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SUPPLIER INFORMATION APPLICATION

form steps

As a supplier/contractor for the Omaha Public Power District, we require the following documents to be in our possession before a contract/purchase order can be issued or work can commence: Supplier Information, signed W8 (foreign vendors) or signed W9, and completed W-4NA (if applicable), and a Certificate of Liability Insurance.

You must select either the W-9 or W-8 button to complete the form.
Link to W-9 form.
Link to W-8 form.
Link to W-4NA form.
Link to W-4NB form.
Submit documents via fax to 531-226-3931 or Upload Files On the Summary page using the link below or email to SCM@oppd.com.

CONTACT INFORMATION

(The person OPPD may contact about this supplier information)
FIRST NAME
LAST NAME
PHONE
FAX (if applicable)
E-MAIL ADDRESS
CONFIRM E-MAIL
PREFERRED RESPONSE METHOD (SELECT ONE)
WOULD YOU LIKE TO ADD AN ADDITIONAL CONTACT TO THE ACCOUNT?

BUSINESS INFORMATION AND MAILING ADDRESS

BUSINESS NAME
DOING BUSINESS AS
DUNS (DUNN & BRADSTREET NUMBER) XX-XXX-XXXX  -  -  What's this?
ADDRESS LINE 1
ADDRESS LINE 2
ADDRESS LINE 3
CITY
STATE/ PROVINCE/ REGION
COUNTRY
ZIP/POSTAL CODE
WEB SITE ADDRESS (URL)
WHAT COMMODITIES/ SERVICES DO YOU SUPPLY?

REMIT ADDRESS

(Company Name & Remit-To Address, if different from above.)

ADDRESS LINE 1
ADDRESS LINE 2
ADDRESS LINE 3
CITY
STATE/ PROVINCE/ REGION
COUNTRY
ZIP/POSTAL CODE

NEBRASKA CONTRACTOR REGISTRATION ACT

(The Nebraska Contractor Registration Act requires contractors and subcontractors doing business in Nebraska to register with the Nebraska Department of Labor.)
Are you registered?
If "Yes" what is your Contractor Option (1, 2 or 3)

OWNERSHIP

   

CONTROLLING INTEREST

(Please Indicate controlling interest if owned by both a male and female.)
% MALE    % FEMALE 

RACIAL CATEGORY

(Please check as many as apply.)
       

OPPD CONTACT

Is an OPPD employee currently assisting you in becoming a Supplier? Please provide name(s)