Request another copy of the Form 1099

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Name *

Contact Email Address *

AdSense Login Email *

Date your AdSense account first registered impressions *

You can find this date by viewing your "Performance Reports", clicking on "Columns" and selecting "Individual ad impressions", and also extending the date range earlier than when you opened your AdSense account.

Publisher ID *

Please enter your Publisher ID in the following format: ca-pub-XXXXXXXXXXXXXXXX

Mailing address *

Please enter the address you need the Form 1099 sent to. This must match the address listed in your account.

For which tax year are you requesting the reissued form? *

Please only enter in one year. Note that the upcoming tax filing deadline corresponds to the 2016 tax year. Fill out this form again if you need another Form 1099 for a different tax year.

Please check the following that apply: *

NOTE: Please update the address listed in your account if it is outdated. This essential when requested address revisions.

I received the Form 1099 for the requested tax season but I misplaced it.

I never received the Form 1099 for the requested tax year because the address listed in my account was outdated.

I never received the Form 1099 for the requested tax year.

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