Instructions To Complete Ufms Vendor Request Form - State And Local Agency - U.s. Department Of Justice
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1Instructions to complete UFMS Vendor Request Form
State & Local Agency
Please follow these instructions when filling out this form:
Box 1:
Select New, Update, or Deactivate
Box 14:
Vendor Name: Agency’s name
Box 16:
EIN/SSN/TIN: Agency’s Tax Identification Number
Box 17:
Street Address: Agency’s street address
Box 18:
City, State, Zip Code: Agency’s city, state, and zip code
Box 19:
Country: Country of address in box 17 and 18
Box 20:
Email Address: Email address of the contact who will receive the eShare email
notification that funds have been transferred to your agency
Box 21:
Vendor Phone Number: Agency point of contact phone number
Box 22:
Fax Number: Agency point of contact fax number, if available
Box 23:
Contact Name: Agency point of contact name
Box 24:
NCIC Code: Agency’s NCIC code
Box 26:
Bank Name: Name of bank where funds are to be transferred
Box 27:
Street Address: The address for the bank in box 26
Box 28:
City, State, Zip Code: The city, state, and zip codes for the bank in box 26
Box 29:
Country: The country for the bank in box 26
Box 30:
Bank Phone Number: The phone number for the bank in box 26
Box 31:
ABA Number: Routing number for the bank holding the account where funds are
to be transferred
Box 32:
Account Number: Agency account number where funds are to be transferred
Box 33:
Account Type: Corporate Checking, Personal Checking, or Savings
If a box is not listed in these instructions, do not complete it.
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