Complete name of agency.
Agency Mailing Address
Complete mailing address of agency.
Information specific to agency’s primary administrator accessing the SAVE Program.
Benefit, license, or other activity for which your agency will be verifying immigration status
List the benefit(s), license(s), or other activities that an agency administers for which you are authorized to verify citizenship or immigration status.
Section of law requiring or authorizing the verification of immigration status
Cite the specific statute, regulation, or ordinance that authorizes an organization to grant the benefit(s), license(s), or otherwise conduct the activities that require citizenship or immigration status verification.
City of X Code, Article I, Title 5.10.300;
State of X Code, Title 21, Section 5(a) (15).
Estimated number of queries your agency will submit each year
Amount of queries an agency expects to submit to the SAVE Program.
Billing POC name, fax number, telephone number, e-mail address, and physical address
Customer information specific for the billing point of contact.
Tax Identification Number/Employer Identification Number (EIN)
Agency’s tax identification number registered with the Internal Revenue Service.
Data Universal Numbering System (DUNS) or Business Partner Network (BPN) number
DUNS and BPN are unique identification numbers that are used to identify an agency.
Payment method (for example, wire transfer, check, or credit card)
Method of payment to be used for SAVE Program access charges.
Amount obligated (budgeted)
Amount of money that an agency has obligated to pay for SAVE through the Customer Purchase Obligation Expiration Date.
Funds expiration date
End of the SAVE Program fiscal year (for example, September 30, 2010) or the end of an agency’s fiscal year (for example, June 30, 2010).
FOR FEDERAL AGENCIES ONLY:
Trading Partner Number (TPIN)
Agency Locator Code (ALC)
Numeric identification code used to identify an agency accounting location or regional financial office on accounting reports and documents. The ALC consists of an eight-digit agency accounting station, a four-digit disbursing office symbol, or a three-digit Treasury Financial Center symbol.
Treasury Account Symbol (TAS)
Identification code assigned by the Department of the Treasury, in collaboration with the Office of Management and Budget and the owner agency, to an individual appropriation, receipt, or other fund account.
Business Event Transaction Code (BETC)
Eight-character code to show the type of activity being reported, such as payments, collections, or borrowings.
Line of Accounting
Purchase order number or Intra-government Payment and Collection (IPAC) number.