9 Certificate of Formation or Certificate of Filing
The provider must submit the Certificate of Formation or Certificate of Filing form. Obtain the form from the Office of the Secretary of State with which the corporation is registered. The name on this form must match the legal name shown on the W-9 form. Out-of-state providers are exempt from submitting this form.
Note: Corporations formed prior to January 1, 2006, should submit their Certificate of Incorporation.
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