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




Pepperdine Status









California Tax Withholding



Supplier Information




(e.g. 123-456-7890)


Requestor Information



(e.g. 123-456-7890)