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UC Davis Small and Diverse Business Registration

Your Contact Information
Are you a UC employee completing on behalf of the vendor?
Please provide us your contact information so that we can reach out if we have any questions
This form is intented for supplier to complete. You can initiate a request on behalf of a supplier here: https://supplychain.ucdavis.edu/form/vendor-request-form

Supplier Information

Is your company an individual (including sole proprietor or single member LLC) or corporation?
Are you, your company or the owners a current employee, been employed by the university in the last 2 years, or have direct relationship to an employee (spouse, child, etc.)?
Please complete a Conflict of Interest form and attach below
One file only.
256 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Life Sciences
Maintenance, Repair & Operations
Commercial Services
Information Technology
Please provide the SIC codes that you provide
What is the Company's Physical Address
What is the Remittance Address
What is the Additional Address
Are you the primary contact for the company?
Does your company have a California address?
Does your company Collect California sales tax?
Certificates
Please check the certification categories that apply.
Do any of these other small business categories apply (optional; no certification required)
Please check the certification categories that apply.
Unlimited number of files can be uploaded to this field.
256 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Insurance Information (if available)
One file only.
256 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Additional Insurance Information
One file only.
256 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Additional Insurance Information
One file only.
256 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Are you already affiliated with the university?
If you currently have the supplier's W9, please attach it here. If not, we will contact you with the supplier number to attach through our supplier portal.
One file only.
256 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.