Supplier Registration Forms

Information Systems Suppliers

BlueCross BlueShield of South Carolina suppliers shall treat all information on bids, proposals and purchase orders as confidential and shall not release such information to any third party.

If you provide computers, peripheral devices, network infrastructure, technology maintenance services, software license subscriptions, technology support services, software licenses, information systems consulting or information systems use the Information Systems link to download the form. Follow the instructions on the cover page.

Supply and Services Suppliers

If you provide commodity items and services, such as office supplies, print products, roll printing paper, construction work, facility services, records storage, promotional items, copiers and other items NOT related to information systems use the Supply and Service Suppliers link to download the form. Follow the instructions on the cover page.

Self Certification Letter Form

The U.S. Small Business Administration’s (SBA) self certification letter officially communicates a company’s size and status information to BlueCross. Additional documents must accompany claims of some statuses as directed in the form. Visit the sites provided on the Related Links page for more information. Contact our Small Business liaison officer for answers.

• Click the link above to download the form.
• Completely fill out the form.
• Include other documents as directed by the form’s instructions.
• Submit the set of documents with your Supplier Registration Form.

W-9 Form

Submitting your completed form W-9 enables BlueCross to properly report payments made over the year.

• Use the link to download the form.
• Complete the form according to the IRS instructions.
• Submit the completed form with your Supplier Registration Form.

EFT Authorization Form

BlueCross pays for goods and services via electronic funds transfer (EFT). Submitting the form lets us to pay your invoices.

• Download the form.
• Completely fill out the form.
• Submit the completed form with your Supplier Registration Form.

Related Links

These three government websites provide considerable aid in completing the Self-Certification Letter.

• The U.S. Small Business Administration website promotes supplier diversity and business opportunities for small and disadvantaged businesses.
• The federal government's System for Award Management (SAM) aids documenting qualifications.
• The Table of Small Business Size Standards provides a quick reference to North American Industry Classification System (NAICS) codes.