8-Vendor InformationForm.pdf

This is a Vendor Information Form issued by the County of Bergen, specifically the Department of Administration and Finance, Division of the Treasurer, located in Hackensack, New Jersey. The form is designed for potential vendors to complete comprehensive business and contact information for the purpose of registering as a county supplier. The document requires detailed vendor details including company name, address, contact information, and remittance address, with all primary fields marked as required.

The form also includes a business classification section where vendors can self-identify their business type (such as small business, minority-owned, women-owned, or veteran-owned) and their IRS classification (like individual/sole proprietor, C-Corp, S-Corp, partnership). Vendors must certify the accuracy of the information provided and include a signature and printed name at the bottom of the form. The document is part of Bergen County's standard vendor onboarding and registration process, enabling the county to maintain accurate vendor records for procurement and financial management purposes.