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Supplier Application

ATTENTION: As of January 1, 2020, California Assembly Bill 5 (AB-5) has gone into effect. This statute places restrictions around the classification of suppliers versus employees. Please answer each question to the best of your knowledge to assist in the University’s compliance.

Supplier Type




For International Entities Only


Pepperdine Status



(e.g. a spouse or dependent of a current employee)


(e.g. they consult with outside parties other than Pepperdine)




(i.e. a current University employee is not performing these duties)


California Tax Withholding



(any income earned in California for a non-resident is subject to State withholding)
Supplier Information




(e.g. 123-456-7890)


Requestor Information



(e.g. 123-456-7890)