Fillable VA Form 10091, FSC Vendor File Request 2025

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The document outlines the instructions for completing the VA Form 10091, which is used to gather essential payment data from vendors to establish or update vendor records for processing electronic payments. It specifies requirements for new and existing vendors, including registration in the System of Awards Management (SAM), necessary information fields, and the importance of having forms signed by an authorized representative. The form also includes sections for vendor information, banking details, and certification by the authorized representative.

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Click ‘Get Form’ to open the Fillable VA Form 10091 in our editor.
Begin with Section I: VA Facility Information. Enter the Station Number, Contact Name, Phone Number, Fax Number, and Email Address as required.
Move to Section II: Payee/Vendor Information. If you are a new vendor, complete boxes 8-11 and 14-19. Ensure that your information matches what is in SAM for processing.
In Section III: EFT/ACH, provide your current bank details including Bank Name, Routing Number, Account Number, and Account Type.
Finally, complete Section IV: Authorized Representative by entering the name and title of the authorized representative and obtaining their signature.

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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 the VA FSC vendor file request form?

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 ance with Title 31 of the Code of Federal Regulation Part 208 (31 CFR Part 208).

How to fill out a VA Form 10210?

You should include the following information: The Veterans first name, last name, and middle initial. The Veterans Social Security number. The Veterans VA file number, if any exists. The Veterans date of birth. The Veterans VA insurance file, if applicable.

Where do I send my VA claim form?

Department of Veterans Affairs. Evidence Intake Center. PO Box 4444. Janesville, WI 53547-4444.

Can I fill out VA forms online?

Frequently used VA forms You can now do many form-based tasks online, like filing a disability claim and applying for the GI Bill or VA health care. Well walk you through the process step-by-step.

Where to send VA FSC vendor file request form?

UPDATE box option - Check box if you are an existing vendor in the FMS system. Miscellaneous Actions - Check the appropriate Payee/Vendor Type box, some additional documentation required. Please fax the completed form to 512-460-5221 for processing.

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Where do I send my VA apportionment form?

After completing the form, mail to: Department of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444.

Where to submit VA Form 26 4555?

Do not send your completed VA Form 26-4555 to this email address. This application should be submitted to the VA regional office where your claim file is located or this form can be completed online by visiting .va.gov.

Fillable VA Form 10091, FSC Vendor File Request 2025

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What is the VA FSC vendor file request form?

How to fill out a VA Form 10210?

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Can I fill out VA forms online?

Where to send VA FSC vendor file request form?

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Where do I send my VA apportionment form?

Where to submit VA Form 26 4555?

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