ACH Vendor Enrollment Form 2022.pdf
PDF 107 KB Posted
- Attached to
- Military PT Shorts Air Force
- Solicitation number
- CT2365-25
About this file
This is an ACH Vendor/Miscellaneous Payment Enrollment Form from UNICOR (Federal Prison Industries, Inc.) used to collect vendor payment information. 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 requires key financial information including DUN & Bradstreet number, Tax Identification Number (TIN), banking details (routing number, account title and number), and financial institution name. It specifies UNICOR's shipping preference as FOB Destination with freight included in price. Additionally, vendors must indicate their registration status in the System for Award Management (SAM.gov), which is mandatory for non-credit card vendors and requires annual profile updates. The form is associated with a solicitation for Air Force PT Shorts under solicitation number CT2365-25 for the Department of Justice Bureau of Prisons Correctional Facilities.
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| File | Type | Posted |
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| Business_Mgmt_Quest_CTG.docx | DOCX document | |
| Credit Release Authorization.pdf | ||
| 1449.pdf |
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Text version
Company:
Physical Address:
City: State: Zip:
Contact:
Email Address:
Telephone: Fax:
Large: Small:
Disadvantaged: Woman Owned:
Service Disabled: Veteran Owned:
Yes: No:
DUN & Bradstreet #:
TAX Identification # (TIN):
Nine Digit Routing Transit Number:
Depositor Account Title:
Depositor Account Number:
Financial Institution Name:
Yes: No:
Our preference is always FOB Destination (freight included in price)*
*FOB DST helps with accurate and timely payment as well*
Does UNICOR Pay Shipping?
ACH Vendor/Miscellaneous Payment Enrollment Form UNICOR, Federal Prison Industries, Inc.
Company:
(please check one)
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/
Sheet1
| Company: |
| Physical Address: |
| City: |
| State: |
| Zip: |
| Contact: |
| Email Address: |
| Telephone: |
| Fax: |
| DUN Bradstreet: |
| TAX Identification TIN: |
| Nine Digit Routing Transit Number: |
| Depositor Account Title: |
| Depositor Account Number: |
| Financial Institution Name: |
| Company-Small: Off |
| Company-Large: Off |
| Company-Disadvantaged: Off |
| Company-Womanowned: Off |
| SysAward-Yes: Off |
| SysAward-No: Off |
| Company-Disabled: Off |
| Company-Veteranowned: Off |
| UnicorPayShip-Yes: Off |
| UnicorPayShip-No: Off |
File details come from the government source that posted it. Updated .