CONTRACTING ACH Vendor Enrollment Form 2022.pdf

This is an ACH Vendor/Miscellaneous Payment Enrollment Form from UNICOR (Federal Prison Industries, Inc.) used to collect payment information from vendors. The form requires vendors to provide company details including physical address, contact information, and business classification status (Large, Small, Disadvantaged, Woman Owned, Service Disabled, or Veteran Owned).

The form collects banking information including Tax ID number (TIN), routing number, depositor account details, and financial institution information. It specifies UNICOR's shipping payment preference as FOB Destination with freight included in price. The form also requires vendors to indicate if they are registered in the System for Award Management (SAM.gov), noting this is a federal-wide mandatory requirement except for credit card vendors. Vendors must annually update their profile on SAM.gov once enrolled.