Supplier Details Form 2026

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The document is a Supplier Details Form for Ballarat Health Services' Finance Department, which must be completed and signed by suppliers before providing goods or services. It includes sections for supplier contact details, payment and remittance information, and requires proof of bank account documentation. The form also outlines the submission process and internal approval requirements.

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Click ‘Get Form’ to open the Supplier Details Form in our editor.
Begin with Section 1 – Supplier Contact Details. Fill in your ABN, Company Name, Trading Name, Postal Address, Phone, Fax, and Email for Purchase Orders. Ensure all fields are accurately completed.
Proceed to Section 2 – Payment & Remittance Details. Enter your Bank/Institution Name, BSB No., Account No., and Account Name. Don’t forget to attach a copy of your bank deposit slip or bank statement header as proof.
Complete the Remittance Email and contact details for Accounts. Sign the form on behalf of your company by filling in the Name, Position, and Date fields.
Finally, review all entries for accuracy before submitting. Email the signed copy along with required documentation to swepfinance@bhs.org.au.

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