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PROFILE

VENDOR DOCUMENTS

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AFFILIATES

AGENCIES

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USERS
- Company Name :
  
  Federal Tax Id/SSN :
  
  DBA Name :
  
  Public Organization :
  
  UC AgreementW-9 Form
  
  Corporate Address
  
  ,
  
  Mailing Address
  
  ,
  
  Company Contact
  
  Work Phone: , Mobile: ,Fax:
  Website :
  
  Minority and Women Owned Business Enterprises Information
  
  Vendor Information
  
  BPO Information
- Contact Name *
  
  Email *Not a valid e-mail address
  
  Phone No
  
  Designation *
  
  Subscribe For Corporate Communication
  
  Ownership Percentage*
- Owner/ Officer Name *
  
  Email *Not a valid e-mail address
  
  Phone No
  
  Designation *
  
  Ownership Percentage*
- User Name :
  
  Role :
  
  Request for ZAPture access Re-generate OTP for ZAPture access Waiting For ZAPture approval Change Password Change security question
  
  Profile
  
  ,
  ,
  ,
  WORK PHONE: , MOBILE : , Fax :
  
  Mailing Address
  
  ,
  
  ,
- User Name *
  
  Title
  
  First Name *
  
  Last Name *
  
  E-Mail Address *Not a valid e-mail address
  
  Fax
  
  Work Phone No * -
  
  Mobile Phone No
  
  Role *
  
  Active
  
  Allow Project Creation
  
  View PO Budget
  
  Restrict Project View By Current User
  
  Company Details
  
  Company Name
  
  Federal Tax Id
  
  Address
  
  Fax
  
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  User List
Vendor Documents Information

Filter By Year

Document Title *

Attach File

Description
Do you have affiliates ? Yes No

Federal Tax Id * (XX-XXXXXXX)

(Or)

Social Security Number * (XXX-XX-XXXX)

Tooltip text

Enter Federal Tax Id (or) Social Security Number

Company Name *

Contact Details

First Name *

Last Name *

Title

Work Phone No * -

Email Address *Not a valid e-mail address

Mobile Phone No

Mailing Address

Street1 *

Street2

City *

State*

Zipcode * (XXXXX-XXXX)
Do you have agency ? Yes No

Company Name *

Contact Details

First Name *

Last Name *

Title

Work Phone No * -

Email Address *Not a valid e-mail address

Mobile Phone No

Mailing Address

Street1 *

Street2

City *

State*

Zipcode * (XXXXX-XXXX)
Do you have Sub Contractor ? Yes No

Federal Tax Id * (XX-XXXXXXX)

(Or)

Social Security Number * (XXX-XX-XXXX)

Tooltip text

Enter Federal Tax Id (or) Social Security Number

Company Name *

Additional Info

Contact Details #1

First Name *

Last Name *

Title

Work Phone No * -

Email Address *Not a valid e-mail address

Mobile Phone No

Mailing Address

Street1 *

Street2

City *

State*

Zipcode * (XXXXX-XXXX)

Measure(s) offered

Measure Name*

Select Services Territory

County *

Select all (0/0)

City *

Select all (0/0)

Zip Code *

Select all (0/0)
Employee Name *

Title *

Business Address(Street,City,State,Zip) *

Date of Birth

Employment Start Date *

Employment End Date

Phone *

Mobile *

Email *Not a valid e-mail address

Active

Comments

Attach the photo

Attach Photo* 0 KB

Employee List Certification

Employee Name

Certificate / Licence Name *

Issue Date*

Expiry Date *

Description*

Attach*
EXPIRY DOCUMENT

UC HISTORY

Program Option(s)

Are You sure, you want to Reset Password?

Prevent this page form creating additional dialogs

You will receive the ZAPture app link for Android & iOS along with the OTP in SMS or Email. OTP will be received to the registered Mobile Number or Email Id. In case of delay in receiving OTP within 60 seconds, please click on the "Regenerate OTP" option available in EEPM profile page.

Use the received OTP for one time registration with your EEPM login credential to login into ZAPture mobile application.

Please confirm your Email Id or Mobile Number below to receive OTP

Email ID:
Mobile No.:

Your OTP is confidential, please do not share it with anyone via e-mail, Phone or any other medium.

You will receive the ZAPture app link for Android & iOS along with the OTP in SMS or Email. OTP will be received to the registered Mobile Number or Email Id. In case of delay in receiving OTP within 60 seconds, please click on the "Regenerate OTP" option available in EEPM profile page.

Use the received OTP for one time registration with your EEPM login credential to login into ZAPture mobile application.

Please confirm your Email Id or Mobile Number below to receive OTP

Email ID:
Mobile No.:

Your OTP is confidential, please do not share it with anyone via e-mail, Phone or any other medium.

Do you want to delete this information?

Corporate Address

Street*Enter Street

City*Enter City

State*Select State

Zip Code*Enter Zip Code

Mailing Address

Same as Corporate Address

Street*Enter Street

City*Enter City

State*Select State

Zip Code*Enter Zip Code

Minority and Women Owned Business Enterprises Information

In order to qualify as M/WBE, the company must be 51% owned and controlled by a minority(s) or woman/women. If your company qualifies, please check the appropriate classification.

African American Male

African American Female

Asian Indian American Male

Asian Indian American Female

Asian Pacific American Male

Asian Pacific American Female

Hispanic Male

Hispanic Female

Native American Male

Native American Female

White Female

No Minority Status

Company Contact

Contact First Name *

Last Name *

Work Phone *Enter Work Phone.

-

Email Address *Not a valid e-mail address

Mobile

Fax

Website

Non Profit Company

Public Organization

Profile

First Name *

Last Name *

Title

E-Mail Address * Not a valid e-mail address

Work Phone *Enter Work Phone.

-

Fax

Mobile

Mailing Address

Street*Enter Street

City*Enter City

State*Select State

Zip Code*Enter Zip Code

Change Password

1. Be sure to make your password easy for you to remember and difficult for others to predict.
2. Do not share your password with anyone. Keep it confidential.
3. Avoid using your old passwords since they can be easily cracked.
4. You are required to use strong passwords. Strong passwords are a combination of uppercase and lowercase letters, numbers and special characters such as +, ? and *. Passwords are case sensitive and it is mandatory to use numbers, letters and special characters.
5. Your password cannot contain the username or part of the username.
6. You will be required to change your password every 6 months.

Tilde(~) and Cap(^) symbols are not valid special characters.

New Password and Confirm Password does not match.

Current Password and New Password should not be same.

Enter your Current Password *

Choose a New Password * Alphanumeric with Minimum 9 chars in length and one special character.

Confirm your New Password *

Security Question

Current Password *

Security Question *

Confirm Answer *

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Attach Photo Please Choose Only Image File.

Program Option(s)

Attachments

Attach File

Expiry Document History

Attachments

Attach File

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Website Address

Email Address

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