ACH Vendor Enrollment.pdf

This is an ACH Vendor/Miscellaneous Payment Enrollment Form for UNICOR (Federal Prison Industries, Inc.).

The form collects essential vendor information required for payment processing, including company name, physical address, contact details, email, telephone, and fax number. Vendors must indicate their business classification by checking one category: Large Business, Small Business, Disadvantaged Business, Woman-Owned Business, Service-Disabled Veteran-Owned Business, or Veteran-Owned Business. The form requires banking information for ACH payments, specifically the nine-digit routing transit number, depositor account title, account number, and financial institution name. Additionally, vendors must provide their Unique Entity Identifier (UEI) from www.sam.gov and Tax Identification Number (TIN). The form includes a question regarding shipping costs, with UNICOR's stated preference for FOB Destination pricing with freight included, as this arrangement facilitates accurate and timely payment processing. Vendors must confirm their registration and current status in the System for Award Management (SAM) at https://www.sam.gov, which is a federal-wide mandatory requirement for non-credit card vendors. Enrolled vendors are required to annually update their SAM profile when prompted via email. Registration with SAM is free and applies to all vendors except those paying by credit card.