2-VENDOR INFORMATION CREATESUPPLIER02112026REV3.pdf

This is a vendor information and supplier creation form for Louisville Metro Government (LMG) in Kentucky. The document serves as the standardized application for businesses seeking to register as suppliers with LMG's procurement system, Workday. The form captures essential vendor data including legal business name, address, contact information, Federal ID number, and Unique Entity Identifier. It establishes primary points of contact for both contract negotiations and invoice processing, requiring an authorized agent signature to validate submission authority. The form is dated February 11, 2026 (Revision 3) and applies to the Asset Forfeiture Specialist position within the Louisville Metro Police Department (LMPD) Asset Forfeiture Unit, which involves liaison work with Federal law enforcement agencies, technical guidance, administrative assistance, and investigative research on seized asset cases.

The vendor information form includes comprehensive classification and certification options to identify supplier characteristics and qualifications. Vendors may indicate ownership status through minority-owned, women-owned, disabled-owned, LGBT-owned, or non-profit classifications, with corresponding certification pathways including MBE, WBE, DIBE, LGBTBE, VOSB, and SDVOSB designations. The form additionally requests race and ethnicity identification for tracking purposes. Submission requires attachment of an IRS Form W-9 dated within the previous 12 months, and LMG personnel complete the CREATE SUPPLIER REQUEST task in Workday. For existing suppliers requiring record updates or changes, the applicable sections of the form must be completed with LMG initiating a SUPPLIER CHANGE REQUEST in the system.