Single Remittance Address Policy

Thursday, July 27, 2023

State Fund will send payments to only one remittance address per Tax Identification Number (TIN).

What this means

If your company bills State Fund from multiple billing addresses, including through third-party billers, State Fund will send payments to only the tax-reporting address on your IRS Form W-9 (or State Fund’s equivalent SCIF Form 5159) rather than sending payments to multiple addresses. If you wish to use a remittance address separate from your tax-reporting address, you must specify that address on SCIF Form 5159.

Address Preference

Different from Tax-Reporting Address

If you prefer a remittance address different from your tax-reporting address, please fill out completely a State Fund Form 5159 “Request For Taxpayer Identification Number and Certification” to specify the remittance address that we will use for your company.

Download a blank State Fund Form 5159.

A blank IRS Form W-9.

Important

If your tax-reporting address is outside of California, a PO Box or shows ‘in care of’ (c/o) you must provide a SCIF Form 590 (equivalent to CA Form 590) in addition to a Form 5159 or IRS Form W-9 in order to prevent unnecessary California State Non-resident Withholding.

Return the completed and signed form(s) via e-mail to 1remit-address@scif.com or via fax to (707) 454-0880. The e-mail address and fax number are for tax forms only, not bills. Please allow 6 to 8 weeks for processing.

Same as Tax-Reporting Address

If you agree to have your tax-reporting address as your remittance address, you do not have to do anything. However, you may fill out and submit the form(s) if you want to update your tax information in our records.