Download the Vendor/payee Change Form

The Registration Change form should be used to perform one of the following:

• Change the authorized contact person.
• Change the "Doing Business As" (DBA) name.
• Change the telephone number.
• Change the email address (for remittances and correspondence).
• Change the mailing address.
• Add additional business locations under the same Taxpayer Identification Number.

PART A - Identification details:

• If you are a business, a contact person’s name MUST be provided.
• You MUST provide your Statewide Vendor Number.
• If you do not know your Statewide Vendor Number use the link provided - Statewide vendor number lookup
• You MUST provide your legal name as it appears with the IRS.
• You MUST provide your DBA if you have one.
• You MUST provide your Social Security Number (SSN) OR Employer Identification Number (EIN). Do not provide both.

PART B - Changes to be made:

• Only enter on the fields you wish to change. You may leave the rest blank.
• Use the checkboxes provided if you wish to add or remove an additional location to your existing record. You must fill out a form for each location desired.