Accounts Payable Creation Form

Please use this form to become a vendor of Ballarat Health Services, note you must have already been in contact with a BHS staff member for this to be enacted (checking and vetting will occur).

Consent for storing submitted data *

Yes, I give permission to store and process my data

Is this an update to an existing account?

Company Name *

Trading Name

ABN *

Postal Address *

Accounts Phone Number *

Purchase Orders Phone Number

Accounts Email *

Bank / Institution Name

BSB No

Account No

Estimated Annual Transaction Value

Attachment evidence of bank details

Who is your Ballarat Health Services contact?

Your Name *

I acknowledge holding the necessary delegation and authorisation to represent this company *

Verification

By submitting this document, you authorise Ballarat Health Services to conduct a credit check and you may be requested to provide additional documentation.

Any questions, please contact the contracts department contracts@bhs.org.au or accountspayable@bhs.org.au

Supply Department/Contract & Tenders Department

Location

PO Box 577
Ballarat VIC 3353

Phone

5320 3808

Opening Hours

Monday to Friday 8:00am to 4:30pm

Email

accountspayable@bhs.org.au

Have something to tell us? We welcome all feedback from patients, family members or carers. Tell us more.