Va form 10091 2025

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The document is a VA-FSC Vendor File Request Form, used for new or existing vendors to provide necessary information for establishing or updating their vendor records with the VA. It includes sections for VA facility and payee/vendor information, required documentation, and instructions for submission. The form emphasizes compliance with the Privacy Act of 1974 and outlines the estimated time burden for completion.

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Click ‘Get Form’ to open VA Form 10091 in our editor.
Begin by selecting whether you are a new vendor or updating your information by checking the appropriate box at the top of the form.
Fill in the VA Facility Information section, including the Station Number, Contact Name, Phone Number, Fax Number, and Email Address. Ensure all details are accurate for processing.
In the Payee/Vendor Information section, check if you are registered in SAM.gov and provide your DUNS number. Complete all required fields such as SSN/TIN and Vendor Name.
For EFT/ACH details, enter your bank name, routing number, account number, and select the account type. This information is crucial for payment processing.
Finally, print your name and title in the designated area and provide a handwritten signature before submitting via secure fax.

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Versions	Form popularity	Fillable & printable
2023	4.1 Satisfied (35 Votes)
2022	4.8 Satisfied (84 Votes)
2021	4.8 Satisfied (205 Votes)
2017	4.3 Satisfied (195 Votes)
2016	4 Satisfied (28 Votes)
2016	4.6 Satisfied (49 Votes)
2014	4.3 Satisfied (382 Votes)

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What is VA form 10091 used for?

Miscellaneous Actions - Check the appropriate Payee/Vendor Type box, some additional documentation required. Please fax the completed form to 512-460-5221 for processing.

What is the VA $3600 payment?

Requirements for VA-Approved Walk-In Showers According to the Veterans Benefits Administration, VA-approved walk-in showers must meet the following requirements: A minimum of 5 feet by 5 feet interior finish and a minimum opening of 36 inches. Slip resistant flooring.

What is the purpose of VA form 10091?

VA Form 10091 is used to gather essential payment data from vendors (Commercial, Individuals, Veterans, etc.) to establish or update vendor records in order to process electronic payments in accordance with Title 31 of the Code of Federal Regulation Part 208 (31 CFR Part 208). VA Form 10091, VA - FSC VENDOR FILE REQUEST FORM VA.gov Home | Veterans Affairs vaforms va pdf va10 VA.gov Home | Veterans Affairs vaforms va pdf va10 PDF

What is VA form 10210 used for?

When to use this form. Use VA Form 21-10210 to submit a formal statement to support your VA claimor the claim of another Veteran or eligible family member. People also sometimes call this statement a buddy statement. About VA Form 21-10210 | Veterans Affairs VA.gov find-forms about-form-21-10210 VA.gov find-forms about-form-21-10210

How to submit VA 10091 form?

Please fax the completed form to 512-460-5221 for processing. PRIVACY ACT NOTICE: The following information is provided to comply with the Privacy Act of 1974 (P.L. 93-579). All information collected on this form is required under the provisions of 31 U.S.C. VA Form 10091, FSC VENDOR FILE REQUEST FORM Veterans Benefits Administration - VA.gov VA10091withinstructions Veterans Benefits Administration - VA.gov VA10091withinstructions

va form 10091

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What is the VA form for reimbursement of travel expenses?

To do this, youll need to fill out a Veteran/Beneficiary Claim for Reimbursement of Travel Expenses (VA Form 10-3542). Read the statements and certifications carefully. Then sign and date your form. Mail or take your completed form and receipts in person to the VA facility where you received care. File For Travel Pay Reimbursement | Veterans Affairs VA.gov health-care file-travel-pay-reimb VA.gov health-care file-travel-pay-reimb