Sections 1 - 4. Please complete the following information completely.* Required fields are marked with an asterisk.
For Business name and Tax/EIN ID number changes, new vendor registration forms must be completed.
Click Here to request new vendor registration forms.
**A Government-Related Entity includes any government agency, body, or state organization, including subdivisions of or entities acting on behalf of such entities. A State-Owned Enterprise includes any entity created by a government in order to partake in commercial activities on the government's behalf. A Government Official is considered any officer or employee of a Government-Related Entity or State-Owned Enterprise or any department, or agency, of a public international organization, or any person acting in an official capacity for or on behalf of any such government or department, agency or instrumentally, of for or on behalf of any such public international organization.
***A related party vendor relationship is a type of conflict of interest which exists when an employee, relative of an employee (a spouse, child, sibling, grandparent, grandchild, aunt, uncle or corresponding in-law or "step" relation) or any person(s) occupying the same household has a direct or indirect ownership interest in any business proposed to be engaged, or engaged in the supply of goods or services to the same department for which the employee works.
By checking yes, you understand and agree that you are personally responsible for ensuring that you comply with all federal and state tax and other withholding obligations, including paying and reporting payroll taxes, and that Financial Operations Networks is not required to withhold taxes on your behalf.
I hereby certify, under the penalty of perjury, that: (1) to the best of my knowledge, the information presented here is true and correct; and (2) I have willingly provided
the information in the form to Financial Operations Networks and expressly accept and authorizeFinancial Operations Network to store and process my information within the United States. I
also authorize Financial Operations Network/InvoiceInfo/VendorInfo to disburse payments to the account specified. Financial Operations Network/InvoiceInfo/VendorInfo will use this information
provided to transmit payments and make any required error corrections by electronic means to the vendors financial institution.