W-9 Form - UB Substitute.pdf
IRS Form PDF 368 KB Posted
- Attached to
- Enhanced Search Strategies
- Solicitation number
- 2051125
- Issued by
- Erie County, New York
About this file
This document is a Substitute W-9 and Vendor Information Form required by the State of New York. It collects vendor information such as business type, classification, tax information, contact details, and other relevant data. The form allows vendors to indicate if they are a woman-owned, veteran-owned, minority-owned, or disadvantaged business, or if they have other special designations. Vendors must complete this form in its entirety and return it to the requester indicated on the form, which appears to be the State University of New York at Buffalo.
The form does not provide details on any specific contract opportunity. It is a generic vendor registration document used to collect standard vendor information required by the State of New York for procurement purposes.
View the file
Other versions and copies of IRS Form W-9
Show all 20
Who attaches IRS Form W-9
| State | Files |
|---|---|
| Massachusetts | 7,066 |
| Colorado | 1,101 |
| Texas | 1,097 |
| New York | 906 |
| Florida | 625 |
Other files
Show all 20
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
Rev 12/2018
Choose one
Check all that apply
Complete all fields
Complete all fields VENDOR INFORMATION: Phone # Fax # NY State Vendor ID#
DUNS # Website
Order Address
Order Email address
Remittance Address
CONTACT INFORMATION: Name Email Phone (Individual authorized to represent the vendor and to maintain data housed in the NYS vendor database if edits to information are necessary i.e. change of address, etc.)
BUSINESS TYPE: Large (over 500 employees) Small (under 500 employees) Not-for-Profit Individual
CLASSIFICATION:
Woman-owned Veteran-owned State Preferred Source
NYS Certified Woman-owned Service Disabled Veteran-owned Disadvantaged
Minority-owned NYS Certified Service Disabled Veteran-owned HUB Zone
NYS Certified Minority-owned Historically Black College/University or Minority Institution
Substitute W-9 and Vendor Information Form We require completion of both the upper & lower portion of this document in its entirety.
Return to the requester indicated in the W-9 portion below.
| DBA: |
| Other: |
| Address: |
| City, State, Zip: |
| Acct Numbers: |
| Name: |
| Tax Class: |
| Exempt Payee Code: |
| Exempt FATCA Code: |
| SS#1: |
| SS#2: |
| SS#3: |
| EIN#1: |
| EIN#2: |
| Phone#: |
| Fax#: |
| NYS Vendor ID#: |
| DUNS#: |
| Website: |
| PO Address: |
| PO Email Address: |
| Payment Address: |
| Contact Name: |
| Contact Email: |
| Contact Phone#: |
| Business Type: Choice4 |
| Class-NYS Cert SDVO: Off |
| Class-W/O: Off |
| Class-NYS Cert W/O: Off |
| Class-M/O: Off |
| Class-NYS Cert M/O: Off |
| Class-V/O: Off |
| Class-SDVO: Off |
| Class-Hist Blk Col Univ MI: Off |
| Class-NYS Pref Src: Off |
| Class-Disadvantaged: Off |
| Class-HubZ: Off |
| Fed Tax Class: Choice4 |
| Date: |
| Requester's Name & Email Adrs: [.] |
| Requester's Physical Address: Procurement Services / 224 Crofts Hall / Buffalo NY 14260 |
| Requester's Fax #: Fax #716-645-2687 |
File details come from the government source that posted it. Updated .