Information obtained in this form will be used by SMCCD to prepare Information Returns (Form 1099) and for withholding on payments to nonresident vendors. Prompt return of this fully completed form will prevent delays when processing payments.
Please Note: PDF forms require Adobe Acrobat to open.
Vendor Data Record Form.pdf
Please fax this form to (310) 434-3654 or email to: firstname.lastname@example.org