PARTNER SET-UP FORM
Please complete the form below. We are not able to process incomplete forms.Instructions for emailing or faxing forms to Kroger and Fred Meyer Non-Food:
Fred Meyer Non-Food & Fred Meyer Jewelry vendors: email the form to , or
fax the form to 817-549-5810
Kroger vendors: email the form to , or fax the form to 203-724-4393
EDI Compliance
All Vendors doing business with The Kroger Co must be able to receive a purchase order and return an invoice using EDI. Each vendor, when notified, will be given 30-60 days to assist them in meeting The Kroger Co EDI Requirements (compliance must be before the end of the time specified in the notice). Should a Vendor not send or accept these documents via EDI after their Compliance deadline, Kroger Accounting will apply a $150.00 assessment against payment to offset the cost of manual processes.
Top of Form
Your Information
Required Fields in Red
Your Company Name: /
EDI Contact: /
E-mail: /
Phone: / -- Extension
Fax: / --
Address1: /
Address2: /
Address3: /
City: /
State: /
Zip: /
Country: /
User Contact: /
E-mail: /
Phone: / -- Extension
Please select all Kroger Divisions your company does business with:
Required: Select at least one.
Div / Kroger Marketing Area / Div / Kroger Marketing Area
/ 036 / Dillon Stores / / 018 / Kroger Michigan
/ 701 / Fred Meyer Stores (Non-Food) / / 029 / Kroger Mid Atlantic/Roanoke
/ 015
022 / Fred Meyer (Food)
Puyallup
Clackamas / / 024 / Kroger Mid South
/ 701 / Fred Meyer Jewelers / / 034 / Kroger Southwest/Houston
/ 028 / Fry’s Food / / 035 / Kroger Southwest/Dallas
/ 038 / King Sooper / / 388 / Peyton's GHC
/ 011 / Kroger Atlanta / / 181 / Peyton's Northern
/ 021 / Kroger Central/Indianapolis / / 086 / Peyton's Mid South
/ 017 / Kroger Central/Shelbyville / / 185 / Peyton's Phoenix
/ 014 / Kroger Cincinnati / / 087 / Peyton's Southeast
/ 016 / Kroger Columbus / / 010
020
030 / Ralphs Riverside
Ralphs Glendale
Ralphs Compton
/ 023 / Kroger Delta/Memphis / / 019 / Smith's Food & Drug
Your Company's EDI Profile
Required Fields in Red / Kroger UCS / Kroger X12 / Fred Meyer UCS / Fred Meyer X12/VICS / Your Company Uses
Qualifier / 08 / 08 / 08 / 12 /
Test ISA / 925411TEST / 925411TEST / 9255290000 / 5032337598 /
Production ISA / 9254110060 / 9254110060 / 9255290000 / 5032337598 /
Test GS / 5137624388 / 5137624388 / 9255290000 / 5032337598 /
Production GS / 5137624388 / 5137624388 / 9255290000 / 5032337598 /
VAN / Sterling
GXS / Sterling
GXS / Sterling
Advantis (QRS)
GXS / Sterling
Advantis (QRS)
GXS /
Required: Either VAN or 3rd Party Provider (next field below)
3rd Party Provider /
EDI Standard (UCS or X12) /
EDI Version (4010) /
DUNS +4 / +
EDI Document Directory
Please indicate the documents you arebeing set up EDI for.
Required: Select at least one.
Doc / Description / Kroger/Peyton Group / Fred Meyer Group / Your
Company
140 / Product Registration /
810 / Invoice /
812 / Credit/Debit Adjustment (Scan Based Trading Vendors) /
812 / 812 Credit/Debit Adjustments /
820 / EFT Electronic Funds Transfer /
820 / 820 Check Remittance Advice /
824 / Application Advice /
830 / Planning Schedule with Release Capability /
832 / Inbound Price/Change Catalog /
832 / Outbound Price/Change Catalog /
834 / Benefit Enrollment and Maintenance /
850 / 850 Purchase order - Warehouse /
850 / Jewelry Purchase Order /
850 / 850 Purchase Order – Store DSD /
852 / Scan Sales Activity /
852 / 852 Product Activity Data (Daily Warehouse Movement – VMI Vendors) /
852 / 852 Product Activity Data (Weekly Sales & Inventory Movement – Store Level) /
852D / 852 Product Activity Data (Daily POS Data – SBT Vendors) /
855 / 855 Purchase Order Acknowledgement (Warehouse Replenishment VMI) /
855 / 855 Purchase Order Acknowledgement (Store Level VMI – Direct shop to store) /
855 / 855 Purchase Order Acknowledgement (Store Level VMI – DistributionCenter Flow Through) /
856 / ASN (Advanced Shipping Notice) /
861 / Receiving Advice /
867 / Product Transfer & Resale /
875 / Grocery Purchase Order /
875 / 875 Purchase Order – Store DSD /
879 / 879 Price Information /
880 / Grocery Invoice /
889 / Promotion Announcement /
894 / Delivery/Return Base Record NEX /
895 / 895 Delivery/Return Acknowledgment or Adjustment /
997 / 997 Functional Acknowledgment /
Additional Comments
Prior to sending, you may want to print a copy of this form for your records.
Fax or E-mail Forms
Fred Meyer Team: Fax: 817-549-5810, E-mail: (For Fred Meyer Non-Food and Fred Meyer Jewelers)
Kroger Team: Fax: 203-724-4393, E-mail: (For all other divisions)