UFMS Vendor Request Form

Mark New, Update or Deactivate.

Fields outlined in "RED" are required.

Box 2: Is the vendor required to register in SAM (Y/N)?

Box 3: If not, what is the exemption (i.e. Employee, Foreign vendor, etc)? If the vendor is not required to register, please complete all fields on this request.

If the vendor is required to register in SAM, please have them do so before completing this form. SAM Registration exceptions can be found in FAR 4.1102. The assumption is that the SAM information is valid. If the information currently listed at SAM.gov or in UFMS is incorrect, then the vendor should be contacted to update their SAM information directly at SAM.gov.

Under USDOJ Component Information, Box 4: Date of Request: (MM/DD/YY).

Box 5, Requesting Component: U.S. Marshal Service (USMS).

Enter the Component Contact in Box 6 (Can not be the same as the vendor) and the Office Phone No. in Box 7.

Box 8, Purpose of Request.

Box 9, UFMS Security Org. Box 10, Vendor Type.

Box 11, Component-Specific Justification. Box 12, Payment Type. Box 13, Prompt Pay Type.

Under Employee/Vendor/Payee Information, enter the Vendor Name in Box 14, the DUNS Number+4 in Box 15 and the EIN/SSN/TIN in Box 16.

Enter the Street Address in Box 17, the City, State, Zip Code in Box 18, the Country in Box 19 and the E-mail Address in Box 20.

Enter the Vendor Phone No. in Box 21 and the Fax Number in Box 22, both including area code, then the Contact Name in Box 23 as (Last, First, MI) and the NCIC/TPID Code in Box 24.

Enter the Federal Vendor Agency Locator Code (ALC) in Box 25.

Under Financial Institution Information, enter the Bank Name in Box 26, the Street Address in Box 27 and the City, State, Zip Code in Box 28.

Enter the Country in Box 29, the Bank Phone No. in Box 30, the ABA Number in Box 31 and the Account Number in Box 32.

Box 33, Account Type. ACH Format: All vendors will be setup with CTX, Check and CCD ACH payment format. PRIVACY ACT STATEMENT: The following information is provided to comply with the Privacy Act of 1974 (P.L. 93-579). All information collected on this form is required under the provisions of 31 U.S.C. 3322 and 31 CFR 210. This information will be used by the Treasury Department to transmit payment data, by electronic means to vendor's financial institution. Failure to provide the requested information may delay or prevent the receipt of payments through the Automated Clearing House Payment System.

Asset Forfeiture Division (AFD) third-party payment and equitable sharing vendor requests should be sent to the AFD (USMS) mailbox, and all other vendor requests should be sent to the Marshals FSD Helpdesk at Marshals.FSDHelpDesk@usdoj.gov.