Supplier Set Up Form
5
Shared Services Directorate Second Floor Room 211, Foss House, Kings Pool, 1–2 Peasholme Green, York YO1 7PX Telephone 0845 6037262 Fax (01904) 455 319 Email [email protected] Working in Partnership with Animal Health, Committee on Climate Change, Defra, Government Decontamination Service, Marine and Fisheries Agency, Meat Hygiene Service, Natural England, Sustainable Development Commission A/AP 201 (Rev. 12/09) Page 1 Details of Suppliers Form to be completed by new suppliers or when supplier details require amendment • Should you have any queries about the completion of this form, please contact: Name and telephone number • If completing by hand, please write clearly in BLOCK LETTERS and use black ink. • Should you require extra space to reply to any of the questions, please attach an extra page. • The information supplied will be held on computer and may be cross-checked against other records, to prevent duplication of data or fraud. Once this form is completed, please send to: SECTION 1 – Business Name & Address a. Supplier name (or business trading name) City/Town Payee (if different from above) Postcode County Address Web address Company Code Supplier No. For Internal Use Only b. Please enter details of the office in the accounts department to whom purchase orders and remittance advices should be sent and payment queries directed. Name Telephone no. (inc. national dialling code) Fax for remittance advice only c. If purchase orders need to be sent by post to an address different to that given in 1a, please enter details here: Address Email address for remittances City/Town Postcode County Email address for purchase orders (all POs will be sent as standard to this address) Self Bill Supplier? Yes No
-
Upload
karthi-keyan -
Category
Documents
-
view
13 -
download
2
Transcript of Supplier Set Up Form
Shared Services DirectorateSecond Floor Room 211, Foss House, Kings Pool, 1–2 Peasholme Green, York YO1 7PX
Telephone 0845 6037262 Fax (01904) 455 319 Email [email protected]
Working in Partnership with Animal Health, Committee on Climate Change, Defra, Government Decontamination Service, Marine and Fisheries Agency, Meat Hygiene Service, Natural England, Sustainable Development Commission
A/AP 201 (Rev. 12/09) Page 1
Details of Suppliers
Form to be completed by new suppliers or when supplier details require amendment
• Shouldyouhaveanyqueriesaboutthecompletionofthisform,pleasecontact:
Name andtelephonenumber
• Ifcompletingbyhand,pleasewriteclearlyinBLOCK LETTERS and use black ink.• Shouldyourequireextraspacetoreplytoanyofthequestions,pleaseattachanextrapage.• Theinformationsuppliedwillbeheldoncomputerandmaybecross-checkedagainstother
records,topreventduplicationofdataorfraud.
Oncethisformiscompleted,pleasesendto:
SECTION 1 – Business Name & Address
a. Suppliername(orbusinesstradingname)
City/Town
Payee(if different from above)
Postcode County
Address
Webaddress
Company Code
SupplierNo.For Internal Use Only
b. Pleaseenterdetailsoftheofficeintheaccountsdepartmenttowhompurchaseordersandremittanceadvicesshouldbesentandpaymentqueriesdirected.
Name
Telephoneno.(inc. national dialling code)
Faxforremittanceadviceonly
c. Ifpurchaseordersneedtobesentbypostto an address different to that given in 1a, pleaseenterdetailshere:
Address
Email address for remittances
City/Town
Postcode County
Emailaddressforpurchaseorders (all POs will be sent as standard to this address)
SelfBillSupplier? Yes No
A/AP 201 (Rev. 12/09) Page 2
SECTION 2 – Taxation Details
a. AreyouregisteredforVATintheUK?
............................................ YES NO b. If‘YES’,pleasestateyourVATRegistration
number.
c. IfyouareregisteredforanyEUtaxes,pleasestatetheCountry,yourfullTaxRegistrationnumberwiththecountryprefix.
d. AreyouregisteredforCISwithHMRC?
............................................ YES NO
UTR(UniqueTaxReference)
CompanyRegNo.
NationalInsuranceNo.
G B
SECTION 3 – Payment Details
BankorBuildingSocietyname
Branch
Sort Code
AccountNumber
Account Name
BuildingSocietyrollnumber
IfyouareaGovernmentDepartment/AgencywithanAccountatthePaymasterGeneral’sOffice,pleaseenteryourPGOAccountnumberhere:
In order to ensure payments are issued quickly and securely we require submission of your bank details:
SECTION 4 – Supplier Information
b) Pleaseindicatewhetheryourorganisationisasmallbusiness(i.e.lessthan249employees)
Yes No
e. If‘YES’,pleasestate
a) Areyouasupplierofgoodsorservices,acreditorapplyingforapaymentforsomeotherreason (e.g.grantpayments),oraGovernmentDepartment/AgencywithanaccountatthePaymasterGeneral’sOffice?
Supplier........................
Publicbody .................
Farmer .........................
Other ............................
OtherGovernmentDept ..
LocalVetInspector(LVI)
If‘Farmer’supplyCPHnumber
If‘Other’Description
CommitteeMember .........
LocalAuthority ..................
A/AP 201 (Rev. 12/09) Page 3
SECTION 5 – Name of person authorising the form
Onbehalfofthesupplier: OnbehalfofSSDCustomerOrganisation:
Signature
Name
Position in business
Tel.no.
Faxno.
Signature
Name
Grade (EO or grade equivalent or above)
Tel.no.
Faxno.
SECTION 4 – Supplier Information .. continued
d) StandardIndustriesClassification(SIC)
DUNSNumber
e) Supplierdescription
f) Inordertoensureweareabletorespondtoquestionsonsocialdiversity,itwouldbehelpfulifyoucouldpleaseindicatewhethereitheroftheoptionsbelowapplytoyourbusiness:
MinorityOwned WomanOwned
c) AreyouaThirdSectororganisation?: Yes No
If‘Yes’pleaseindicationtype:
Charities Cooperatives SocialEnterprises
Mutuals Voluntary&CommunityOrgs.
A/AP 201 (Rev. 12/09) Page 4
Please note that the AP201 form must be used for creation of new suppliers and amendments to existing suppliers
Details of Suppliers
This section of the form is for internal use only
ReturnAddress–thismustbetheaddressof•theoriginatingofficei.e.thepersonsendingout the form.
CompanyCode–Thismustbecompleted•toallowtheDataManagementteamtocreatethesupplierdetailsforthecorrectorganisation(i.e.Defra–01,AH–05,MFA–06,NE–08,SDC–09,CCC–10,MHS–21)
SupplierNo.–shouldbeenteredwhen•updatingexistingsupplierrecords.PleasechecktheSSD‘HowDoI’s...?’forinstructionsonhowtocheckifasupplierrecordalreadyexists.
SelfBillsupplier?-Mustbetickedifthe•suppliersiteistobesetupfornonvatablepayments
ContactName&Number–Thisshouldbethe•contactdetailsoftheindividualforwardingtheAP201formtothesupplier.
SECTION 1 – Business Name & Address
For completion by the supplier
Parta–Pleaseensurethatthesupplier•name(individualorbusinesstradingname)andaddressdetailsareprovided.Ifyourcompanyusesanabbreviatedform(e.g.ABCLtd),pleaseenterthefullname.
Partb–Itisourpolicytoissuepurchase•ordersandremittancesbyemailthereforepleaseprovideanemailaddress.Ifthisisnotpossible,pleaseprovideafaxnumber.Youmustprovideacontacttelephonenumberincaseclarificationofanydetailsprovidedis
required.
Partc–Ifweareunabletoissuepurchase•orderselectronically,andyourequireorderstobesenttoadifferentaddress,pleaseenterthedetailshereandprovideanexplanation(forsecurityreasons).
SECTION 2 – Taxation Details
For completion by the supplier
Parta&b–Pleaseindicatewhetheryouare•registeredfortaxintheUKandstateyourVATregistrationnumber.
Partc–PleaseenteryourTaxregistration•numberifyouareregisteredforEUtaxes.
Partd–Pleaseindicatewhetheryouare•registeredwithHMRevenue&Customs(HMRC)fortheConstructionIndustryScheme(CIS).AsadvisedbyHMRCtheCISschemesetsouttherulesforhowpaymentstosubcontractorsforconstructionworkmustbehandledbycontractorsintheconstructionindustry.
Parte–IfyouareregisteredforCIS,please•enteryourUTR(UniqueTaxReference)numberandCompanyRegistrationNumber.IfyouarenotaRegisteredCompany,pleasesupplyyourNationalInsuranceNumber.ThisinformationwillallowustoobtainaverificationnumberfromHMRCwhichisrequiredforthesetupofCISsuppliersonoursystem.IfthisinformationisnotprovidedyourtaxstatuswithHMRCmaybejeopardised.
SECTION 3 - Payment Details
For completion by the supplier
Toensurethatpaymentsareissuedquicklyandsecurely,youmustenteryourbankdetails.Pleasenotethatitisourpolicytomakepaymentselectronically.
Pleaseprovideyourbankname,branchname,accountnumberandsortcode.
Guidance for the A/AP 201 form - Details of Suppliers
A/AP 201 (Rev. 12/09) Page 5
Ifyouareprovidingdetailsofabuildingsocietyaccount,youmustprovidean8digitaccountnumberaswellasyourRollNumberandsortcode.Ifyouareunsureofthe8digitaccountnumber,pleasecontactyourbuildingsocietywhowillbeabletoconfirmthisforyou.
SECTION 4 – Supplier Information
For completion by the supplier
Parta–Pleaseindicatewhetheryouarea•supplierofgoodsorservices,aGovernmentDepartment/Agency,orapplyingforpaymentforanotherreason.Ifthetypesavailablearenotrelevanttoyou,pleasetickthe‘Other’boxandindicatearelevantclassification.
Partb–Pleaseindicatewhetheryour•businessislessthan249employeesandshouldthereforebeclassifiedasasmallbusiness.Thisenablesustomeetgovernmentreportingrequirementsonarrangementswiththisbusinesssector.
Partc–Pleaseindicatewhetheryouare•aThirdSectororganisation,andifsowhichtype.ThirdSectororganisationsareestablishedonanot-for-profitbasisandarenotdirectlycontrolledbythestate.
Partd-IfyouhaveaSIC(Standard•IndustriesClassification)codeand/oraDUNSnumberpleaseenterthemhere.StandardIndustriesClassificationisawayofclassifyingindustriesbyafourdigitcode.DUNSNumberisaninedigitreferencewhichactsasameansofidentifyingbusinessentitiesonalocation-specificbasis.
Parte–Supplierdescription.Pleaseprovide•ashortdescriptionofyourorganisationwhichwillenableustomoreclearlyanalysewhoyouare.
Partf–Whilstnoncompletionofthissection•willnotdelayyourpayment,wewouldbegratefulifyoucouldpleaseindicatewhetheryourbusinessisclassedas‘WomanOwned’and/or‘MinorityOwned’.Thiswillhelpustoansweranyquestionsreceivedrelatingtosocialdiversity.
SECTION 5 – Name of person authorising the form (Change title to ‘Authorisation’)
Theformmustbeauthorisedbythesupplierandinternally.
Thesuppliermustcompletethedetailsatthelefthand side of the section.
Theformmustbeauthorisedbytheinternaloriginator(oryourmanager)attherighthandside of the section.
Theformwillnotbeprocessedifauthorisationisincorrectorincomplete.
Oncecompletedformshavebeenauthorisedby‘SSDCustomerOrganisation’theymustbereturnedtotheSSDDataManagementTeamattheaddress/faxgivenatthetopofpage1ofthisform.
