9-Vendor Information Form - 2024.pdf

This document is a Vendor Information Form from the County of Bergen, Department of Administration and Finance, Division of the Treasurer, located in Hackensack, New Jersey. The two-page form is designed for potential vendors to provide comprehensive business and contact information, with required fields for company details, authorized official information, and remittance address. The form includes sections for basic vendor identification, contact information, and business classification.

The form allows vendors to specify their business classification, including options for small business, minority-owned, women-owned, and veteran-owned businesses, as well as their IRS classification such as individual/sole proprietor, C-Corp, S-Corp, partnership, and other entity types. The document requires vendors to certify the accuracy of the information provided and includes spaces for a printed name and signature. The form is part of Bergen County's vendor registration process, enabling businesses to establish themselves as potential contractors or suppliers for county procurement opportunities.