Get Vendor Claim Form

This guide provides clear instructions on how to complete the Vendor Claim Form online. By following these steps, users will effectively fill out each section, ensuring accuracy and compliance.

Follow the steps to complete the Vendor Claim Form accurately.

1. Click ‘Get Form’ button to obtain the Vendor Claim Form and access it in the editor.
2. Enter the vendor number in the designated field to identify the entity submitting the claim.
3. Provide the full name of the vendor in the NAME section. Ensure that the name is typed or printed clearly.
4. Fill in the complete address including street address, city, state, and ZIP code to ensure proper correspondence.
5. Record the check number next to CHECK NO. to reference the payment associated with the claim.
6. Indicate the date the payment was made in the DATE PAID section.
7. Complete the DATE section with the current date of submission.
8. Specify the department in the DEPT field related to the claim submission.
9. Input the purchase order number in the P.O. NO. section if applicable.
10. Reiterate the city and state of the vendor in the CITY & STATE field.
11. Fill in the ACCOUNT NO. to accurately link the claim with the vendor's account.
12. Include a description of the services provided or goods delivered in the DESCRIPTION section.
13. Enter the invoice number, making sure it is accurate for tracking purposes.
14. State the total amount of the claim in the TOTAL field to specify the sum being requested.
15. Once all fields are completed, review the form for accuracy. Confirm that the claim is true and correct, as certified in the declaration section.
16. Save changes, download, print, or share the completed Vendor Claim Form as necessary.

Complete your Vendor Claim Form online today for a seamless reimbursement process.