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.

The form requires vendors to provide company information including legal name, physical address, contact details, and telephone/fax numbers. Vendors must identify their business classification by checking one category: Large Business, Small Business, Disadvantaged Business Enterprise, Woman-Owned Business Enterprise, Service-Disabled Veteran-Owned Business Enterprise, or Veteran-Owned Business Enterprise. Banking information required includes the Nine Digit Routing Transit Number, depositor account title, account number, and financial institution name. The form also requests the vendor's Unique Entity ID number and Tax Identification Number (TIN). A critical requirement is that vendors must be registered and current in the System for Award Management (SAM) at https://www.sam.gov, which is a federal-wide mandatory requirement that is free to enroll (except for credit card vendors), with annual profile updates required when prompted via email. UNICOR's shipping preference is FOB Destination with freight included in the price, as this facilitates accurate and timely payment processing. Vendors must indicate whether UNICOR pays shipping costs by selecting Yes or No on the form.