New vendor setup form
Please attach a signed Form W-9 (US) or W-8BEN / W-8BEN-E (non-US).
1. Business information
Legal business name (as on W-9)
DBA / trade name
Entity type
Business address
Remit-to address
Goods or services provided
2. Tax and compliance
Form W-9 attached (Y/N)
Certificate of insurance attached / expiry
Business license number
Small-business certification
3. Contacts
Sales contact (name, email, phone)
Billing / AR contact
Email for purchase orders
Email for remittance advice
4. Payment information
Payment method (ACH / check / wire / card)
Bank name
Account holder name
Routing number
Account number
Payment terms requested
5. Vendor certification
I confirm the information above is accurate and will notify the buyer in writing, from a known contact, before any change to bank details.
Name and title
Signature
Date
6. Internal use only
Requested by / department
Business reason
Expected annual spend
Duplicate check done (Y/N)
W-9 name and TIN checked
Bank details verified by phone (who, when)
1099 vendor (Y/N)
Approved by / date
Vendor ID assigned
Entered in system by / date
New vendor setup form from Aequo (free to use and adapt)