Vendor Application Process

TriWest has established a vendor registration application process, which is administered to encourage fair competition, and provide interested and qualified vendors with an opportunity to offer their products and/or services.

The registration application is used to identify applicable vendors for specific procurements, especially formal requests for proposal.

This system also provides TriWest with more information about current and potential new vendors, facilitates communication, and better identifies procurement sources.

Vendor Forms

In order to register with TriWest, you must submit both a Vendor Registration Application and an I.R.S. W-9 Form. Your application will not be accepted unless both forms are submitted to TriWest's Purchasing department at the address listed on the Vendor Registration Application. The forms may be faxed to TriWest if you prefer.

• Note: The forms are presented here as fillable forms, which can be filled in online and then printed. They will not be saved to the website. Alternatively, you may print the form and complete the hard-copy version.

Definition of Small Business Categories for Vendor Registration Application

• Small Business: Located in U.S., organized for profit, including affiliates, is independently owned and operated, not dominant in field of operations in which it is bidding on government contracts, and meets Small Business Administration size standards included in the solicitation. The size standard is based upon the North American Industrial Classification (NAICS) assigned to the specific procurement dependent upon product/service purchased. Self-certify.
• Small Disadvantaged Business: Small Business, unconditionally owned and controlled by one or more socially and economically disadvantaged individual who is of good character and a citizen of the U.S., and SBA-certified.
• Woman Owned Small Business: Small Business, at least 51% owned by one or more woman, and management and daily business operations controlled by one or more woman.
• Small Business 8(a) Certified (8a): Small business, SBA-certified as a SDB, and SBA-certified into the 8(a) Business Development Program for a period of 9 years.
• Historically Underutilized Business Zone (HUBZone): Small Business, owned and controlled 51% or more by one or more U. S. citizen, and SBA-certified as a HUBZone concern (principal office located in an economically distressed HUBZone area and 35% of employees live in any designated HUBZone).
• Veteran Owned Small Business (VOSB): Small Business, veteran-owned as defined in 38 USC 101 (2); greater than 51% owned by one or more veteran and management and daily operations controlled by one or more veteran.
• Service-Disabled Veteran Owned Small business: Small Business, veteran-owned, greater than 51% owned by one or more service-disabled veteran, and management and daily business operations controlled by one or more service-disabled veteran or in the case of veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran, and with 0%-100% service-connected disability as defined in 38 USC (101)(16) and document on DD214. Self-certify.

Small Business Representations and Certifications

TriWest Healthcare Alliance is a federal government contractor. You, as a TriWest vendor, must annually provide certain representations and certifications with respect to your company so that TriWest can report to the federal government regarding satisfaction of its small business contracting and retention goals and to ensure that federal funds are spent in accordance with federal law.

Failure to provide the requested information may mean that TriWest can no longer utilize your services.

TriWest mails the form to all its registered small businesses on an annual basis and also makes the form available via this website. When you receive the form, please complete it and mail or fax it to TriWest Healthcare Alliance at the contact information provided on Purchasing Contacts.