Get New Vendor Add Request Form - University Of Utah Health Care - Uuhsc Utah

Filling out the New Vendor Add Request Form is a crucial step for establishing a new vendor relationship with University Of Utah Health Care. This guide will provide you with clear instructions on how to complete the form accurately and efficiently online.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to access the New Vendor Add Request Form and open it in the editor.
2. In the section labeled 'To Be Completed By The Requesting Department', fill out the date of the department request, Org ID, and the department name. This information identifies your department and ensures that the request is properly processed.
3. List the name of the person authorized or approved by your department in the 'Authorized or Approved By' field. Include your email address in the 'Requester Email Address' field and your name in the 'Requested By' field for communication purposes.
4. Enter the official company name in the section designated for the vendor's information. Provide the business street address, city, state, and zip code. This is essential for establishing a correct vendor profile.
5. Indicate whether the vendor accepts purchase orders by selecting 'Yes' or 'No'. Include the fax number for sending purchase orders and a customer service phone number, preferably toll-free.
6. Provide the sales representative or primary contact's information, including their direct contact number and extension, to facilitate direct communication.
7. Describe the product and/or service provided by the vendor. If there is a 'Doing Business As' (DBA) name, include that in the appropriate field.
8. Fill in the company name that appears on invoices, the remit to address, and the associated city, state, and zip code.
9. Insert the federal tax ID number and specify payment terms if they differ from the standard Net 30 Days.
10. If the vendor has a customer number assigned to University Health Care, include that number. You may also add any additional information that could assist in processing the request.
11. In the 'Information Confirmed By' field, ensure that someone affirms the details provided are accurate.
12. Once all sections are filled out, review the form for completeness and accuracy. Ensure a valid W-9 form is attached before submission.
13. After confirming all information is correct, you can save changes, download, or print the form. Lastly, fax the completed form along with the W-9 tax form to Jodi Alldredge at 801-297-4817.

Complete your New Vendor Add Request Form online today and streamline your vendor setup process.