GSAfleet.gov Vendor Company Request Form.pdf

130 KB Posted

Attached to
2024 Star of Life Ambulances
Solicitation number
47QMCA23R0076-AMB
Issued by

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This is a GSAfleet.gov Vendor Company Request Form used to establish vendor accounts for GSA fleet-related solicitations. The form requests comprehensive company information organized into several categories: basic vendor identification (name, Unique Entity Identifier, physical and payment addresses, phone, fax, website); point of contact details (name, email, phone); vendor classification (type of supplier as Dealer-Reseller or Original Equipment Manufacturer; vendor store type as Corporate, Dealership, Franchise, or Independent); operational information (vehicle makes offered); and administrative contact information (vendor administrator name, email, phone). Required fields are marked with asterisks and include vendor name, UEI, physical address, city, state, country, payment address information, vendor phone, point of contact name, supplier type, store type, vehicle makes, certificate of origin notification emails, vendor administrator details, and administrator contact information. Optional fields include physical address line 2, vendor fax, website, point of contact email and phone, and order transmission email addresses (up to five each for certificate of origin and order transmission notifications). The form requires vendors to specify the solicitation number and program relevant to their account creation request.

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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 .