Company Information(Step 1 of 6)

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To complete your dealership contractor application, please do the following:

Please provide your company information as detailed below. This is in place of a W-9 form - you may skip questions that may not be relevant to you.

The Legal Business Name must match the name associated with your Employer Identification Number (EIN). If it does not, your application will be rejected. If you use a DBA, please enter it in the Business Name / Disregarded Entity Name field.
Please Select if Applicable (check all that apply)
Tax identification type:  *
Your Employer Identification Number (EIN) is not your Social Security Number.
See the IRS Form W-9 instructions for more information. IRS Form W-9
Do not submit a Social Security Number to NYSERDA on this form.
If, in accordance with the rules on IRS Form-W9, your taxpayer identification number is a Social Security Number, complete all other information on this form and leave Employer Identification Number blank. In addition, mail a printed and signed copy of IRS Form W-9 to NYSERDA, attention to  NYSERDA Finance, 17 Columbia Circle, Albany, NY 12203. Include your auto-generated Application Number on this and any forms submitted by mail to NYSERDA. You will receive your Application Number upon submission of your application. Click to view or print the IRS Form W-9