RCS Vendor Information Form Fillable rev Oct 2024.pdf
PDF 195 KB Posted
- Attached to
- Folding Partition Replacement
- Solicitation number
- 26.02
- Issued by
- Macomb County, Michigan
About this file
This document is a Vendor Information form for Rochester Community Schools (RCS), a public school district located in Rochester, Michigan. The form is designed to collect comprehensive vendor details for potential business relationships, including basic contact information, tax identification, payment preferences, and authorization for doing business with the district.
The form requires vendors to provide key information such as their legal business name, contact details, tax identification number, and specifics about potential student interactions. Vendors must choose between ACH or check payment methods and acknowledge critical terms, including that orders over $500 will only be processed with a valid RCS purchase order. The document also mandates that any invoicing be directed to RCS Accounts Payable and that any information changes must be submitted in writing to the district's Purchasing Department. The form is marked with a revision date of 10/2024, indicating it is a current administrative document for vendor onboarding and management.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ROCHESTER COMMUNITY SCHOOLS
VENDOR INFORMATION
Vendor Legal Name:
Doing Business As:
TIN/EIN: or SSN:
State: Zip:
State: Zip:
Date:
Title:
»»»»»»»»»»This document MUST accompany a completed IRS W-9 form to ensure proper payment.««««««««««
Vendor Email to Send Purchase Orders:
Vendor Email to Send Payment Inquiries:
Vendor Phone: Vendor Fax:
Will vendor provide a service which comes in direct contact with students? (YES or NO)
If yes, what type of service will be provided involving students?
Are you currently, or have you ever been, employed by a public school district in MI? (YES or NO)
PURCHASE ORDER INFORMATION
Printed Name:
PAYMENT INFORMATION (Remit To)
AUTHORIZATION
Signed:
By completing this form, Vendor acknowledges all of the following:
»Orders over $500 will only be filled AFTER receipt of a valid RCS purchase order. Orders over $500 filled without a valid RCS purchase order are NOT the liability of the District.
»All invoicing must be directed to RCS Accounts Payable, 52585 Dequindre Road, Rochester, MI 48307 or ap@rochester.k12.mi.us.
»Any changes to the above information must be provided IN WRITING to the RCS Purchasing Department at purchasing@rochester.k12.mi.us.
rev 10/2024
Payment Method (choose one):
Info Below Same as PO Info Above:
Address 1:
Address 2:
City:
Contact Name:
Contact Email:
Contact Phone:
ACH (AR email address and bank letter are required. Please include/attach.)
Check mailed via USPS
Address 1:
Address 2:
City:
Contact Name:
Contact Email:
Contact Phone:
Sheet1
| DBA: |
| SOCIAL SECURITY NUMBER: |
| EMAIL ADDRESS TO SEND PURCHASE ORDERS: |
| EMAIL ADDRESS FOR PAYMENT INQUIRIES: |
| PHONE #: |
| FAX #: |
| LEGAL NAME: |
| PURCHASE ORDER ADDRESS: |
| TIN: |
| ADDRESS 2: |
| PO CONTACT NAME: |
| PO CONTACT EMAIL: |
| PO PHONE #: |
| REMIT ADDRESS: |
| REMIT CONTACT NAME: |
| REMIT CONTACT EMAIL: |
| REMIT PHONE #: |
| Date14_af_date: |
| TITLE: |
| SIGNATURE: |
| PRINTED NAME: |
| REMIT ADDRESS 2: |
| REMIT CITY: |
| REMIT STATE: |
| REMIT ZIP: |
| PO CITY: |
| PO STATE: |
| PO ZIP: |
| YES OR NO: |
| SERVICE DESCRIPTION: |
| Yes Check: Off |
| Yes Same Info: Off |
| Yes ACH: Off |
| Yes or No: |
File details come from the government source that posted it. Updated .