Get Vendor Demographics Form

Filling out the Vendor Demographics Form is essential for vendors looking to establish or update their account information. This guide will walk you through the process step-by-step to ensure that all required information is accurately provided.

Follow the steps to successfully complete the Vendor Demographics Form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the organization’s legal name and tax ID; these fields are crucial for proper identification. Ensure accuracy to avoid processing delays.
3. Indicate whether the Tax ID is a social security number by selecting 'Yes' or 'No.' This information is necessary for tax reporting.
4. Specify if your organization transmits orders electronically via EDI. If 'No,' provide the appropriate fax number or email used for order reception.
5. If applicable, confirm if your organization is certified as diverse, such as minority or women-owned. Attach certification documentation as required.
6. Indicate your organization’s eligibility for 1099 reporting by selecting 'Yes' or 'No.' This affects tax documentation.
7. State whether any of your organization's agents or employees are employed by NYC Health + Hospitals Corporation by selecting 'Yes' or 'No.'
8. Fill in the account representative's contact information, including their name, email, and phone number for direct communication.
9. Provide the general customer service contact information, including phone number and email address, for customer support.
10. In the attestation section, type your name to confirm that the information provided is truthful and accurate. Fill in the date as well.
11. Proceed to provide payment account information if your organization is set to receive electronic payments, including ACH details, bank name, routing number, and bank account number.
12. Complete the legal business address section, ensuring that all required fields (entity name, address, city/state/zip) are filled out accurately.
13. If different, provide the remittance address and any other ordering, delivery, or return addresses required. Fill out each section as applicable.
14. Finally, review all entries for accuracy, then save your changes. You can download, print, or share the form as needed.

Complete your Vendor Demographics Form online today to ensure your vendor profile is up to date.