ACH Vendor Enrollment Form 2022.pdf

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

The form collects vendor registration and banking information necessary for UNICOR to process payments via Automated Clearing House (ACH) transfers. Required company information includes name, physical address, contact details, telephone, and fax number. Vendors must indicate their business classification by selecting one category: large business, small business, disadvantaged business, woman-owned business, service-disabled veteran-owned business, or veteran-owned business. Financial data fields include DUN & Bradstreet number, Tax Identification Number (TIN), nine-digit routing transit number, depositor account title, account number, and financial institution name. The form requests confirmation of whether UNICOR pays for shipping, with a stated preference for FOB Destination terms with freight included in the quoted price, as this facilitates accurate and timely payment processing. Vendors must verify their current registration and enrollment status in the System for Award Management (SAM) at https://www.sam.gov, a mandatory federal requirement that is free and requires annual profile updates via email notification. Credit card vendors are exempt from the SAM registration requirement.