Vendor Information Form

Name: AugerPros Plumbing and Drain
Price range: $$$

Please fill out the following for to be put into our vendor database. Augerpros Plumbing is in the process of implementing an new data storage system. Through this process, we’re collecting updated information for all of our providers as we cleanse our existing data. Please take the time to complete this form, only once for your company, as we work through this process.

Company Name - DBA - Listed on W-9

Company name legal - listed on W-9 *

Company name to use on 1099? *Legal NameDoing Business As Name

Primary contact name *

Primary contact email address *

Company Phone

Street Address

City

ZIP / Postal Code

What service do you provide to Augerpros Plumbing

Number of employees

Federal EIN (Tax Id)

W9 Download

You can download a copy of the W9 here:

https://www.irs.gov/pub/irs-pdf/fw9.pdf

Upload W-9 Here

No file chosen

Upload General Liability COI here

No file chosen

Certificate of general liability insurance (current)

Upload Workmans Compensation COI here

No file chosen

Certificate of workman's compensation insurance (current)

Upload Workmans Compensation Waiver Form

If you do not have current workman's compensation insurance, law requires us to get a signed waiver form from you. This only means you take responsibility for your employees injuries or accidents. To download the waiver form, CLICK HERE.

Upload Workmans Compensation waiver form here

No file chosen

Upload workman's compensation waiver (current)

Is there anything else we should know? Any problems with the form?