Supplier Profile Application

This application is not the official IRS form W-9. The information collected below will be used to electronically complete the W-9 form whose format can be viewed by clicking this link "W9 in PDF". The most current version of this form can be found at www.irs.gov . Please note that by opening this link you are leaving a secured website. By opening this link, you agree to hold harmless Southwest Gas Corporation, its officers, directors, employees, agents, contractors, and representatives from any claims or damages of any kind arising or resulting from the use or access to the linked website.
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Supplier - Supplier Profile Package (i.e., Products, Materials)
Contractors - Supplier Profile Package (i.e., Construction, Services)
W9 Information
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character
Must not exceed 50 characters
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character
Must not exceed 50 characters
Individual/Sole Proprietor
C Corporation
S Corporation
Partnership
Trust/Estate
LLC
Please select a tax classification
Other
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 2 characters
Must not exceed 50 characters
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character
Must not exceed 50 characters
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character
Must not exceed 40 characters
Please select a state.
Must contain only numbers with no dashes
Must have at least 5 digits Must not exceed 9 digits
Account numbers are 13 digits in length and separated by commas
Must not exceed 50 characters in length
Must contain only numbers with no dashes
Must have 9 digits
Must not exceed 9 digits
Must contain only numbers with no dashes
Must have 9 digits
Must not exceed 9 digits
Company Information
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character
Must not exceed 50 characters
The W9 Name must match the Company Name.
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character
Must not exceed 50 characters
The W9 Business Name must be blank or must match the 'Business Name, or DBA'
Owner Information
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character
Must not exceed 50 characters
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 characters
Must not exceed 50 characters
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character
Must not exceed 40 characters
Please select a state.
Must contain only numbers with no dashes
Must have at least 5 digits Must not exceed 9 digits
The phone number must have exactly 10 digits with no ( ) or -
The fax number must have exactly 10 digits with no ( ) or -
Contact Information
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character
Must not exceed 50 characters
The phone number must have exactly 10 digits with no ( ) or -
This field must contain a valid email address of the form x@y.zzz Must have at least 3 characters Must not exceed 50 characters
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must not exceed 80 characters
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must not exceed 35 characters
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must have a maximum of 35 characters
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must not exceed 25 characters
Please select a product/service.
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must not exceed 25 characters
Provide a sample copy of your invoice after submitting the form
The W9 Business Type must be consistent with the Business Type
LLC C Corporation
LLC S Corporation
LLC Partnership
C Corporation
S Corporation
Partnership
Individual/Sole Proprietor
Trust/Estate
Other
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 2 characters
Must not exceed 50 characters
Must contain only numbers with no dashes
Must have 9 digits Must not exceed 9 digits The W9 SSN must match the TIN SSN.
Must have 9 characters
Must not exceed 9 characters
Must contain only numbers with no dashes
The Employee Identification Number must match the TIN Tax ID
Yes
No
Must have between 1 and 25 characters
Yes
No
Must have between 1 and 25 characters
Large
Small
Must be numeric value with 1 to 10 digits
Some special characters not allowed (ex. %, ", *, etc.)
Must be numeric between 1 and 15 characters
Yes
No
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must not exceed 20 characters
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must not exceed 20 characters
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must not exceed 20 characters
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must not exceed 25 characters
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must not exceed 20 characters
Diverse Suppliers
African American Owned
Hispanic Owned
Native American Owned
Asian Pacific American Owned
Woman Owned
Disabled Veteran Owned
LGBT Owned
Other Groups
Certification
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must not exceed 25 characters
Must have at least 1 character Must not exceed 15 characters This field must contain a valid date in the form MM/DD/YYYY.
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must not exceed 30 characters
Must have exactly 10 digits
Must contain only numbers with no ( ) or -
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must not exceed 25 characters
Please select a state.
Some special characters not allowed (ex. %, ", *, etc.)
Must have at least 1 character Must not exceed 50 characters
By submitting this form, you certify that all of the above is correct and that you agree to the Code of Business Conduct & Ethics.
Southwest Gas (Southwest) Code of Business Conduct & Ethics
Supplier acknowledges that it must read, understand and comply, to the extent applicable, with Southwest's Code of Business Conduct & Ethics (Code) when performing work for, or when transacting business with, Southwest. The Code may be found at Code of Conduct. The term "Supplier" shall be given its broadest meaning and shall include any vendor, contractor, subcontractor or any other such provider of services and/or products to Southwest Gas.

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