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Attachment 4 State of California Department of Public Health PAYEE DATA RECORD (Required when receiving payment from the State of California in lieu of IRS W-9) STD. 204 (Rev. 5/06) CDP 1 INSTRUCTIONS:
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How to fill out payee data record:

01
Start by gathering all necessary information about the payee, such as their full name, contact details, and any relevant identification numbers or codes.
02
Fill out the payee's personal information, including their name, address, phone number, and email address. This information is crucial for communication and identification purposes.
03
Provide the payee's tax identification number or social security number if required by the organization or institution requesting the record. This helps ensure compliance with tax regulations and proper documentation.
04
Include any additional information that may be necessary, such as the payee's bank account details for electronic fund transfers or any special notes or requirements.
05
Double-check all the details entered to make sure they are accurate and up-to-date. Errors or omissions may cause delays or complications in processing the payee data record.

Who needs payee data record?

01
Companies or organizations that are required to report payments made to individuals or entities may need a payee data record. This includes businesses submitting information for tax purposes or financial institutions processing payments.
02
Government agencies often request payee data records to ensure compliance with regulations and to track payments made to individuals or entities.
03
Financial institutions may require payee data records when setting up or updating electronic payment methods, such as direct deposit or wire transfers. This allows them to verify the recipient's information and ensure funds reach the correct payee.
04
Payroll departments within organizations typically maintain payee data records to accurately process employee payments and comply with tax and labor laws. This helps ensure accurate and timely payment disbursement.
05
Service providers, such as freelancers or independent contractors, may need to submit payee data records to their clients or employers to receive payment for their services. This documentation helps establish a formal record of the payee's information and the payments made to them.
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Payee data record is a form that includes information about payments made to individuals or businesses for services rendered.
Businesses or individuals who have made payments to vendors or contractors are required to file payee data records.
Payee data record can be filled out online or submitted through specific forms provided by the tax authorities.
The purpose of payee data record is to report payments made to individuals or businesses and ensure accurate reporting of income.
The payee data record must include details such as the payee's name, address, tax identification number, and the amount of payment made.
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