CHA-RI W-9 Form (pdf)
The CHA-RI W-9 required by the IRS.
CHA-RI Transitional FAQs for Payers
T4. What will I be billed for on the first CHA-RI invoice?
The first CHA-RI invoice includes assessments that were due on July 30th and October 30th for the measuring months of April, May, June and July, August, September, respectively. These assessments will be calculated using the fiscal year 2017 rate.
T5. How will I receive the first CHA-RI invoice?
The same company representative listed in the Rhode Island Vaccine Assessment Program (RIVAP) self-reporting system will receive the invoice via mail and email with instructions on how to remit payment.
T7. When will the second CHA-RI invoice be due?
The second CHA-RI invoice will be due on Jan 30, 2017 at the same time the RIVAP invoice is due. The system will produce the CHA-RI invoice, the same as it does for RIVAP and you will pay according to the methods your company uses for each program.
This assessment and the assessment due on April 30th will be calculated using the fiscal year 2017 rate.
Invoices for FY17
|Invoice 1 (2 quarters)|
30 days after receipt of invoice(for amounts statutorily due on July 30, 2016 & October 30, 2016)
|Invoice 2 |
January 30, 2017
|Invoice 3 |
April 30, 2017