DOF 01-2010 (03/2010)



GOVERNMENT OF THE VIRGIN ISLANDS

DEPARTMENT OF FINANCE

1099-MISC REQUEST FORM



Note: This form should be used to request a copy of a 1099-MISC or for assistance

with a problem related to a 1099-MISC form and must be hand delivered to the

Department of Finance, Accounting Division, along with supporting documentation

(e.g., attach incorrect 1099, if applicable).



The Department of Finance will provide a response via phone call or e-mail within

ten (10) business days.



(SS# or EIN)



E-MAIL



PHONE



CITY STATE ZIP CODE



TAX YEAR AGENCY/DEPT. DATE



REASON FOR CORRECTION:



DID NOT RECEIVE 1099-MISC



LOST OR STOLEN 1099-MISC

NAME/ADDRESS CORRECTION NEEDED

RECEIVED 1099 BUT SHOULD NOT HAVE

DISCREPANCY IN AMOUNT



REPORTED AS WRONG TYPE OF INCOME

OTHER



*** Please note: This form should be completed by the individual or entity requesting

1099-MISC tax form assistance.



FOR DEPARTMENT OF FINANCE USE ONLY



ENTERED BY: DATE



COMMENTS