Manual Supplier Onboarding Request

This form is intended for departments to request manual supplier adds to Aggie Enterprise. It should only be used when suppliers or payees are unable to use PaymentWorks for onboarding, due to accessibility or language barrier issues. Use of this form will require manual review, which will result in longer processing times and delays versus using PaymentWorks.

Reason supplier is unable to register through PaymentWorks

Please select a reason

Accessibility Issue (visual or other limitations to use the webform)

Language Barrier (challenges understanding the webform instructions)

Technology Barrier (limited or no access to email or the internet)

Other (please explain)

Please provide the reason the new supplier is unable to register through PaymentWorks

Department Requestor Information

Name

Phone Number

Supplier Services Team may contact you directly for setup of supplier record.

Supplier Information

Supplier Name (Full Legal Name)

DBA Name (if different than legal name)

Supplier Contact Phone Number

Supplier Contact Email Address (enter N/A if the supplier does not have an email address)

Supplier Location

Foreign Country

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Which best describes the supplier?

Please Explain the selection of 'Other':

Additional Information for Supplier Services Team

Supporting Documentation

Please attach all supporting documentation

Please do not attach any W9s, or documents with individual personal information or SSN.
One file only.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.