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WebSelf-Certification Forms are used to confirm an employee's absence from work due to a period of sickness that is less than 8 days. To achieve this, this Self-Certification Form … WebPlease note that this self-certification form is for CRS purposes only. Its completion is not a substitute for the completion of any IRS Form W-9, Form W-8 or self-certification that may otherwise be required for FATCA or other U.S. tax purposes. As a financial institution, Citi does not provide tax advice to its customers. WebHead of Household Signature Print Name Date Other Household Adult Signature Print Name Date Other Household Adult Signature Print Name Date Other Household Adult Signature Print Name Date NOTES Types of Income: Possible types of income include but are not limited to: wages, salary, tips, bonuses, commissions, military pay, public flying darts london