Attachment 5 - GSA Fleet System Account Form .pdf
PDF 130 KB Posted
- Attached to
- AirForce - Compressed Gas Trailers (QTY: 2)
- Solicitation number
- 47QMCA26Q0051
- Issued by
-
GSA Federal Acquisition Service
About this file
This is a GSAfleet.gov Vendor Company Request Form used to establish vendor accounts for fleet management solicitations. The form collects comprehensive vendor registration information necessary for participation in GSA fleet-related contract opportunities.
The form requires vendors to provide standard business identification data including company name, Unique Entity Identifier (UEI), physical address, and payment address. Vendors must designate a primary point of contact with email and phone information, as well as identify a vendor administrator responsible for account management. The form requires vendors to classify themselves by supplier type (Dealer-Reseller or Original Equipment Manufacturer) and store type (Corporate, Dealership, Franchise, or Independent). Vendors must list all vehicle makes they represent (such as Ford, Nissan, Jeep, or Chevrolet) and provide up to five email addresses for certificate of origin notifications and order transmission. Optional fields include vendor fax number and website. The form includes spaces for the solicitation number and program name at the top. This is a template document designed to streamline vendor onboarding for GSAfleet.gov platform participation rather than a specific procurement solicitation.
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Text version
GSAfleet.gov Vendor Company Request Form
Solicitation Number: Program:
Please complete the following fields required to create an GSAfleet.gov account for this announcement. Required fields are marked with an asterisk (*).
Vendor name*
Unique Entity Identifier (UEI)*
Physical street address*
Physical street address line 2
City*
State*
Country*
Payment street address*
Payment street address line 2*
City*
State*
Country*
Vendor phone (including country code)*
Vendor fax (including country code)
Vendor website
Vendor point of contact*
Vendor point of contact email
Vendor point of contact phone (including country code) Type of supplier (choose one)*
Vendor store type (choose one)*
Vendor makes (add as many as needed) i.e.
Ford, Nissan, Jeep, Chevrolet* Certificate of origin notifications (add up to five email addresses)*
Order transmission email addresses (add up to five email addresses) Vendor administrator name (first and last)*
Vendor administrator email*
Vendor administrator phone (including country code)*
Dealer - Reseller Original Equipment Manufacturer Corporate Dealership Franchise Independent
| Solicitation Number: |
| Program: |
| Vendor name: |
| Unique Entity Identifier UEI: |
| Physical street address: |
| Physical street address line 2: |
| City: |
| State: |
| Country: |
| Payment street address: |
| Payment street address line 2: |
| City_2: |
| State_2: |
| Country_2: |
| Vendor phone including country code: |
| Vendor fax including country code: |
| Vendor website: |
| Vendor point of contact: |
| Vendor point of contact email: |
| Vendor point of contact phone including country code: |
| Vendor makes add as many as needed ie Ford Nissan Jeep Chevrolet: |
| Certificate of origin notifications add up to five email addresses: |
| Order transmission email addresses add up to five email addresses: |
| Vendor administrator name first and last: |
| Vendor administrator email: |
| Vendor administrator phone including country code: |
| Type of supplier (choose one): Dealer - Reseller |
| Vendor store type (choose one): Corporate |
File details come from the government source that posted it. Updated .