Electronic Data Interchange (EDI) Account Form / Office of Budget and Management

Electronic Data Interchange (EDI)
Account Form

Please be as complete as possible.
* indicates required fields.

*Name:

*Agency:

*Email:

*Phone (+ area code):

Phone Ext:

*New Account Number:

*EDI Vendor:

*Origin Code:

This form is for agencies to notify OBM of new EDI account numbers once the account has been established with the vendor.

You will receive a faster response by using this form.