Supplier Form - Treasury Board Secretariat

"*" indicates required fields

These instructions are to assist applicants in registering with the Government of Newfoundland and Labrador in order to receive your payments via direct deposit. For the purpose of this application, a Supplier is an individual, business entity or organization that receives, or may receive, a payment from the Government of Newfoundland and Labrador. The information requested on this webpage is to facilitate the processing of payments.

If you are applying for a specific program, please select that program below. Otherwise, please select “General”.*

ATTENTION STUDENTAIDNL PROGRAM RECIPIENTS: If you have been directed to this page by StudentAidNL, you are eligible for a grant or refund not disbursed through the National Student Loan Service Centre. You do NOT need to complete this form each semester; it should only be completed ONCE unless your name, banking information, or address has changed. Once you have successfully submitted this form, please email StudentAidNL at studentaidenquiry@gov.nl.ca to notify us that this form has been completed and submitted. Please include 1) your full mailing address and 2) the last three digits of your Social Insurance Number in the email.

For general questions related to StudentAidNL, please contact by email at studentaidenquiry@gov.nl.ca or by phone at 709-729-5849 or 1-888-657-0800 (toll free)

Are you a Government supplier? Do you have a supplier number?

Yes

Existing Suppliers to the Government of Newfoundland and Labrador should provide their Supplier Number for supplier identification purposes.

If yes, please provide supplier number

Action Required*

SUPPLIER DETAILS

Supplier Type*

Business Type*

Sole Proprietorship: If operating as a sole proprietorship, please indicate your legal name as your supplier name, and if applicable, include your 'trade/operating as' name in Line 1 of your address.

Sample:
O/A Sample Name
123 Main Street
Town, Canada
A1B 4J6

Name at Birth

Date of Birth*

Supplier Name (Legal Name)*

Operating As/Trade Name (If Applicable)

Address Line 1*

Address Line 2

City*

Province*

Postal Code*

Phone*

Fax

Do you have a Business Number?*

Yes

A Business Number is a unique nine digit business identifier provided by CRA. This number is most commonly referenced in the remittance of GST/HST to the Government of Canada. Only those organizations classified as small suppliers as per the Government of Canada’s definition are exempt.

Business Number (CRA Business Number)*

Are you incorporated through the Registry of Companies and Deeds?

Yes

If yes, what is your Incorporation number?

BANKING INFORMATION

Please provide valid banking documentation In the Add Attachment section below. Valid banking documentation provided should clearly indicate the accountholder’s name, address, and account number. Valid banking documentation should be in the form of a void cheque or a bank-stamped document provided by your financial institution. Do not include any banking documentation that contains credit card information (e.g., credit card number, a photo of your credit card, etc.).

Insufficient or mismatched supporting documentation may result in processing delays.

Bank Institution Number*

Bank Transit Number*

Account Number*

Add Attachment (Void Cheque or Bank-Stamped Document)*

Accepted file types: jpg, jpeg, pdf, png, gif, doc, docx, tif, tiff, heic, bmp, Max. file size: 15 MB.

Please use one of the following file types: .jpg, .jpeg, .pdf, .png, .gif, .doc, .docx, .tif, .tiff, .heic, .bmp

PRIMARY CONTACT

Primary Contact Name*

Primary Contact Phone*

Primary Contact E-mail*

Notes

I hereby certify that:*

The information contained in this application is, to the best of my knowledge, true, complete and correct in every respect.

I, as the person entitled to receive payment(s), authorize the Government of Newfoundland and Labrador to deposit the payment(s) directly into my bank account.

If you have any questions regarding the completion of this Supplier Form, please contact the FMS Helpdesk via e-mail: fmshelpdesk@gov.nl.ca or via telephone: 709-729-2670.

Privacy Statement: The personal information collected in this form will be used only for the administration of those programs provided by the Government of Newfoundland and Labrador for which the supplier is a participant. This information is being collected in accordance with section 61(c) of the Access to Information and Protection of Privacy Act, 2015 (ATIPPA, 2015). All information provided will be maintained in a secure manner and confidentiality will be protected, as required by the ATIPPA, 2015. For questions or comments related to the protection of your personal privacy, please e-mail Jean Myrick, ATIPP Coordinator, at jeanmyrick@gov.nl.ca.