Fillable VA Form 10091, FSC Vendor File Request 2025

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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 to process electronic payments in ance with Title 31 of the Code of Federal Regulation Part 208 (31 CFR Part 208).
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.
Department of Veterans Affairs. Evidence Intake Center. PO Box 4444. Janesville, WI 53547-4444.
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.
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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After completing the form, mail to: Department of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444.
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.

va gov form 10091