ACH Vendor Enrollment Form 2022.pdf

This document is an ACH Vendor/Miscellaneous Payment Enrollment Form for UNICOR (Federal Prison Industries, Inc.) related to a hook and loop manufacturing solicitation. The form requires vendors to provide comprehensive company details, including contact information, business classification (such as small business, woman-owned, veteran-owned), and financial account information. Vendors must confirm their registration in the System for Award Management (SAM.gov), which is a federal-wide mandatory requirement that is free to enroll and requires annual profile updates.

Key requirements include providing a DUN & Bradstreet number, Tax Identification Number (TIN), nine-digit routing transit number, depositor account details, and financial institution information. The form indicates a preference for FOB Destination pricing (freight included in price) to facilitate accurate and timely payment. Vendors must indicate whether they will pay shipping and complete all sections of the form to be considered for the hook and loop manufacturing contract with the Department of Justice Bureau of Prisons Correctional Facilities.