ON Semiconductor Supplier Information Form

PLEASE TYPE IN ALL CAPITAL LETTERS

ON Semiconductor

Supplier Registration

Instructions:
Step 1:

Please fill out this form entirely. The fields marked with an asterisk ( * ) are required for submission.

Step 2:

Please review all forms listed on Page 6 of this document, or on our Supplier Services website at:

http://www.onsemi.com/PowerSolutions/content.do?id=1174

All suppliers are required to review, accept, and abide by the contents of these forms.

Step 3:

Please fill out the necessary forms listed on the bottom of Page 6 (W-9/W-8BEN).

Please contact an ON Semiconductor’s representative if you need assistance or have any questions.

1
Version 1.03042019
 ON Semiconductor Supplier Information Form
PLEASE TYPE IN ALL CAPITAL LETTERS

Supplier Registration Information

(Fill in those that apply to the Company)
1
Tax Identification #:   Person ID #:  
Social Security # (US Only
2
Individual):   Value Added Tax (VAT) #:  
1
United States based Companies MUST provide a list of their State Resellers Tax ID's if applicable
2
Non US based Companies MUST provide a list of their Registration Number if applicable
Supplier Information
(Address where Purchase Orders will be sent)
Dunn & Bradstreet #:   SIC Code:  
*Company Name:  
Abbreviated Name:  
*Physical Address:  
*City:   *State/Province:  
*Zip Code:   *Country:  
*Phone #(incl. Country,Area codes):   Fax #:  
Contact Name:  
*Email for PO Delivery:  
SUPPLIER REMITTANCE INFORMATION
(Required if Different than above - Remittance Address on Invoice)
*Remit Payment to Name:  
*Remit Payment Address:  
*City:   *State/Province:  
*Zip Code:   *Country:  
*Phone #(incl. Country,Area codes):   Fax #:  
Finance Contact Name:  
*Email for Remittance Advice Delivery:  
PARENT COMPANY INFORMATION
Parent Company Name:
Parent Company Address:
*ORGANIZATION TYPE
Corporation ☐ Corporation Established Date:
Educational Institute ☐ Foreign Corporation ☐
Foreign Government Agency ☐ Foreign Individual ☐
Foreign Partnership ☐ Foreign Trust or Estate ☐
Government Agency ☐ Individual ☐
Non-Profit Organization ☐ Partnership ☐
Trust or Estate ☐
BUSINESS CLASSIFICATION TYPE
(Mandatory for US Suppliers)
Minority Owned ☐ Veteran ☐
Woman Owned ☐ Hub Zone Small Business ☐
Small Business ☐ Other (Describe):
Small Disadvantaged ☐
*SUPPLIER TYPE
(Select all that apply)
Services Tangible Capital ☐

2
* Designates Required Information
Version 1.07302018
 ON Semiconductor Supplier Information Form
PLEASE TYPE IN ALL CAPITAL LETTERS

Health ☐ Tangible Non-Capital ☐

Legal ☐ Distributor ☐
☐
Others Contractor ☐
Manufacturer ☐

ELECTRONIC FUNDS TRANSFER - BANKING INFORMATION

Authorization for Electronic Funds Transfer:

You hereby authorize ON Semiconductor to initiate credit entries to the account listed below in
connection with agree upon contractual terms entered into between our companies. You agree that
such transaction will be governed by the Society of Worldwide Interbank Financial
Telecommunications (SWIFT) or the National Automated Clearing House (ACH) Association rules. This
authority is to remain in effect until ON Semiconductor has received written notification of termination
in such time and in such manner as to afford a reasonable opportunity to act on the request.

 
IN NO EVENT SHALL ON SEMICONDUCTOR BE LIABLE FOR ANY SPECIAL, INCIDENTAL, EXEMPLARY OR
CONSEQUENTIAL DAMAGES AS A RESULT OF THE DELAY, OMISSION OR ERROR OF AN ELECTRONIC
CREDIT ENTRY, EVEN IF ON SEMICONDUCTOR HAS BEEN ADVISED OF THE POSSIBLITY OF SUCH
DAMAGES.

*Beneficiary Name:  

Alternate Beneficiary Name:

*Supplier Bank Account Number:  

CHECK ☐
*Supplier Bank Account Type:
ORDINARY ☐

*Currency of Account  
*Bank SWIFT Code (Required for Foreign/Cross  
Board Payments
*Bank ABA Routing Code for ACH (Required for  
Local Payments):
*Bank/Sort Code (Required for local payments):

Bank Branch Code (if applicable):

*IBAN Code (Required for European Suppliers):  

*Bank Name:  
Branch Name (if applicable):  
3
* Designates Required Information
Version 1.07302018
 ON Semiconductor Supplier Information Form
PLEASE TYPE IN ALL CAPITAL LETTERS

*Bank State/Province:  

*Bank City:
*Bank Country:  

Bank Phone # (include country and area code):  

VENDOR U.S. SALES TAX REGISTRATION (Mandatory for U.S. Suppliers)

ON Semiconductor requires all U.S. suppliers to provide information to identify jurisdictions where your company
has registered for U.S. state and local sales tax.

Please enter an "X" in the box(s) below next to the State(s) your company is registered to collect and remit sales tax.
This information will be used to ensure that we correctly pay your company any sales tax due.

Please contact the ON Semiconductor Tax Department at 602-244-6348 for any questions relating to this request.

AL ☐ LA ☐ OH ☐
AR ☐ MA ☐ OK ☐
AZ ☐ MD ☐ PA ☐
CA ☐ ME ☐ RI ☐
CO ☐ MI ☐ SC ☐
CT ☐ MN ☐ SD ☐
FL ☐ MO ☐ TN ☐
GA ☐ MS ☐ TX ☐
HI ☐ NC ☐ UT ☐
IA ☐ ND ☐ VT ☐
ID ☐ NE ☐ VA ☐
IL ☐ NJ ☐ WA ☐
IN ☐ NM ☐ WI ☐
KS ☐ NV ☐ WV ☐
KY ☐ NY ☐ WY ☐
ON SEMICONDUCTOR - OFFICE USE ONLY
*Operating Unit   *Buyer Signature:  
(If Operating Unit is 134, 140, 143, 151, 153, 158, 172, 173, 174, or 192 you must give the supplier the W9 IRS Form
to be completed and signed by the Supplier)

Supplier Payment Information

Net Terms:   Tax Code:  
Supplier Type
Goods Received at Dock ☐ Services Performed ON-Site ☐ Services Performed Off Site ☐
Contract Mfg (Purchase F/G) ☐ Contract Mfg (Foundry) ☐ Contract Mfg (Assy/Test) ☐

4
* Designates Required Information
Version 1.07302018
 ON Semiconductor Supplier Information Form
PLEASE TYPE IN ALL CAPITAL LETTERS

SMI Supplier ☐ "Pay Only" Supplier ☐

*Requested Action (For "Change" action, must provide the Supplier code & site name)
Add: ☐ Change: ☐
Supplier Information
Supplier Code:   Supplier Site:  

5
* Designates Required Information
Version 1.07302018
 ON Semiconductor Supplier Information Form
PLEASE TYPE IN ALL CAPITAL LETTERS

SELF-BILLING POLICY
It is ON Semiconductor's standard practice to automatically set-up all suppliers on our Self-Billing
Program. PLEASE READ THIS INFORMATION CAREFULLY so that you, as a Supplier to ON
Semiconductor, will have an understanding of the Self-Billing Program and how it will relate to your
shipments and the payments that will be transacted.

The Self-Billing Program is ON Semiconductor's pay-from-receipt program that eliminates the need
for supplier generated invoices as the basis of payment. Instead, payment is made based on delivered
quantities and Purchase Order prices. The value of each shipment and applicable tax, is automatically
calculated and payment terms will be net from the date product is received into our system.
SELF-BILLING EXCEPTIONS
All PO's that are issued for "Services" will require a supplier invoice.
SUPPLIER RESPONSIBILITIES
Assign a unique packing ticket number to each shipment and display it prominently on the packing
ticket that accompanies each shipment. The packing ticket number will be the primary point of
reference for all communications and will become the invoice number.

Include on the packing ticket: The complete ON Semiconductor Purchase Order number, the Purchase
Order line number(s), the quantity shipped, and the unit of measure.
Contact an ON Semiconductor Supply Management Representative on issues relating to purchase
order price or currency discrepancies prior to the shipment of goods.
Notify ON Semiconductor, in advance and in writing, of any changes to remittance information.
Please provide the old remittance information along with the new remittance information.
Communicate Self-Billing guidelines and procedures to your Credit and Accounts Receivable
personnel.

For any payment issues/questions, please reach out to AP contact that gets listed on the PO PDF or
contact your buyer who can connect you to the appropriate AP group.
ON SEMICONDUCTOR RESPONSIBILITIES
Supply Management (Purchasing)
Verify and ensure the accuracy of the part number, description, quantity, unit of measure,
unit price, currency, and payment terms. This information will be the basis for the
payment calculation.
Accounts Payable
Review supplier invoices for the first two weeks after start up to verify the accuracy of
self-billing transactions.
Identify on the payment remittance advice each payment based upon self-billing receipts.
Issue debits or credits adjustments against the Supplier's account to correct payment
discrepancies upon reviewing with Supply Management.
Receiving Department
Record accurate data in the receiving system to ensure correct payment is made to the
supplier. Address packing ticket/PO discrepancies with the Supply Management
department for quick action.

6
* Designates Required Information
Version 1.07302018
 General
Suppliers are required to review, accept, and abide to the requirements contained in the
Supplier Reference Documents by either:
a. printing the name of the authorized representative below and sending the form through an email
address that belongs to the supplier to ON Semiconductor representative (preferred)
b. physically signing the form and sending a scanned copy of the form to ON Semiconductor
representative

Supplier reference documents include, but are not limited to, the following:
 Supplier Handbook - Supplier shall act in accordance with applicable provisions of the current
version of ON Semiconductor’s Supplier Handbook.
 Responsible Business Alliance (formerly known as EICC Standards/Requirements)
 Data Protection Agreement
 ON Standard Terms and Conditions - Unless otherwise agreed between ON Semiconductor and
Supplier in a separate written agreement, ON Semiconductor’s purchases are governed by ON
Semiconductor’s Purchase Order terms and conditions as of the time the Purchase Order is
placed.
 ON Semiconductor Localized Terms and Conditions – Vietnam Region
 ON Semiconductor Localized Terms and Conditions – Korea Region
 ON Semiconductor Localized Terms and Conditions – China Region

Acknowledged by Supplier:

______________________________________________________________________

Suppliers are required to fill out the required Internal Revenue Service (IRS) forms:

Form W-8 (Required for foreign, non-US based companies doing business with ON Semiconductor US
entities. Respective W-8form should be completed based on your company entity type. See links below
to IRS website for Forms and Instructions. ON Semiconductor cannot provide tax advice on which W-8
form to complete or how to complete Form W-8. Please consult your tax advisor as appropriate):

W-8BEN: W-8BEN-E:
https://www.irs.gov/pub/irs-pdf/fw8ben.pdf https://www.irs.gov/pub/irs-pdf/fw8bene.pdf
https://www.irs.gov/pub/irs-pdf/iw8ben.pdf https://www.irs.gov/pub/irs-pdf/iw8bene.pdf

W-8ECI: W-8EXP:
https://www.irs.gov/pub/irs-pdf/fw8eci.pdf https://www.irs.gov/pub/irs-pdf/fw8exp.pdf
https://www.irs.gov/pub/irs-pdf/iw8eci.pdf https://www.irs.gov/pub/irs-pdf/iw8exp.pdf

W-8IMY:
https://www.irs.gov/pub/irs-pdf/fw8imy.pdf
https://www.irs.gov/pub/irs-pdf/iw8imy.pdf

7
Version 1.08272019
 ON Semiconductor Supplier Information Form
PLEASE TYPE IN ALL CAPITAL LETTERS

Form W-9 (Required for US based companies doing business with ON Semiconductor US entities. ON
Semiconductor cannot provide tax advice on how to complete the Form W-9. Please consult your tax
advisor as appropriate.):
https://www.irs.gov/pub/irs-pdf/fw9.pdf https://www.irs.gov/pub/irs-pdf/iw9.pdf

8
* Designates Required Information
Version 1.07302018