Process ID
New Vendor Form
Name
*
First Name
Last Name
Company Name:
1099 Form Requirements
*
Tax Identification Number or Social Security Number (9 digits)
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Routing Number for direct deposit
*
Account Number for direct deposit
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Certification on Insurance: Workers' Comp
*
Browse Files
Drag and drop files here
Choose a file
Certification Holder: BG Realty & Management LLC 401 N College Rd Ste 4, Lafayette La 70506
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of
Certification on Insurance: General Liability
*
Browse Files
Drag and drop files here
Choose a file
Certification Holder: BG Realty & Management LLC 401 N College Rd Ste 4, Lafayette La 70506
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of
If you have both documents in the same file, please upload it in both fields. Thank you!
Submit
Should be Empty: