Skip to form


City of Orem


56 N. State St. Orem, UT 84057

Vendor Registration

Mailing Address

Remittance Address

W-9 Upload

Click Here to Upload

Primary Contact - Name

As a payment option, the City of Orem offers payees the opportunity to receive future payments electronically, rather than by check. Your payments will be deposited into the checking or savings account of your choice. In addition to having the money deposited electronically, you will also be notified of the deposit by email. The e-mail will provide you with all the information that would normally be on your check stub. To receive payments electronically, please fill out this form.

If you have any questions, please contact Shirley Paz at 801-229-7001 or

Please Choose One

If you already have a sheet with ACH Credit Payment Instructions, please upload here.

Click Here to Upload

Authorizing Person

Sign Here

Choose how to sign