Form F625-109-000. Contractor Registration Officers/Members Addendum

Form F625-109-000 - Contractor Registration Officers/Members Addendum, is a document used in the context of contractor registration with the New York State Office of Children and Family Services. This form serves as an addendum to the primary contractor registration application and is used to provide additional information about the officers or members of the contracting entity.

The form typically consists of sections where the contractor provides details about the officers or members associated with the contracting entity. This may include their names, titles, contact information, roles within the organization, and any relevant affiliations or qualifications.

Important fields in this form include the names and contact details of the officers or members being added to the contractor's registration application. Accuracy in providing this information is crucial to ensure that the registration records are up-to-date and reflect the correct individuals associated with the contracting entity.

Application Example: A contractor that provides services related to children and family services is required to register with the New York State Office of Children and Family Services. After submitting the primary registration application, the contractor realizes that additional officers or members need to be included. They complete Form F625-109-000 by providing accurate information about the newly identified officers or members. The completed form ensures that the registration records accurately reflect the individuals involved in the contracting entity.

Related form: Form F625-109-000 is related to the contractor registration process and may be accompanied by other forms, such as the primary registration application, renewal forms, or additional documentation related to the contractor's qualifications, services, and compliance with regulations. The addendum form, in this case, focuses on updating information about officers or members associated with the contractor entity.