1 Start 2 Complete Secure Supplier Information Collection Form This secure form is intended to collect sensitive supplier information for transfer into a secure Queen's University database. Once the information collected here has been entered into the secure database, this form will be deleted. The information collected here will be utilized in order to establish a supplier file in Queen's supplier database, with the intention to ensure Purchase Orders and/or Payments, are accurately issued to the below identified supplier. Please note, information on Queen's University's payment terms and methods can be located here. Please complete the required fields detailed below. Identify Business Relationship with Queen's - enter Pending Requisition or Form ID, and/or Associated Department/Contact Name * Supplier (Payee) Name * Legal Structure of Supplier * - Select -Individual or Sole ProprietorshipCompany or IncorporatedOther Supplier is providing Queen's with - None -GoodsServicesGoods and Services Enter Social Insurance Number (SIN) * Preferred Remittance Method of Supplier * - Select -Cheque (CAD or USD)Electronic Funds Transfer (EFT - CAD)Automated Clearing House (ACH - USD)Wire Transfer (Foreign Currency) If EFT, ACH or Wire, upload a copy of a Void Cheque or official memo from bank detailing the account information. * Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf doc docx. Define the account type: * - Select -|Chequing|Savings If you have questions regarding this form, please contact aq.supplier@queensu.ca CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
