BALTIMORE COUNTY PUBLIC SCHOOLS

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BALTIMORE COUNTY PUBLIC SCHOOLSREQUEST FOR INDIVIDUAL VENDOR NUMBERThis form is for obtaining a vendor number for employees seeking reimbursementsPlease type information on this modification form; however, if you must hand write, make it legibleAll of the following fields are required to process an individual vendor number request. BCPS Employee: FORMCHECKBOX Yes FORMCHECKBOX No – If not BCPS employee, must submit Form W-9 FORMCHECKBOX Check box if over age 18 Social Security #: FORMTEXT ??? - FORMTEXT ?? - FORMTEXT ???? FULL NAME: (First) FORMTEXT ????? (Middle Initial) FORMTEXT ????? (Last) FORMTEXT ????? Street Address: FORMTEXT ????? City: FORMTEXT ????? State: FORMTEXT ?? Zip: FORMTEXT ?????- FORMTEXT ???? CELL or HOME PHONE (REQUIRED): FORMTEXT ????? (please refrain from using BCPS phone #s) Individual Vendor’s e-mail (REQUIRED): FORMTEXT ????? (use BCPS e-mail for internal employees)Full Name of Requesting School/Office: FORMTEXT ????? Date: DATE \@ "M/d/yy" 2/21/20(location where you receive BCPS inter-office mail that will be written for mail delivery OR Name of non-public school) Requested By-Name (can be self): FORMTEXT ????? Requestor’s e-mail (REQUIRED): FORMTEXT ????? OR CHECK BOX if same as above (if self): FORMCHECKBOX Requestor’s Day Phone (REQUIRED): FORMTEXT ????? Ext: FORMTEXT ????? Fax: FORMTEXT ?????(if Requestor is other than “Self”)Return completed form to: FORMCHECKBOX Individual/Vendor FORMCHECKBOX Requesting Office/School FORMCHECKBOX Both FORMCHECKBOX Return form thru BCPS inter-office mail FORMCHECKBOX e-mail FORMCHECKBOX Both FORMCHECKBOX Fax (for non-public schools) The Advantage Financial system requires complete information for the issuance of a purchase order and/or payment. Omission of any information above will delay the processing of your request. Incorporated businesses and sole proprietor businesses can register as a new vendor or update a current profile by visiting the BCPS Vendor Self Service web site at the following URL: A X T H I S F O R M T O O F F I C E O F P U R C H A S I N G: 410–887–7831Please allow at least ten duty days for processing vendor related requestsDO NOT GROUP MULTIPLE REQUESTS ON A SINGLE FAX – FAX EACH SEPARATELYFor Office of Purchasing Use OnlyAdvantage Financial Vendor Number: VC0000(please retain this number for future use in expediting payments)Assigned by: Date: ................
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