Vendor Addition Request
All companies performing labor as Subcontractors must complete the full Subcontractor approval process.
If the Vendor already exists in our systems, do NOT use this form.
For Material or Rental type of Vendors, please use the
CREDIT APPLICATION ONBOARDING FORM
.
Requester/Your Name
Requester Email (read only)
Requester Title (read only)
If Title does not populate, then Name was not selected correctly--please "click" on name to select.
Requester Phone Number
Requester SF IF
Division/Entity
Please select...
InfraServices Group Resources LLC
InfraServices Group Wireless LLC
Recovery Logistics LLC
The QualTek Entity that will be paying this vendor.
Vendor Name (Full Legal Name)
Correct spelling, capitalization and punctuation will minimize delays. NO SPECIAL CHARACTERS
Contact Information (Optional)
Point of Contact First Name
Point of Contact Last Name
Vendor Email
Vendor Phone Number
Vendor FAX Number
Supplier Contact Information (Optional)
Company provides our Subcontractor partners with access to our Supplier Portal which can be used to view all Purchase Orders and Invoices issued between you and company. All invoices issued to company are required to be entered through this Portal. Please provide the name and e-mail address of the contact who will be setup to view the Portal and submit invoices.
Supplier Point of Contact First Name
Supplier Point of Contact Last Name
Supplier PoC Email
Supplier PoC Phone Number
Vendor/Remit to Address
Street Address
Additional information like "Suite", etc., can be on separate lines if preferred.
City
State
State Abbreviation
Zip Code
Country
Scope of Work
Services that will be provided by this vendor.
Payment Terms
Please select...
Due Upon Receipt
Net 30
Net 45
Net 60
Net 90
Net 15
Net 14
Net 10
Net 20
Net 21
Net 7
Tax ID Number (EIN - Only numbers/No spaces or dashes)
Please enter "Employee" if an individual.
Vendor Type
Please select...
Admin
Attorney
Damage
Employee
Fleet
Government
Insurance
Legal
Other
Permits
Rent
Restoration/Traffic Control
Services
Utility
For Subcontractor services, please select "Other"
Please utilize a One Time Vendor designation ONLY when
subcontractor/labor
services are required for single usage. Examples: companies that will be working for us in remote locations, customer required vendors or projects where we are unable to source any other resources.
One Time Vendor?
Yes
No
One Time Vendor
A purchase order request must be completely filled out and signed by all parties. Click for:
blank PO Request
.
PO Request
Completely filled out and signed by all parties!
COI
Quote - Work Performed with Terms and Conditions
Quote - From Customer proving reimbursement
If you have any questions regarding One Time Vendor procedures, please contact Kevin Hansberry (khansberry@qualtekwireless.com / 201-289-6424)
Restoration/Traffic Control
Restoration/Traffic Control PO Conditions
Restoration/Traffic Control W-9 Upload
Restoration/Traffic Control COI Request
Contracts Ping
One Check Per Invoice?
Yes
No
Generally utilized by government agencies.
W-9 Upload
Supporting Document
1099 Applicable?
Yes
No
Upload another file?
Yes
File Name or Type
Additional File
Comments/Instructions
Any details that will assist adding this vendor.
Contact Information