Registers a business as an approved vendor or supplier with a government agency. Covers entity details, SAM.gov/UEI, NAICS codes, small-business certifications, references, insurance, and conflict-of-interest disclosures. Requires a single signer (authorized representative of the vendor).
The Government Vendor / Supplier Registration is a ready-to-use government & public template you can send for signature in minutes. It is written for 1 signer (vendor) and, by default, expires 30 days after it is sent if left unsigned. It covers vendor, supplier, government, procurement, registration, small business. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Government Vendor / Supplier Registration This form registers the undersigned business entity as a vendor or supplier eligible to conduct business with the contracting agency. All information provided is subject to verification. Submission of false or misleading information may result in disqualification, contract termination, and civil or criminal penalties. --- ## Part 1 — Business Information **Legal Business Name** ___________ **Doing Business As (DBA) — if different** ___________ **Business Entity Type** ___________ **State of Formation / Incorporation** ___________ **Date Business Established** ___________ **Federal Employer Identification Number (EIN)** ___________ **SAM.gov Unique Entity ID (UEI) / DUNS Number** ___________ > Vendors conducting business with federal agencies must be registered in the System for Award Management (SAM.gov) at sam.gov. Many state and local agencies accept or require SAM registration as well. **NAICS Code(s)** — list all applicable codes separated by commas ___________ **Small Business Status** ___________ --- ## Part 2 — Primary Contact Information