ACH Vendor Enrollment Form 2022.pdf

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

The form collects essential vendor registration and payment information required to conduct business with UNICOR. Required fields include company name, physical address, contact information, and business classification (large or small business status, disadvantaged business enterprise, woman-owned, service-disabled veteran-owned designations). Vendors must provide Dun & Bradstreet and Tax Identification Numbers, along with banking details including the nine-digit routing transit number, depositor account title and number, and financial institution name. The form requests confirmation of UNICOR's shipping payment responsibility, with a stated preference for FOB Destination pricing to facilitate accurate and timely payment. A critical requirement notes that vendors must be registered and current in the System for Award Management (SAM.gov), which is a federal-wide mandatory requirement for non-credit card vendors and is free to complete. Vendors are required to annually update their SAM.gov profiles when prompted via email. This enrollment form is a prerequisite for vendors seeking to establish payment and procurement relationships with UNICOR.