VA Form 10091 PDF Details

Only completed forms signed by an Authorized Representative will be processed.

Request type: If this is the first time registering in our financial system for VA payments, select NEW VENDOR; otherwise choose UPDATE EXISTING VENDOR.

Not in SAM: If you are a NEW VENDOR and are NOT registered in SAM, you MUST complete boxes 11; 14 - 19 plus Sections III and IV.

Banking changes: If you are an EXISTING VENDOR and registered in SAM, any banking changes MUST be made in SAM.

Routing number: Do NOT use a deposit slip routing number. This will result in a rejected payment.

Processing time: Normal processing time is 15 - 30 business days.

QuestionAnswer
Form NameVA Form 10091
Form Length3 pages
Fillable?Yes
Fillable fields32
Avg. time to fill out6 min
EditionRev JAN 2024
Who signsAn Authorized Representative
Matches the agency's fileYes, checked October 2, 2026
Other namesVA Form 10091, 10091, VA 10091, VA-FSC Vendor File Request Form, Vendor File Request Form
Official sourceVA Form 10091 (Rev JAN 2024), Department of Veterans Affairs

Please rate Va Form 10091 Jan 2024 10091

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