ACH Vendor Enrollment Form 2022.pdf
PDF 107 KB Posted
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- JROTC Fabric
- Solicitation number
- CT2376-26
About this file
This document is an ACH Vendor/Miscellaneous Payment Enrollment Form from UNICOR (Federal Prison Industries, Inc.). The form requires vendors to provide comprehensive company information, including contact details, business size/type (large/small, disadvantaged/woman-owned/veteran-owned), and financial account information. Vendors must confirm 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. The form also requests specific financial details such as DUN & Bradstreet number, Tax Identification Number (TIN), routing transit number, depositor account information, and financial institution name. Additionally, the form includes a section for vendors to indicate their shipping preferences, with UNICOR expressing a preference for FOB Destination (freight included in price) to facilitate accurate and timely payment.
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Text version
Company:
Physical Address:
City: State: Zip:
Contact:
Email Address:
Telephone: Fax:
Large: Small:
Disadvantaged: Woman Owned:
Service Disabled: Veteran Owned:
Yes: No:
DUN & Bradstreet #:
TAX Identification # (TIN):
Nine Digit Routing Transit Number:
Depositor Account Title:
Depositor Account Number:
Financial Institution Name:
Yes: No:
Our preference is always FOB Destination (freight included in price)*
*FOB DST helps with accurate and timely payment as well*
Does UNICOR Pay Shipping?
ACH Vendor/Miscellaneous Payment Enrollment Form UNICOR, Federal Prison Industries, Inc.
Company:
(please check one)
Registered And Current In System For Award Management - This is a Federal wide mandatory reuiqrement that is free to enroll (not required for credit card vendors)
Once enrolled you will have to anually update your profile when prompted via email.
https://www.sam.gov https://www.sam.gov/
Sheet1
| Company: |
| Physical Address: |
| City: |
| State: |
| Zip: |
| Contact: |
| Email Address: |
| Telephone: |
| Fax: |
| DUN Bradstreet: |
| TAX Identification TIN: |
| Nine Digit Routing Transit Number: |
| Depositor Account Title: |
| Depositor Account Number: |
| Financial Institution Name: |
| Company-Small: Off |
| Company-Large: Off |
| Company-Disadvantaged: Off |
| Company-Womanowned: Off |
| SysAward-Yes: Off |
| SysAward-No: Off |
| Company-Disabled: Off |
| Company-Veteranowned: Off |
| UnicorPayShip-Yes: Off |
| UnicorPayShip-No: Off |
File details come from the government source that posted it. Updated .