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VERIFICATION APPLICATION - The Supplier Clearinghouse

Supplier Clearinghouse VERIFICATION APPLICATION ALL APPLICANTS MUST SUBMIT a complete , NOTARIZED APPLICATION AND SUPPORTING DOCUMENTS Fields noted by * are required in order for your APPLICATION to be processed. applications missing all required information will be returned as incomplete. Mail or Courier to 10100 Pioneer Blvd, Suite 103, Santa Fe Springs, CA 90670 Telephone: (800) 359-7998 IMPORTANT! Please read carefully before beginning your Standard VERIFICATION APPLICATION . 1. Please make sure you have selected the correct APPLICATION type.

Supplier Clearinghouse VERIFICATION APPLICATION ALL APPLICANTS MUST SUBMIT A COMPLETE, NOTARIZED APPLICATION AND SUPPORTING DOCUMENTS Fields noted by * are required in order for your application to be processed.

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