ACH Vendor Enrollment Form 2022.pdf

This is an ACH Vendor/Miscellaneous Payment Enrollment Form for UNICOR, Federal Prison Industries, Inc., used to establish payment and vendor information for suppliers conducting business with the organization.

The form collects comprehensive vendor identification and banking details required for ACH payments. Required information includes company name, physical address, city, state, zip code, primary contact information (name, email, telephone, fax), DUN & Bradstreet number, and Tax Identification Number (TIN). Vendors must provide banking information including the nine-digit routing transit number, depositor account title, account number, and financial institution name. The form requires vendors to identify their company size and ownership status by checking appropriate boxes for Large, Small, Disadvantaged, Woman Owned, Service Disabled, and Veteran Owned designations. Regarding shipping terms, UNICOR's preference is FOB Destination with freight included in the price, as this arrangement facilitates accurate and timely payment processing. The form includes a yes/no question regarding whether UNICOR pays shipping costs. Additionally, vendors must confirm registration and current status in the System for Award Management (SAM) at https://www.sam.gov, which is identified as a federal-wide mandatory requirement for ACH payment vendors (though not required for credit card vendors). Enrolled vendors are required to annually update their SAM profiles when prompted via email.