Forms
Accounting Services Forms
Use the links below to access the forms and agreements you will need to set up or use Federal Reserve Accounting Services. Accounting Services Setup provides more details and guidance on the steps required to begin using a new service or to modify current services or access. If you are unable to locate the form you seek, Contact provides a comprehensive list of service and support contacts who can assist you.
Table of Contents
A subset of Accounting forms were moved to a new electronic signature process using Docusign® and ID.me®. Visit Forms Frequently Asked Questions for more information. For additional questions, please contact National Accounting and Customer Support at P: (800) 309-6156 or E: sys.fso.nacs@mpls.frb.org.
Certificate of Resolution and Authorized Approver Packages
| Form | Links |
|---|---|
| Federal Reserve Bank Certificate of Resolution and Official Authorization List Contacts This list includes contact names, phone numbers and mailing addresses for each of the Federal Reserve Bank Districts. | Contacts |
| Certificate of Resolutions Authorizing an Institution to Open and Maintain Accounts and Use Services This document ensures that the Federal Reserve Bank accepts instructions only from those individuals a Federal Reserve Bank customer authorizes to transact business. NOTE: This form is intended for use by eligible institutions, as defined in Operating Circular 1. The Federal Reserve Banks do not, by law, provide financial services to individuals. U.S. branches, agencies of foreign banks, and those individuals listed on the form, who reside in foreign countries, are not eligible to submit forms through the Docusign process in the provided links. Please contact National Accounting and Customer Support at P: (800) 309-6156 or E: sys.fso.nacs@mpls.frb.org for assistance. | Board Resolution Instructions (PDF) Board Resolutions Form (Docusign) (Off-site) |
| Account & Non-Account Holder Official Authorization List (OAL) This document will serve as a legal basis for identifying those who have the authority to designate individuals that can take actions and bind your institution as they relate to your use of Federal Reserve Bank accounts or services. NOTE: This form is intended for use by eligible institutions, as defined in Operating Circular 1. The Federal Reserve Banks do not, by law, provide financial services to individuals. U.S. branches, agencies of foreign banks, and those individuals listed on the form, who reside in foreign countries, are not eligible to submit forms through the Docusign process in the provided links. Please contact National Accounting and Customer Support at P: (800) 309-6156 or E: sys.fso.nacs@mpls.frb.org for assistance. | OAL Instructions – Account Holder Non-Account Holder (PDF) Official Authorization List (Docusign) (Off-site) |
| Non-Depository Institution and/or Non-Financial Entities OAL These documents will serve as the foundation for establishing your institution’s authority to bind your institution’s actions as they relate to your institution’s use of Federal Reserve services. NOTE: This form is intended for use by eligible institutions, as defined in Operating Circular 1. The Federal Reserve Banks do not, by law, provide financial services to individuals. U.S. branches, agencies of foreign banks, and those individuals listed on the form, who reside in foreign countries, are not eligible to submit forms through the Docusign process in the provided links. Please contact National Accounting and Customer Support at P: (800) 309-6156 or E: sys.fso.nacs@mpls.frb.org for assistance. | Non-Depository Institution and/or other Financial or Non-Financial Entities OAL Instructions (PDF) Non-Depository Institution and/or other Financial or Non-Financial Entities Official Authorization List (Docusign) (Off-site) |
| Foreign Bank Agreement Package These documents will serve as the foundation for establishing your bank’s authority to bind your bank’s actions as they relate to your bank’s use of Federal Reserve services. Please contact National Accounting and Customer Support at P: (800) 309-6156 or E: sys.fso.nacs@mpls.frb.org for assistance. NOTE: This form is intended for use by eligible institutions, as defined in Operating Circular 1. The Federal Reserve Banks do not, by law, provide financial services to individuals. | Form (PDF) |
Operating Circular 1 (OC 1) and Account Structure Guide (ASG) Forms
| Form | Links |
|---|---|
| Master Account Agreement (OC 1, Appendix 1) This form should be used to establish a master account with the Federal Reserve. Note: Please email the completed form to sysmac@mpls.frb.org. | Form (PDF) |
| Transaction & Service Fee Settlement Authorization (OC 1, Appendix 2) This form should be used when establishing correspondent or respondent relationships for transaction and service fee settlement relationships. Note: Please email the completed form to ccc.bankservices@kc.frb.org. | Form (PDF) |
| Pass-Through Agreement (OC 1, Appendix 3) A pass-through relationship allows a nonmember respondent to hold its required reserve balances with another institution (correspondent) that maintains a master account with a Reserve Bank. To establish a pass-through relationship, both the correspondent and the respondent institutions must complete a Pass-through Agreement. Note: Please email the completed form to your local Reserves Central District Contact. | Form (PDF) |
| Subaccount Designation Form (ASG, Attachment A) This form should be used to establish a subaccount for your institution. Note: Please email the completed form to ccc.bankservices@kc.frb.org. | Form (PDF) |
| Transaction and Service Fee Informational Reporting Instructions for other Secondary Routing Transit Numbers (RTNs) Form (ASG, Attachment B) This form should be used to establish Debit and Credit transaction activity reporting needs for Other Secondary RTNs. Note: Please email the completed form to ccc.bankservices@kc.frb.org. | Form (PDF) |
| Service Provider Service Fee Settlement Authorization Form (ASG, Attachment C) This form should be used by Service Providers to designate a Financial Institution to settle service fees. Note: Please email the completed form to ccc.bankservices@kc.frb.org. | Form (PDF) |
Accounting Information Services Forms
| Form | Links |
|---|---|
| Accounting Information Services Subscription Form Instructions The instructions provide details related to the various information tools and services your institution can subscribe to that will assist with daily position management and account reconcilement. | Instructions (PDF) |
| AIS Form 1 — Daily Statement of Account and Monthly Statement of Service Charges Delivery Options This form is used to establish a daily Statement of Account and monthly Statement of Service Charges for Respondents and Secondary RTNs. It is also used for Master Accounts to establish machine readable data and/or spreadsheet files for the daily Statement of Account and monthly Statement of Service Charges. | Form (PDF) |
| AIS Form 4b — Delivery Profile for Intra-day Premium Services This form is used for Master Accounts to establish intra-day machine readable data and spreadsheet statement files, a Correspondent/Respondent report, and/or the ability to download intra-day search results in a spreadsheet format. | Form (PDF) |
| AIS Form 6 — Authorization for Third-Party Access to Account Information This form is used to allow another institution to view real-time account and statement information. | Form (PDF) |
| AIS Form 7 — Request for Fedwire Details via the Search Feature of the Account Management Information (AMI) Application This form is used to view intra-day Fedwire details by IMAD or Counter Party. | Form (PDF) |
Merger Worksheet and Instructions
| Form | Links |
|---|---|
| Merger Instructions This document provides instructions for completing the Merger Worksheet, which serves as a formal authorization from the Financial Institution(s) to the Federal Reserve Bank to perform the updates and changes described within as it relates to a legal and/or operational merger of Financial Institutions. | Please contact your merger coordinator for a copy of the merger instructions and merger worksheet. |
| Merger Worksheet This worksheet will serve as a formal authorization from the Financial Institution(s) to the Federal Reserve Bank to perform the updates and changes described within as it relates to a legal and/or operational Merger of Financial Institutions. For assistance with completing this worksheet please refer to the Merger Instructions listed above and by contacting the Surviving Institution’s District Merger Coordinator. Contact information for each District’s Merger Coordinator is included in the Merger Instructions document. | Please contact your merger coordinator for a copy of the merger instructions and merger worksheet. |
Other Accounting Services Forms
| Form | Links |
|---|---|
| Excess Balance Account Participant Listing This form should be used to provide an initial list of participants to verify eligibility and to provide a final list of confirmed participants. | Form (PDF) |
| Excess Balance Account Agreement Redlined from prior Excess Balance Account Agreement Appendix A Appendix B The Excess Balance Account Agreement and Appendix A should be completed by the agent to establish an excess balance account with the Federal Reserve Banks. Appendix A should be completed to add participants to the excess balance account, while Appendix B should be completed to remove participants from the excess balance account. | Form (PDF) Redlined version (PDF) Form (PDF) Form (PDF) |
| Authorization to Release Information to Accounting Firms (Information Release Form) This form is required for electronic processing of confirmation requests for Account Balance and Capital Stock information from Audit Entities. | Form (PDF) Instructions (PDF) |
| Audit Confirmation Request Form For a quicker response, please submit external auditor requests for Federal Reserve Account balances, Capital Stock, Treasury Services, Discount Window Loan and Collateral, and Fedwire Securities account holdings through Confirmation.com. For your audit firm to utilize Confirmation.com, please complete the Authorization to Release Information to Accounting Firms (Information Release Form). Please note, the Federal Reserve Banks of Dallas, New York and St. Louis do not accept requests for Discount Window Loan or collateral information through Confirmation.com; therefore, these requests will need to be in writing. If a request must be submitted in writing, this form must be used and will be directed to the appropriate business lines, as applicable. Confirmation requests for Discount Window Loan and collateral information from the Federal Reserve Banks of Dallas, New York and St. Louis should be sent to those local Reserve Banks. | Form (PDF) |