Information for Vendors
REQUIRED DOCUMENTATION
Vendors are required to fill out this form in order to do business with the County. IN ORDER TO RECEIVE YOUR PAYMENTS ELECTRONICALLY Section 2 must be completed. The form must be signed and sent to:
Mail: Nassau County Comptroller’s Office
Vendor Claims Department
240 Old Country Road
Mineola, NY 11501
FAX: 516-571-2533
Email: comptrollerclaims@nassaucountyny.gov
CLAIM VOUCHER FOR PAYMENT
In order to receive payment you may either submit your own invoice/voucher* or the Nassau County Claim Voucher NIFS560. Claim vouchers should be mailed to the Nassau County department that has received the goods or services.
*Note: If you wish to use your own invoice/voucher, the ‘Claimant's Certification’ disclosure statement printed below must be copied to your form. Your signature is required.
CLAIMANT'S CERTIFICATION
I hereby certify that this claim voucher is just, true, and correct; that the amount claimed is actually due and owing and has not been previously claimed; that no taxes from which the County is exempt are included; and that any amounts claimed for disbursements have actually and necessarily been made. I further certify that all items and/or services were delivered or rendered as set forth in this claim, and for all items and/or services delivered or rendered in accordance with a purchase order or contract that the prices charged are in accordance with the reference purchase order or contract. For all claims made as reimbursement for employee expenses, I further certify that the amounts set forth were actually and necessarily expended for the benefit of Nassau County, and that the monies expendedhave not been reimbursed nor do I expect to be reimbursed from any source.
This questionnaire must be completed by all not-for-profit agencies contracting with Nassau County. The completed questionnaire should be sent to the Comptroller’s Office Field Audit unit:
Mail:
Joy M. Watson
Deputy Comptroller for Audit & Special Projects
Nassau County Comptroller’s Office
240 Old Country Road
Mineola, NY 11501
Email: comptrollerfieldaudit@nassaucountyny.gov
(Inquiries about the questionnaire should be sent to this email address)
QUESTIONS?
Call the Vendor Hotline at 516-571-3241 if you have general questions or want to find out the status of payment(s).
Note: For prompt assistance your Vendor Claim Voucher number is needed; if you do not have this number, the County agency you are doing business with will be able to provide it to you.
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