Below, you will find an ACH Payment Authorization Form, a W-9 Form Upload tool, and a brief FAQ section for your convenience.

W-9 Form Upload

Please enable JavaScript in your browser to complete this form.

In case you need a W-9 form, here is one for your convenience: https://www.irs.gov/pub/irs-pdf/fw9.pdf

Company Name

Contact Name *

First

Last

Email *

Phone *

Upload W-9 and any other documents

Click or drag files to this area to upload. You can upload up to 4 files.

Custom Captcha *

What is 6+4?

Submit

ACH Payment Authorization Form [Contractor]

This form is for independent contractors to provide us with preferred payment distribution information for services rendered.

Please enable JavaScript in your browser to complete this form.

Please complete this form and do not simply upload your documents and submit. This information is being sent to our Payroll and Compliance departments, and the faster we can process your data, the sooner you will be paid after work is performed. Thank you.

Business Information

Legal Business Name (as registered) *

DBA (if applicable)

Business Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Contact Name *

First

Last

Contact Email *

Tax ID (EIN) *

Do you have a current W-9 form to submit?

If not, please complete this form and upload it below: https://www.irs.gov/pub/irs-pdf/fw9.pdf

Upload Your W-9 Form *

Click or drag a file to this area to upload.

Bank Information

Financial Institution Name *

List the name of your bank, credit union, etc.

Branch Name

If applicable

Routing Number (9 digits) *

Bank routing numbers are usually 9-digits

Account Number *

Bank account numbers are usually 1-17 digits

Type of Account

• Checking
• Savings

Name on Bank Account *

Upload Document(s)

Upload Voided Check, Bank Letter, and/or Other Related Documents

Click or drag files to this area to upload. You can upload up to 3 files.

Authorization and Agreement

By signing below, I authorize Rodgers Security Solutions, Inc. to initiate electronic credit entries (direct deposit payments) to the bank account listed above for services rendered or reimbursements due. This authorization remains in effect until I provide written notice of cancellation at least five (5) business days before the next scheduled payment. I certify that I am authorized to provide this information on behalf of the business named above and that the information is accurate and complete. NOTE: Rodgers Security Solutions will store this information securely and use it solely for authorized business payments. This form does not authorize withdrawals or debits of any kind. *

• Yes

Authorized Signature or Printed Name *

Title/Position *

Today's Date *

Type the 2-digit month, 2-digit day, and 4-digit year

Custom Captcha *

What is 7+4?

Submit

Contractor FAQ: Why We Request Your W-9 and How It Affects Your Payment

1. Why do I need to submit a W-9 form?

We are required by the IRS to collect a completed Form W-9 from all independent contractors before issuing payments. This form provides your Taxpayer Identification Number (TIN) so we can report your earnings correctly at year-end on Form 1099-NEC.

2. What happens if I don’t submit a W-9?

If you do not submit a valid W-9, the IRS requires us to withhold 24% of your payment for federal backup withholding and send it directly to the IRS.

This means:

• You will receive only 76% of your total payment
• The 24% withheld will be reported to the IRS on your 1099-NEC (Box 4)
• You may be able to claim that withheld amount as a credit when filing your tax return

3. Can I still get paid without a W-9?

Yes, but the 24% backup withholding will apply until we receive your completed W-9. To avoid this, we strongly recommend submitting the form as soon as possible.

4. Where can I get the W-9 form?

You can download the official IRS W-9 form here:
📄 https://www.irs.gov/pub/irs-pdf/fw9.pdf

5. How do I submit my W-9 to Rodgers Security Solutions?

Upload it securely along with your ACH payment info at:
🔗 https://www.rodgerssecuritysolutions.com/cpd/

Questions?

If you have questions or need help filling out your W-9, contact us at:
HR@RodgersSecuritySolutions.com