Enhanced Vendor Registration

This form should be completed by the State vendor seeking access to the secure enhanced vendor remittance site on the IOC's website, https://illinoiscomptroller.gov/. You should only use this form if you are the Vendor's Coordinator and there has NOT been a Coordinator assigned already to your Vendor. If there has been a Coordinator assigned to your Vendor, please contact him/her for access to the Enhanced Vendor application. You must enter your Identification Number, Last 5 digits of your Vendor's Bank Routing Number, Last 4 digits of your Vendor's Bank Account Number twice. All information is required to register for the Enhanced Vendor Application. Once you have been validated, you will receive an Email requiring you to click on an embedded hyperlink to validate your Email address that you register with. After your Email has been validated, you will be directed to a screen that will allow you to create your own personal password. These two items will be required to be able to log into the Enhanced Vendor application.

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Identification No

Re-Enter Identification No

Coordinator's First Name

Coordinator's Last Name

Phone

Email

Coordinator

(ONLY VENDOR COORDINATORS SHOULD REGISTER USING THIS FORM)

Payment Notification?

Yes No

Type of Notification?

None EMail Text

Cell Provider

None AT&T Boost Cricket Sprint T-Mobile U.S. Cellular Verizon Virgin Mobile

Cell Phone

FINANCIAL INSTITUTION INFORMATION

For security reasons, we must verify the vendor's banking information. Please provide current financial institution information to verify your current ACH account. Feel comfortable that even though you are supplying us with this information, we take precautions to secure your information. The information that you provide to us is saved in an encrypted format.

Bank Routing Number (Last 5 Digits)

Re-Enter Bank Routing Number (Last 5 Digits)

Bank Account Number (Last 4 Digits)

Re-Enter Bank Account Number (Last 4 Digits)

You acknowledge that the content is truthful and accurate to the best of your knowledge. You further acknowledge that it is your intent that submission acts as your digital signature in place of your manual signature, and that your digital signature has the same legal effect as your manual signature.

Select the PlusSign. (What is this?)

         

Register Me!