This form should only be used for Expense reimbursements to Individuals, change of address to an existing vendor or additional remit to for existing vendor.
This form should not be used to request payment for BC Employees or BC Students.
For all new vendors, please direct them to complete the W9 form.
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| Vendor Remittance Information |
| Red fields are REQUIRED |
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| Complete Vendor Name 1 |
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| Vendor Name 2 |
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Remittance Address 1
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| Remittance Address 2 |
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| City |
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| State |
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| Zip Code |
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| Country |
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| Type of Request |
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| Department Contact Information |
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| Department |
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| Contact Person |
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| Phone Extension |
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| Email Address |
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