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Click ‘Get Form’ to open the VA FSC Vendor File Request Form (VA Form 10091) in the editor.
Begin by filling out the 'Payee/Vendor Information' section. Enter your DUNS number, SSN/TIN, and select your Payee/Vendor Type from the provided options.
Next, complete the 'VA Facility Information' section. Input the station number, contact details including phone and email address, and ensure all information is accurate.
In the 'Miscellaneous Actions' section, indicate if you qualify as a small business and provide your vendor name and DBA if applicable.
Fill in your current and previous addresses, ensuring to include street, city, state, and zip code for both.
For EFT/ACH information, enter your bank details including bank name, address, routing number, account number, and type of account.
Finally, sign the document by entering your printed name and title before submitting it via secure fax or email as indicated.
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VA Form 10091 is used to gather essential payment data from vendors (Commercial, Individuals, Veterans, etc.) to establish or update vendor records in order toRead more
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