10 RLP 36C10F25R0035 10091 VA Vendor File Request Form Port St Lucie FL OPC.pdf

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X1DB--Port St. Lucie, Fl. Outpatient Clinic 142, 811 ANSI/BOMA Amendment
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36C10F25R0035
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About this file

The document is a VA-FSC Vendor File Request Form (VA Form 10091), which is used to gather essential payment and vendor information for the Department of Veterans Affairs. The form is designed for new and existing vendors to register or update their information in the VA's financial system, with specific requirements for commercial, individual, and federal vendors.

Key instructions include mandatory registration in the System for Award Management (SAM), providing unique entity identifiers, bank routing details, and contact information. The form requires vendors to complete sections on facility information, payee/vendor details, electronic funds transfer (EFT) information, and authorized representative certification. A digital version of the form is now available through the FSC's Customer Engagement Portal (CEP), which requires vendors to register with id.me, with special considerations for non-SAM commercial vendors who will have limited access to the system.

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Text version

November 20, 2024

VA-FSC Vendor File Request Form (VA Form 10091)- Digital Instructions

The Financial Services Center (FSC) has introduced a digital version of the VA Form 10091 (VA-FSC Vendor File Request Form) that is available through the FSC’s Customer Engagement Portal (CEP).

Please note that vendors (Commercial, Individual, and VA employee) must first register with id.me to take advantage of the new digital VA Form 10091 you can click on the CEP link at https://www.cep.fsc.va.gov/; This will take you to the appropriate site for id.me to start the webform process.

Commercial Non-System of Award Management (SAM) vendor accessing CEP is limited to ONLY the digital VA Form 10091. Non-SAM Commercial Vendors will NOT be allowed to access the CEP and will not have access to obtain reports or check on payments in CEP if they are not actively registered in the SAM.

VA encourages all Non-SAM Commercial Vendors to register for a SAM account at the following https://sam.gov//.

SAM registration provides additional security protections against security risks of potential fraudsters. It also minimizes the need to call the Financial Services Center’s Help Desk for payment history or statuses.

The digital form does not change how and when the VA Form 10091 is used. Instead, it provides our customers another method to complete the vendorization process if the user is registered through ID.me.

If vendors (Commercial and Individual) have questions, contact VA Customer Care Center at 1-877-353-9791 option 2 or vafsccshd@va.gov.

NOTICE: ACTION “MAY BE” REQUIRED:

1. VA Webform 10091 through CEP platform For all vendors (SAM; System for Award Management or Non-SAM) that are ID.Me (https://www.id.me/) registered at https://www.cep.fsc.va.gov/ . Note: ONLY active System for Award Management (SAM) /CEP Commercial Vendors will have access to Payment History.

2. Commercial vendors seeking invoice or payment status can log into their Tungsten Network account at https://www.tungsten-network.com/customer-campaigns/veteransaffairs/ https://www.cep.fsc.va.gov/ https://sam.gov/ mailto:vafsccshd@va.gov https://www.id.me/ https://www.cep.fsc.va.gov/ https://www.tungsten-network.com/customer-campaigns/veteransaffairs/

10 - 10991 VA Vendor File Request Form 1-15-25 - PSL - 5.29.2025
Pages from 10 - 10991 VA Vendor File Request Form 1-15-25 - PSL - 5.21.2025 - Extract Digital Instructions

File details come from the government source that posted it. Updated .