NEW MEMBER INSURANCE POLICY

REQUIRED FORMS AND INSTRUCTIONS

ATTENTION FINANCIAL SECRETARIES

1. When a prospective member decides to take advantage of the New Member Insurance Policy provided on his Application for Membership (Form 100), please ensure the following actions are taken.

2. Ensure the member completes the IRS Form W-9, Request for Taxpayer Identification Number and Certification. Instructions are contained on the W-9 to aid the member in filling out this form. The new member and the Financial Secretary should retain a completed copy of this form.

3. Ensure the member also completes a Form 1080 in duplicate as one copy goes to Supreme and the other is his copy to keep. Follow the instructions provided on the Form 1080. Both the member and the Financial Secretary must sign both forms.

4. The Financial Secretary will submit the completed Form 100, along with the members check, plus a completed copy of both the IRS Form W-9 and the KC Form 1080, to the General Agent for processing.

5. If the new member or the council Financial Secretary has any questions regarding this process, contact the nearest Field Agent or the General Agent for assistance.