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PROCUREMENT SOURCING SUPPLIER SALES & INCENTIVE FORM

Welcome to the University of California (UC) Strategic Sourcing Supplier Data Collection form. This form replaces and streamlines the excel spreadsheet data collection method.

Please provide the total sales volume associated with the UC Agreements/Contracts for the quarter. Once you have completed all fields on this page, click the "Submit Sales Data" button. All required fields are designated with (*). This form should be completed even if you have $0 sales to report for the current reporting period.

Submit and complete by the 15th of the month following the specified UC Reporting Period.

Supplier Name:

UC Agreement Number:

(i.e. UC##-###)

UC Patronage Incentive (i.e. 1% is 0.01):

Contact Name:

Contact Phone:

Email:

Do you have Spend, and/or Incentives information to provide?

YesNo

UC Fiscal Year:

(####)

Reporting Period

UC Q1 (Jul 1, 2023 - Sep 30, 2023)

UC Q2 (Oct 1, 2023 - Dec 31, 2023)

UC Q3 (Jan 1, 2024 - March 31, 2024)UC Q4 (Apr 1, 2024 - Jun 30, 2024)

Enter Sales Data

Select Campus Location

To add another campus-select "Add Another Set of Sales Data" link.

Total Sales $

(i.e.1000.00)

Total Incentives $

(i.e.1000.00)

Method of Incentive deposit

ACH

(If you would like to set up ACH please reach out to the contact listed:

https://www.ucop.edu/procurement-services/for-suppliers/supplier-reporting.html)

Mailed Check

Total Incentives

(i.e.1000.00)

Attach Any Supporting Document (optional):

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