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Home » Providers » Purchase of Service Vendors Online Application

Apply to Be a Purchase of Service Vendor

This is the application for vendors seeking enrollment into The Senior Alliance Purchase of Service vendor pool. It requires you to provide detailed information about your agency, including legal names, contact details, and proof of licensure. 

The application process involves submitting various documents such as Articles of Incorporation, Certificates of Insurance, and proof of licensure for specific services. You must fill out this application as completely and accurately as possible. Note that additional documentation may be required. 

Applicants should email the requested documents to Elizabeth Wright and be prepared for a potential introductory meeting with members of The Senior Alliance staff before approval.

Purchase of Service Vendor Online Application

Purchase of Service Vendor PDF Application

If preferred, the form can be filled out as a PDF and emailed to Elizabeth Wright.

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