ACH Vendor Enrollment Form 2024.pdf
PDF 66 KB Posted
- Attached to
- Production Lumber Federal contract opportunity
- Solicitation number
- FN1558-25
About this file
This is an ACH Vendor/Miscellaneous Payment Enrollment Form from UNICOR (Federal Prison Industries, Inc.) used to collect vendor payment information for federal contracting purposes. The form requests standard business details including company name, physical address, contact information, and business classification status (Large, Small, Disadvantaged, Woman-Owned, Service Disabled, Veteran-Owned).
The form collects banking information including TAX Identification Number (TIN), routing number, depositor account details, and financial institution name. It also asks about shipping terms, with UNICOR's stated preference for FOB Destination with freight included in price. The form requires vendors to provide their SAM UEI number and confirms their registration status in the System for Award Management (SAM), noting this is a mandatory federal requirement except for credit card vendors. Vendors must annually update their SAM profile when prompted via email.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| A0001 FN1558-25 Production Lumber.pdf | ||
| Business Management Questionnaire.pdf | ||
| FN1558-25 Soliciation Production Lumber.pdf |
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Text version
Company:
Physical Address:
City: State: Zip:
Contact:
Email Address:
Accounts Recievable Email:
Telephone: Fax:
Large: Small:
Disadvantaged: Woman Owned:
Service Disabled: Veteran Owned:
Yes: No:
SAM UEI NUMBER:
TAX Identification # (TIN):
Nine Digit Routing Transit Number:
Depositor Account Title:
Depositor Account Number:
Financial Institution Name:
Yes: No:
UNICOR, Federal Prison Industries, Inc.
ACH Vendor/Miscellaneous Payment Enrollment Form
Company:
(please check one)
Does UNICOR Pay Shipping?
Our preference is always FOB Destination (freight included in price)*
*FOB DST helps with accurate and timely payment as well*
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/ https://www.sam.gov/ https://www.sam.gov/ https://www.sam.gov/ https://www.sam.gov/ https://www.sam.gov/ https://www.sam.gov/
Table 1
| Company: |
| Physical Address: |
| City: |
| State: |
| Zip: |
| State_2: |
| Email Address: |
| Accounts Recievable Email: |
| Telephone: |
| Fax: |
| SAM UEI NUMBER: |
| TAX Identification TIN: |
| Nine Digit Routing Transit Number: |
| Depositor Account Title: |
| Depositor Account Number: |
| Financial Institution Name: |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
| Check Box8: Off |
| Check Box9: Off |
| Check Box10: Off |
| Check Box11: Off |
| Check Box12: Off |
File details come from the government source that posted it. Updated .