Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 14 - Department of Finance (Administrative Services)
Rule 016.14.12-004 - Policy No. 303 - Vendor Maintenance

1. Obtain a signed Form W-9 from the vendor AND retain the Form W-9 in a file for audit purposes;

2. Obtain a written statement from the vendor regarding the following, as these are critical fields that must be completed correctly in accordance with the vendor's written dictates and reflect information that is not found on the Form W-9:

* Direct Deposit Information, if applicable

(Obtain a copy of the vendor's voided check or a copy of the bank statement showing the vendor's name and bank account routing number from the vendor's financial institution. Scan the voided check or bank statement and attach the copy to the E-Form. If a scanner is not available, fax to ATTN: Vendor Specialist at 501-324-9311).

* Telephone number

* Fax number

* E-mail address (if desired by the vendor that such be entered)

* Minority Indicator information, and

* 1099 Reportable status

3. Verify that the following steps have been completed:

* Checking the AASIS master vendor system to verify that there is no file already in existence in AASIS for this vendor name and address;

* Verifying that the name is not on the DHS Excluded Providers list found at: https://dhsshai-e.arkansas.gov/OFA/ExclProv/default.aspx

NOTE: To be granted access to view the DHS Excluded Providers list, DHS staff person must have passed a Criminal Background

Check and must have been granted access to the list by Vendor Maintenance Specialist in Contract Support Section.

* Verifying that the name is not on the OSP Suspended/Debarred Vendors list and State and Federal Excluded Parties List, found at:

http://www.dfa.arkansas.gov/offices/procurement/guidelines/Pages/default.aspx)

1. Requestor shall check the box at the bottom of the Vendor Maintenance Request - Form OSPV100 to indicate he or she has a hardcopy of the vendor's Form W-9.

2. Requestor shall select "Email Form" option at the bottom of the screen.

3. In the "To ________- - ______" field, requestor shall enter DHS_VendorMaintenancelssues@Arkansas.gov for the person responsible for processing vendor actions.

4. Requestor shall enter text into the e-mail confirming that:

* The name and address are not already in AASIS;

* The vendor is /TOf listed on the DHS Excluded Providers list;

* The vendor is not listed on the DFA/OSP Suspended/Debarred Vendors list;

* The vendor is not listed on the Federal Debarment Vendor List.

5. Requestor shall send the e-mail to the address entered in #3 above.

1. Complete the following elements, at a minimum, on the electronic form entitled "Vendor Maintenance Request - Form OSPV100" found at the DHS Share site cited above.

* The existing vendor number, tax information, and vendor's PREVIOUS address information,

* Agency contact information, and

* Any and all information that is being CHANGED.

2. Check the box on "Vendor Maintenance Request - Form OSPV100" to indicate requestor has a hard copy of the vendor's Form W-9.

3. Select "Email Form" option at the bottom of the screen.

4. In the "To ..' ___________" field, enter

DHS_VendorMaintenancelssues@Arkansas.qov for the person responsible for processing vendor actions.

5. Enter into the e-mail the specific change that is being requested;

6. If the change pertains to banking, obtain a copy of the vendor's voided check or a copy of the bank statement showing the vendor's name and bank account routing number from the vendor's financial institution. Scan voided check or bank statement and attach it to the E-Form. if a scanner is not available, fax to ATTN: Vendor. Specialist at 501-324-9311

7. Send the e-mail to the address entered in #4 above.