Please fill out this form completely. All lines MUST be filled in for CHS (Rochester) to make a decision. You will be notified by email should we accept or decline to donate. If you have questions email [email protected].
If you have NOT received a donation from CHS (Rochester) in the past, please email a copy of page 1 of your W-9 to [email protected]. fw9.pdf (SECURED) (irs.gov)
