Va form 10091 fillable 2026

1. Click ‘Get Form’ to open the VA Form 10091 fillable in the editor.
2. Begin by selecting whether you are a new vendor or an existing vendor by checking the appropriate box at the top of the form.
3. Fill in the VA Facility Information section, including your station number, contact name, phone number, fax number, and email address.
4. In the Payee/Vendor Type section, check the box that corresponds to your vendor type and provide any additional documentation if required.
5. Complete the Payee/Vendor Information section by providing your DUNS number, SSN/TIN, NPI (if applicable), and current address details.
6. For EFT/ACH information, enter your bank name, routing number, account number, and select the account type.
7. Finally, ensure to sign and print your name and title at the bottom of the form before submitting it via fax to 512-460-5221.

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