1. (a) The applicant seeking reimbursement shall register as a vendor with the State of New Hampshire by completing the State of New Hampshire Alternate W-9 Form.

2. (b) Each applicant shall furnish the following information on the State of New Hampshire Alternate W-9 Form:

   1. (1) Applicant’s name or legal business name;
   2. (2) Applicant’s mailing address;
   3. (3) Applicant’s business mailing address, if applicable;
   4. (4) Applicant’s Taxpayer Identification;
   5. (5) Applicant’s principal activity;
   6. (6) Applicant’s designation;
   7. (7) Applicant’s name and title;
   8. (8) Applicant’s telephone number, cell phone number and fax number, if applicable;
   9. (9) Applicant’s signature, and date;
   10. (10) Applicant’s website, if applicable, and primary email address.

3. (c) The State of New Hampshire Alternate W-9 Form and Vendor Application may be found at the

   following link: https://das.nh.gov/purchasing/vendorregistration/(S(fyvi0k55xi2hx0i0ws1fgwbc))/welcome.aspx.

Source. #13161, eff 1-21-21