VA Form 10091, FSC Vendor File Request

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Get your VA Form 10091, FSC Vendor File Request in 3 easy steps

  • 01 Fill and edit template
  • 02 Sign it online
  • 03 Export or print immediately

What is VA Form 10091?

The ACH network is a secure and efficient way to process electronic payments. The ACH network is used by many businesses and organizations to make payments.

What is VA Form 10091 used for?

In order to keep up with the ever-changing technology, the United States Department of Veterans Affairs (VA) has developed and released a new form, VA Form 10091 pdf. This form will be used to gather essential payment data from vendors in order to establish or update vendor records. The information that is provided on VA form 10091 fsc vendor file request form will allow the VA to process electronic payments through the ACH network to the vendor's financial institution.

VA Form 10091 Screenshot

How to fill out VA Form 10091?

The information that is required on form VA 10091 includes:

  • the vendor's name, address, telephone number, and email address. 
  • the vendor's bank routing number and account number. 

A routing number is a nine-digit number that is used to identify the financial institution that the vendor uses. The account number is the number that is used to identify the specific account that the vendor has at the financial institution.

How to submit VA Form 10091?

Once the VA fsc vendor file request form is completed, it can be submitted to the VA in one of three ways: 

  1. Mail
  2. Fax 
  3. Online

Send the VA form 10091 fillable to the address listed in the instructions.

Who should sign the VA Form 10091?

The supplier's fsc file request form must be signed by an authorized representative of the supplier, such as the CFO.

Form Versions

2017 Fillable VA Form 10091 for 2017 Fill Out Form
Fillable online VA Form 10091, FSC Vendor File Request
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