ACC111 Register as an ACC vendor
Complete this form if you're a new vendor providing goods or services to ACC clients and want to register your organisation or sole practitioner as an ACC vendor.
What you need to fill out this form
Before you start, please ensure you have the following:
- Your business information including IRD number.
- Your business contact details, including referrals/purchasing and payments/remittance contact details as applicable.
- A screenshot of your business bank account details that you’d like payments made into (showing your bank account name, number and bank logo clearly visible).
- An estimate of the number of invoices that you will submit to ACC each month.
When you have all the relevant information, please allow around five minutes to enter it, as the form can’t be saved.
Need help?
Contact our provider helpline if you need help completing this form.
Phone 0800 222 070
Privacy
When we collect, use and store information, we comply with the Privacy Act 2020 and the Health Information Privacy Code 2020. For more information read our privacy policy.
Complete the form below: