SUPPLIER OF GOODS OR SERVICES ONLY To be completed by ALL FIRMS OR INDIVIDUALS PROPOSING TO DO BUSIN 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your BUSINESS NAME at the top of the form. If you have a UC DAVIS VENDOR NUMBER, include that as well.
3. Fill in the ORDERING ADDRESS and REMITTANCE ADDRESS if they differ from your W-9 information. Ensure all contact numbers, including TELEPHONE NO., TOLL FREE NO., and FAX NO., are accurate.
4. Provide your E-MAIL and WEBSITE, along with PRIMARY CONTACT details, including their TITLE and CONTACT’S PHONE.
5. Indicate any relationships with UCD employees by checking 'Yes' or 'No' for each relevant category.
6. List PRINCIPAL OWNERS along with their ownership percentages and titles. Complete the DUNS NUMBER and PRIMARY TYPE OF BUSINESS sections accurately.
7. Select any applicable SPECIAL BUSINESS TYPES and SELF-CERTIFICATION categories that apply to your business.
8. Review the INSURANCE REQUIREMENTS section to ensure compliance before submitting.
9. Finally, certify the information provided by signing and dating the form before sending it to vendordesk@ucdavis.edu.

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