Get Vendor_representative_change_report_form - Division Of ...

This guide provides clear and user-friendly instructions on how to complete the Vendor_Representative_Change_Report_Form online. Follow these steps to ensure accurate reporting of any changes to your vendor representatives.

Follow the steps to fill out the form correctly.

1. Click the ‘Get Form’ button to access the form and open it in your preferred editing tool.
2. Identify the type of report you are submitting by checking the appropriate boxes for newly designated vendor representatives you are adding or previously designated ones you are removing.
3. In the Vendor Identification section, enter the Registered Vendor Name and Vendor ID to verify your company details.
4. Complete the Vendor Representative Removal section if applicable. List all vendor representatives you wish to remove in the provided fields.
5. If designating new vendor representatives, certify your understanding of the requirements regarding on-site representatives and communication access by selecting Yes or No.
6. For each new representative, fill out their full name, any additional names they may have used, birth date, gender, social security number, direct phone, and email at the vendor business.
7. Each representative must indicate their understanding of PVS security responsibilities by selecting Yes or No.
8. Ensure all necessary signatures are provided by the vendor representatives as well as the person authorized to report changes on behalf of the Registered Vendor business.
9. Finally, submit the completed form by mailing the original, signed, and notarized document to the designated address provided in the instructions. Remember that faxes are not accepted.

Complete your document and submit it online to ensure timely processing of your vendor representative changes.