Asap Enrollment Form
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1Information Necessary to Enroll EPA Recipients into the Treasury’s
Automated Standard Application for Payment (ASAP) System
Organization Name
_______________________________
Recipient Name
- Select One -
Organization Type
_______________________________
Choose One of the Following:
State Agency
Local Government
University/College
State University/College
Other Educational Organization
Non-Profit
For-Profit
Indian Tribal Organization
Financial Institution
DUNS
_________________________________
Dun and Bradstreet Data Universal Numbering System Number
EIN
_________________________________
Employer Tax Identification Number
POINT OF CONTACT _________________________________
Person responsible for identifying the officials within the
organization who will be needed to complete the ASAP
enrollment.
CONTACT’S ADDRESS ________________________________
_________________________________
_________________________________
CONTACT’S E-MAIL _________________________________
CONTACT’S PHONE
_________________________________
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Parent category: Business