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2022 Vendor Registration Form

  1. 2022 Vendor Registration Form

    In accordance with the Illinois Public Act 102-0265, the Village of Deerfield is required to make a good faith effort to collect and publish certain demographic information provided by our vendors and subcontractors. We are now required to report whether the vendor or subcontractor is a minority, women, or veteran-owned business as defined by Illinois Law. In addition, we are required to disclose if the business is certified as a small business under Small Business Administration standards. We are kindly asking our vendors to provide us with current business information by October 15, 2022.

  2. Business Type Classification Indicators*

    Please indicate your classification indicators as defined in the Business Enterprise for Minorities, Women, and Persons with Disabilities Act (select all that apply):

  3. Classification Certification*

    For your selected classification categories, does your business hold any certifications? Or, are you self-certifying?

  4. Small Business Qualification*

    If you selected self-certifying as your certification classification, does your business qualify as a small business under Federal Small Business Administration Standards?

  5. Deadline: In order to compile and publish this data by the end of the year, we are kindly asking our vendors to provide us with current business information by October 15, 2022

    Data Access: Once data has been collected the Village will publish business demographic information on its official website.

    Questions: Should you have any questions regarding the vendor registration form, please contact Management Analyst Mary Otto at or 847.719.7436.

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