[Purchasing] Vendor Request Form

Fill in all the information requested below. Make sure to include the company's federal ID#, or if the vendor is an individual, the individual's social security number. Also, ask the vendor if there is a separate payment address. If so, fill in the payment address.

When you have completed the form, click on the "submit" button at the bottom of the screen. Your request will be e-mailed to SCSU Business Services.

Incomplete forms will be delayed until the required information is received.

If you have questions about the vendor information required, you can contact Eileen at 308-6463 or Jane at 308-3135.

SCSU Business Services submits vendor requests to the Minnesota Management & Budget in St. Paul. It takes a few days for the vendor ID's to be created and interfaced back to the MnSCU accounting system.

**Inquire about vendor number via Vendor Query in PCS 2-3 days after you submit the request. You will NOT be notified when the vendor number has been created.**

Your Name:

Department:

Campus Phone:

Your E-mail address:

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Indicate whether this is a New Vendor or a Change of Address:

New Vendor

Change of Address (indicate existing vendor #:

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Vendor Name (last, first) or Complete Company Name:

Vendor Federal ID# (9 digits):

Vendor State ID# (7 digits) only for Minnesota vendors:

Individual's SSN:

Vendor Telephone#:

Vendor Cell Phone# (if available):

Vendor Fax#:

Vendor Toll-free#:

Vendor Email (if available):

Vendor Web Address (if available):

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Type in the Vendor's Street address here.

Vendor Street Address Line 1:

Vendor Street Address Line 2:

Vendor City: Vendor State: Vendor Zip Code:

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If the vendor has a separate address for payment, type in that address here.

Vendor Payment Address Line 1:

Vendor Payment Address Line 2:

Vendor City: Vendor State: Vendor Zip Code:

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Comments to Business Services: