Home > Forms and Documents > Forms for USC Suppliers

Forms for USC Suppliers

The following are forms required for specific types of suppliers and/or purchases.

Construction, Maintenance, and Facilities Forms

To apply for a prequalified construction, maintenance, or facilities contractor status, complete the following per the instructions on the forms:

Contractor Prequalification Application (word) Effective immediately, this form is no longer in use. All prequalification information is now stored in the USC Supplier Portal.
Construction Project Experience Form (web form; click Done to generate a printable pdf) Supplier must attach three to five forms to his/her profile in the USC Supplier Portal.

Large Supplier Forms (Suppliers with contracts or POs larger than $30K)

Debarment Form (pdf) For purchases $30K or more
Certificate of Non-Discrimination (pdf) For purchases $100K or more
Lobbying and Anti-Kickback Certification (pdf) For purchases $100K or more

Services to Healthcare Units Forms

Consulting firms and/or individuals providing services to Keck Medicine of USC, the Herman Ostrow School of Dentistry, the USC School of Pharmacy and the University Park Health Center are required to complete and submit the following forms:

Business Associate/Privacy and Security Addendum (word) Must be on file with the university prior to doing business

It is recommended that a copy of these forms be retained by the firm/individual to be used for future engagements.