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- VA Form 10091, FSC VENDOR FILE REQUEST FORM. 10091, FSC, VENDOR, FILE
Get VA Form 10091, FSC VENDOR FILE REQUEST FORM. 10091, FSC, VENDOR, FILE
OMB Approved No. 2900-0846 Respondent Burden: 15 Minutes Expiration Date: 07-31-2019 VA-FSC VENDOR FILE REQUEST FORM NEW DATE UPDATE VA FACILITY INFORMATION PAYEE/VENDOR INFORMATION STATION NUMBER COMMERCIAL VENDOR REGISTERED IN SAM.GOV (Required IAW FAR 4.1102) STATION CONTACT DUNS NUMBER STATION PHONE NUMBER STATION FAX NUMBER STATION EMAIL ADDRESS DUNS+4 SSN/TIN PAYEE/VENDOR TYPE (Select one) NPI C - COMMERCIAL F - FEDERAL AGENCY E - EMPLOYEE O - FOREIGN FACTS ID I - INDIV.
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Benefits va 10091 FAQ
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Mail the completed VA Form 10-10EZR and any supporting materials to the Health Eligibility Center, 2957 Clairmont Road, Suite 200, Atlanta, GA 30329.
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VA medical centers provide VA Form 10-0103. Otherwise, it is available at .prosthetics.va.gov/docs/vha-10-0103-fill.pdf. The completed form can be returned to the VA medical center from which the veteran is treated for medical care.
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Veterans may obtain their C-Files (VA Claims Files) by requesting a copy from their local VA Regional Office. Usually, veterans must submit a VA Form 3288 - Request for and Consent to Release of Information from Individual Records.
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You'll need to fill out an Individuals' Request for a Copy of Their Own Health Information (VA Form 10-5345a). Submit your completed form to your VA health facility's medical records office. This office is also called a Release of Information Office. You can submit your form by mail, by fax, or in person.
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The best way to file for disability compensation is to apply online at .va.gov/disability. Or, you can fax it to: (844) 531-7818 (inside the U.S.) (248) 524-4260 (outside the U.S.)
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The mission of the Nationwide Vendor File Division of the Department of Veterans Affairs – Financial Services Center (VA-FSC) is to add, modify, or delete vendor records in the Financial Management Services (FMS) vendor file. The VA-FSC FMS vendor file controls aspects of when, where, and how vendors are paid.
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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.
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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).
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