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.
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.