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Home / Tools & Tech Support / Statewide Registration Services / Supplier Change Form

Supplier Change Form

In This Section

Supplier Change Form
Instructions

A change form is required when you move to a new address, add / delete a DBA, or need to change the contact information.

It typically takes three-to-five business days to process a change form that is complete and accurate.

Please do not submit duplicates as it increases processing time.

To submit the updated form, choose one of the following options:

  1. Download the PDF form, print and complete manually.
  2. Sign with a pen (an “ink signature”). We are unable to accept stamped, inserted, or electronic signatures via this method.
  3. Submit the form by one of these options:
    1. Scan to PDF format and email to: supplierforms@ofm.wa.gov
    2. Fax to: (360) 664-3363
    3. Mail to: Statewide Registration, PO Box 41450, Olympia, WA 98504-1450

Instructions

The Vendor/Payee 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:

  • You MUST provide your Statewide Vendor Number.
  • If you do not know your Statewide Vendor Number use the link provided – Statewide vendor number lookup.
  • Provide your legal name as it appears with the IRS.
  • Include a DBA if you have one.
  • A Social Security Number (SSN) – or – Employer Identification Number (EIN) is required. Do NOT provide both.

PART B – Changes to be made:

  • Mark the applicable checkbox if you wish to update your record or to add / remove a location to your existing record. You must fill out a form for each desired location.
  • All fields in Part B are required, except DBA.
  • If you are a business, a contact person’s name MUST be provided

Important

If you wish to change your legal name or IRS Tax Classification type, DO NOT fill out this form.

Please complete a registration form.

Signature

Please sign with a pen (an “ink signature”).

  • Electronic, inserted or stamped signatures will not be accepted.
  • This form is not considered valid unless it is signed.

Submitting the Supplier Change form

Please PRINT and SIGN the completed form

SCAN to PDF format and EMAIL to: supplierforms@ofm.wa.gov

FAX to: (360) 664-3363 – or –

MAIL to: Statewide Registration, PO Box 41450, Olympia, WA 98504-1450

For questions about the form, please contact Statewide Registration at (360) 407-8180. For any other

questions, please contact the agency you are expecting payment from