Vendor Request Form
Instructions Complete the form below to submit a new vendor request to Monroe County Purchasing. If approved, the user accounts requested below will be able to login to ContrackHQ to view and manage contracts between the county and vendor.
New or Existing Vendor
Request Type
Vendor Information
Vendor Name: *
Address: *
Address (Line 2):
City, State, Zip: *
Phone: *
Federal Tax ID #: *
Enter Federal Tax ID # or Social Security Number as appropriate.
Contact Name: *
Primary contact for vendor. You will also want to request an account login for this person in the section below.
Contact Title: *
Contact Email: *
Primary email for vendor. When this request is approved, a confirmation email will be sent to this email address. This address will also receive various communications throughout the contract process.
Signatory: *
Vendor signatory authorized to execute contracts. You will also want to request an account login for this person in the section below so they may digitally sign contracts.
Signatory Title: *
Add Add User Account
Add any users who will need to approve/sign contracts, upload insurance documents, report performance measures, or for any other reason need access to online contracts.
NOTE: Make sure to add a user account for both the signatory and contact specified above.
Additional Notes/Contract Info
Department:
Enter the name of the county department you will be contracting with.
Notes:
Notes will be read by purchasing prior to creating vendor record and user accounts. If you know the name of your contract with the county, please specify it here.
If you choose "Finish Later - Save as Draft" an email will be sent to the "Contact Email" containing a link that will let you resume filling out this form. After clicking "Submit Vendor Request" this request will no longer be editable and will be submitted to Monroe County Purchasing for approval.