vendor form All businesses, organizations and individuals receiving payment from Rainey Institute must submit this form prior to payment being issued. Full Name *Preferred Pronouns (If Applicable)Business Name / Organization (If Applicable)Would you like to have a paper check issued or direct deposit?**Paper Check issued to my Personal Name ($1.50 processing fee will be deducted from payment)**Paper Check issued to my Business Name ($1.50 processing fee will be deducted from payment)Direct DepositIf Direct Deposit is selected, for security purposes, we will request this information through the QuickBooks bill payment processor, Melio. Please be on the lookout for an email from meliopayments.com. **Paper Checks incur a $1.50 fee that will be deducted from the total payout, per check requestedHave you been compensated by Rainey Institute in the past year? *YesNoStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Email Address *Phone *I am a *New VendorExisting/Previous VendorPlease indicate the status of required form uploads:I/We have a W9 form on fileI/We have a Current Certificate of Insurance Already on FileSigned Professional Service Agreement / Contract *Choose FileNo file chosenDelete uploaded fileUpload your most current Certificate of Professional Liability InsuranceChoose FileNo file chosenDelete uploaded file.jpg, .png or .pdf file types only.Upload a current W-9 Form *Choose FileNo file chosenDelete uploaded file(Max Upload: 2Mb) You can download from https://www.irs.gov/pub/irs-pdf/fw9.pdfUpload your most current Certificate of Professional Liability InsuranceChoose FileNo file chosenDelete uploaded file.jpg, .png or .pdf file types only.Upload a current W-9 Form *Choose FileNo file chosenDelete uploaded file(Max Upload: 2Mb) You can download from https://www.irs.gov/pub/irs-pdf/fw9.pdfForm 1099 Electronic Delivery *Yes, I consent to electronic delivery of applicable tax forms, including Form 1099.No, I request that my applicable tax forms, including Form 1099, be mailed to my address on file.Rainey Institute is transitioning to electronic delivery of IRS Forms, to include Form 1099. In order to receive applicable tax forms electronically, you must provide your consent. If you provide your consent, Form 1099 will be emailed as a password protected document to the email address you have on file. If you do not consent, a paper copy will be mailed to the address provided. Your consent is applicable unless withdrawn by email to [email protected]. You can also use this email address to request a paper copy at any time, or to update your email address or physical address information.Consent *By clicking the checkbox, you agree to the following statement: Businesses, organizations, and individuals are responsible for submitting an invoice to Rainey Institute that states the name, address, invoice number - new one for each invoice, service provided, and amount billed. invoices are paid on the 15th and last day of the month, or if a weekend/holiday, on the following business day) and must be received 48 hours prior to payment date to be paid. Send Message
