Vendors

Before we can pay your organization as a vendor or partner, you will need to fill out our vendor information packet. This is necessary to comply with the requirements of our federal funding authorities and the IRS. We will also match your organization against the OIG vendor debarment database to ensure that your company has not been banned from federal contracting.

Please fill out our vendor information packet using one of the options below to avoid any compliance issues and ensure timely payment:

PDF Option:
Download and fill out the WNCCHS Vendor PDF form, then upload the completed form to our secure Dropbox. If you prefer to be paid faster via direct deposit (ACH), please complete page 1 of the WNCCHS Vendor PDF form and upload a voided check with the returned packet.

SignNow Option:
Complete the form using this SignNow link. A voided check upload will also be required if you are enrolling in direct deposit (ACH).