Vendor Approval Request

Submitted by:(Required)

Company Name(Required)

Main Contact(Required)

Contact Email(Required)

Product or Service(Required)

Explain in detail the product or service they will be providing.

Would the vendor be considered "critical"?(Required)

If the vendor were to go down, would normal business operations be stopped or impaired significantly?

If Yes, what is the stated "up-time" for the vendor?

Will customer PII, or other sensitive information be shared with the vendor?(Required)

Manually, or through a direct integration or shared platform

Are there any current significant complaints, litigation, or regulatory action?(Required)

If Yes, please explain.

Vendor Website(Required)

Signed W9 for Vendor(Required)

Max. file size: 2 MB.

Statement of Work (SOW) or Contract (unexecuted).(Required)

Max. file size: 2 MB.

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