Change of Vendor Form Instructions
This form contains 15 fields organized into 4 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| General | ||
| Vendor Name 1 | Text | |
| Remittance Address [1 | Text | |
| Remittance Address [2 | Text | |
| Property Information | ||
| Is Vendor Incorporated? Yes | Checkbox |
Check this box if the vendor is incorporated.
|
| Is Vendor Incorporated? No | Checkbox |
Check this box if the vendor is not incorporated.
|
| Vendor Agreement | ||
| Vendor Printed Name | Text |
Provide the printed name of the vendor.
|
| Agreement Date | Date |
Provide the date of the vendor agreement.
|
| Vendor Information | ||
| Remittance Address | Text |
Enter the full remittance address for the vendor.
|
| Vendor Fax | Text |
Provide the vendor's fax number.
|
| Vendor Phone | Text |
Provide the vendor's primary phone number.
|
| Vendor Email | Text |
Enter the vendor's email address.
|
| Federal Tax ID | Text |
Enter the vendor's Federal Tax Identification Number (EIN).
|
| Name on SSN | Text |
Provide the name associated with the Social Security Number.
|
| SSN | Text |
Provide the Social Security Number.
|
| Type of Business | Text |
Specify the vendor's type of business (e.g., corporation, sole proprietorship).
|