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Vendor Help Desk


Vendor Help Request Form

Outstanding Payment Voucher(s)


*Required Fields

Please complete the information below so we can review and research your payment related issue as quickly as possible.
 Vendor Name *
 Contact Person/Title *
 Contact Phone *
 Contact FAX *
 Street Address/
 PO Box *
 City *
 State *
 Zip *
 County
 E-mail Address *
 NJDOT Contact Person:
 Vendor ID # or
 Federal Tax # *
Notes:
  • Please verify that your Invoice Date is AT LEAST 60 days past due. If not,
        your form WILL NOT be processed.
  • An example of a Purchase Order # is 7222251 (7 digit # without a "-").
  • You should not place a Reference # in the Purchase Order # box.
        An example of a Reference # is 10-96839.
  • If you do not have a Purchase Order #, you MUST contact the buyer or
        the receiver of the goods. Your request WILL NOT be reviewed without
        this information.
  • If you have more then 5 invoices, please submit a new form with the
        additional invoices.
  • If this is a consultant or construction payment, a purchase order number
        is not necessary. However, please enter "0000000" into the Purchase
        Order # field.

  •   Invoice
    Date
    MM/DD/YYYY
    Vendor
    Invoice #
    Invoice
    Amount
    Purchase
    Order #

    Please allow five business days to research and follow up on your request.

    Have problems or getting errors when trying to complete the form above? Email us and indicate the browser type and version you are using. Note: Email attachments will be rejected.

    Vendor payment status requests will be performed on any outstanding Payment Vouchers/Invoices that are currently past the State of New Jersey’s deadline for eligible statutory Prompt Payment Interest (PPI). For example, under the terms and conditions of the Purchase Order (4.6) requires state agencies to pay for goods and services within sixty (60) days of the agency’s receipt of a properly executed State Payment Voucher or within sixty (60) days of receipt of acceptance of goods and services whichever is later.

    I have verified that I have entered all of the
    appropriate information in the form above.

    Click on the "Submit" button below
    to send this form for processing.

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      Department of Transportation
      P.O. Box 600
      Trenton, NJ 08625-0600
    OPRA - open public records act

      Last Updated:  May 17, 2010