MagnusMart Vendor Setup Form

We're here to help. Please fill out this form to add an external Vendor. Reference the "MagnusMart CSU Payee Setup Form" to add a CSU Student or Faculty member in MagnusMart.

Request Date*

Request Type*

If an "Update", please use the Update Request Form.

Add

Payee Type*

Select or enter value

I certify, per the Ohio Ethics Law, that as a University employee, this vendor or company is not a relative, an affliate or a Cleveland State University employee.*

W-9 & Multiple Address Attachments

If this is a "new" setup request, a completed and signed W-9 is required. Please upload prior to proceeding. A blank from can be found on the IRS website: www.irs.gov/pub/irs-pdf/fw9.pdf ___________________________________________________ If multiple Fulfillment Addresses are required, complete and upload the following form: http://www.csuohio.edu/sites/default/files/MM_VendorFulfillmentAddresses.xlsx

Drag and drop files here or

CSU Requester Information

The departmental requester will be notified once the Vendor has been successfully setup in MagnusMart.

Requester Name*

Requester E-Mail*

Department*

Select or enter value

Vendor Information

Vendor Name*

List full name, no business acronyms permitted.

Federal Tax ID (FEIN) or Social Security (SSN)*

Independent Contractors must provide FEIN or SSN: https://newhire-reporting.com/OH-Newhire/instruct.aspx Enter "N/A" if reimbursed for Expenses

Date of Birth

Required for Independent Contractors that are using SSN as identification.

Minority Classification

Select or enter value

PO Distribution Type*

Select the method for receiving purchase orders from MagnusMart.

Select or enter value

Fax Number or Email Address*

Enter "N/A" if reimbursed for Expenses

Fulfillment Address

Location Description

Address 1*

Address 2

Address 3

City*

State*

Select or enter value

ZIP Code*

Remit / Mailing Address

Location Description

Address 1*

Address 2

Address 3

City*

State*

Select or enter value

ZIP Code*

Vendor Contact

First and Last Name*

Phone*

E-Mail Address*

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