Who submits the Contractor’s/Vendor’s Public Disclosure Statement?

Contractors or vendors submitting a bid to the Town of Hempstead Department of Water use this statement to provide business, ownership, and contact information.

What information does the statement request?

It requests contractor or vendor contact information, the contracting department’s details, payee identification, business type, principals’ information, qualifying shareholders’ information, and a signature, title, and date.

Do I need a notary for the Contractor’s/Vendor’s Public Disclosure Statement?

No. The document has a signature and date field but no notary block, and it lists no notarized or sworn attachment or related step.

How do I submit the Contractor’s/Vendor’s Public Disclosure Statement?

Submit it with the contractor’s bid to the Town of Hempstead Department of Water at 1 995 Prospect Avenue, East Meadow, N.Y. 11554 - 3100.

Hempstead, NY · Nassau County

No notary required

Contractor’s/Vendor’s Public Disclosure Statement

Contractors and vendors submit this public disclosure statement with a bid to provide business, ownership, and contact information.

What this form is

The Town of Hempstead Department of Water’s disclosure statement collects contractor or vendor contact details, contracting department information, payee identification, business type, and information about principals and qualifying shareholders. The document says it is to be submitted with a contractor’s bid. It also provides spaces for a signature, title, and date.

Who needs it

Contractors or vendors submitting a bid to the Town of Hempstead Department of Water need to provide the requested disclosure information.

How to submit it

Submit the statement with the contractor’s bid to the Town of Hempstead Department of Water, 1 995 Prospect Avenue, East Meadow, N.Y. 11554 - 3100.

About notarization

This document is signed and dated without a notary; it lists no notarized or sworn attachment or related step.

How to submit this form

1
Download the Statement
Download the Contractor’s/Vendor’s Public Disclosure Statement PDF.
2
Complete the Disclosure
Provide the requested contractor or vendor, department, payee identification, business, principal, and shareholder information.
3
Sign and Date
Enter the signer’s title and sign and date the statement.
4
Submit With the Bid
Submit the completed statement with the contractor’s bid to the Town of Hempstead Department of Water.

Frequently asked questions

Who submits the Contractor’s/Vendor’s Public Disclosure Statement?: Contractors or vendors submitting a bid to the Town of Hempstead Department of Water use this statement to provide business, ownership, and contact information.
What information does the statement request?: It requests contractor or vendor contact information, the contracting department’s details, payee identification, business type, principals’ information, qualifying shareholders’ information, and a signature, title, and date.
Do I need a notary for the Contractor’s/Vendor’s Public Disclosure Statement?: No. The document has a signature and date field but no notary block, and it lists no notarized or sworn attachment or related step.
How do I submit the Contractor’s/Vendor’s Public Disclosure Statement?: Submit it with the contractor’s bid to the Town of Hempstead Department of Water at 1 995 Prospect Avenue, East Meadow, N.Y. 11554 - 3100.

Need something notarized?

This Contractor’s/Vendor’s Public Disclosure Statement doesn’t need a notary — but if you have another Hempstead form that does, a commissioned online notary can help.