W9 Information

Name (as shown on your income tax return): Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

Business name, if different from above: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

Please select one:

Individual/Sole Proprietor

C Corporation

S Corporation

Partnership

Trust/Estate

LLC

Please select a tax classification

Other

Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 2 characters

Address: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

City: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

State: Please select a state.

ZIP Code: Must contain only numbers with no dashes
Must have at least 5 digits

List Account Number(s) Here: Account numbers are 13 digits in length and separated by commas
Must not exceed 50 characters

Taxpayer Identification Number (TIN)

Social Security Number: * Must contain only numbers with no dashes
Must have 9 digits

Employer Identification Number: * Must contain only numbers with no dashes
Must have 9 digits

Company Information

Company Name: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character
The W9 Name must match the Company Name.

Business Name, or DBA:

Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character
The W9 Business Name must be blank or must match the 'Business Name, or DBA'

Owner Information

Name: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

Address: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 characters

City: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

State: Please select a state.

ZIP Code: Must contain only numbers with no dashes
Must have at least 5 digits

Phone Number: The phone number must have exactly 10 digits with no ( ) or -

Fax Number: The fax number must have exactly 10 digits with no ( ) or -

Contact Information

Name: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

Phone Number: The phone number must have exactly 10 digits with no ( ) or -

Email: This field must contain a valid email address of the form x@y.zzz Must have at least 3 characters

Send Payment To: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

Payment Terms:

Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

Freight Terms:

Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

F.O.B. :

Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

Available Products/Services: Please select a product/service.

Enter a specific service: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

Provide a sample copy of your invoice after submitting the form

Type of Ownership:

The W9 Business Type must be consistent with the Business Type

LLC C Corporation

LLC S Corporation

LLC Partnership

C Corporation

S Corporation

Partnership

Individual/Sole Proprietor

Trust/Estate

Other

Other Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 2 characters

Social Security Number: * Must contain only numbers with no dashes
Must have 9 digits The W9 SSN must match the TIN SSN.

Employer Identification Number: * Must have 9 characters
Must contain only numbers with no dashes
The Employee Identification Number must match the TIN Tax ID

American Owned?

Yes

No

Specify Country: Must have between 1 and 25 characters

Union Represented?

Yes

No

Specify Union: Must have between 1 and 25 characters

Business Size:

Large

Small

Number of Employees: Must be numeric value with 1 to 10 digits

How Long in Business? Some special characters not allowed (ex. %, ", *, etc.)
Must be numeric between 1 and 15 characters

Do you collect Sales Tax?

Yes

No

CA - State Tax Number: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

AZ - State Tax Number: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

NV - State Tax Number: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

City: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

City Tax Number: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

Diverse Suppliers

African American Owned

Hispanic Owned

Native American Owned

Asian Pacific American Owned

Woman Owned

Disabled Veteran Owned

LGBT Owned

Other Groups

Certification

Certification Number:

Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

Expiration Date: Must have at least 1 character This field must contain a valid date in the form MM/DD/YYYY.

Agency Name: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

Agency Phone Number: Must have exactly 10 digits
Must contain only numbers with no ( ) or -

Agency City: Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character

Agency State: Please select a state.

Southwest Gas (Southwest) Code of Business Conduct & Ethics

Supplier acknowledges that it must read, understand and comply, to the extent applicable, with Southwest's Code of Business Conduct & Ethics (Code) when performing work for, or when transacting business with, Southwest. The Code may be found at Code of Conduct. The term "Supplier" shall be given its broadest meaning and shall include any vendor, contractor, subcontractor or any other such provider of services and/or products to Southwest Gas.