Vendor intake form Company nameAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Company TypeFirst ChoiceSecond ChoiceThird ChoiceW9Max. file size: 450 MB. Proof of InsuranceMax. file size: 450 MB. Direct deposit informationBank Account #Routing informationBank account type Checking Savings Consent I agree to the privacy policy.Accept vendor termsConsent By submitting invoices by the specified date, I agree to the privacy policy terms ensuring timely payment processing.Invoices need to be submitted by certain date to be paidConsent By sending all invoices to the specified email address, I agree to the payment terms.All invoices must be sent to a specific email address to be paidConsent By submitting the invoice, I agree to provide detailed information about the work performed and the cause of the repair.Invoice must give detailed information about work performed and cause of repairConsent By agreeing to the terms, I will ensure photos are uploaded to the work order.Photos must be uploaded to the work orderConsent I agree that invoices must be paid within a net 30-day period.Invoices must be paid net 30Consent I agree that the vendor must accept the portal invitation and complete the portal setup.Vendor must accept vendor portal invite and set up portal.Consent I agree that any work exceeding $500 must have prior approval from the project manager before work begins.Any work over $500 must have prior PM approval prior to performing workWorkers comp insuranceMax. file size: 450 MB. Consent I agree that the vendor must accept direct deposit via ACH for payments.Vendor must accept direct deposit via ach for paymentsBest email to send workorders Other emails PhoneName First Last Contact Email Is there a separate accounting contact? Yes No Pricing list information Max. file size: 450 MB. Type of services Plumbing Electrical Cleaning Pool cleaning Carpet cleaning HVAC Handyman Pest control Other Valid LBP certificationsMax. file size: 450 MB. ROC # (arizona)Website Consent I agree to receive 1099 or other tax documents electronically.Agree to receive 1099 or other tax documents electronically Δ Share this: Click to share on Facebook (Opens in new window) Facebook Click to share on LinkedIn (Opens in new window) LinkedIn Click to share on X (Opens in new window) X
