Check Services Test Request Form

Testing is available Tuesday through Friday.

* Required fields

All requests must be received by noon EST five (5) business days prior to the requested date.

Submit agreements prior to testing date to streamline the testing process.

The test file will contain a compilation of archived Check production payment items for the requested testing institution(s). The Federal Reserve Bank will replace sensitive customer data in the test file with generic masking data. All transactions in the test file will contain the original customer account number so successful testing can be executed. Test item dollar amounts are defaulted to $1.00.

Today's Date *

Requested Test Date *

Testing Environment *
-Select One- Production Pre-production

Agreements submitted? *
-Select One- Yes No Unsure

Reason for Test *

•   Processor / Agent Change
•   Moving In-House / Self
•   New Software / Upgrade
•   Contingency
•   New / Changed Service
•   Merger
•   Other / Deposit Testing

Requested File Type(s) *

•   FedReceipt^® Plus Forward
•   FedReceipt Plus Returns
•   PDF Item Delivery
•   MICR Only File
•   FedForward / FedReturn (include work type of test in comments section below)

Select Connection Type *
-Select one- Via the internet using FedLine® Connect:Direct SVPCO

01 Record RTN *

Nine digit number required (999999999)

10/20 Header Record RTN *

Nine digit number required (999999999)

Select Output Delivery *
-Select one- Discrete Commingled

Discrete (only one RTN) or Commingled (multiple RTNs – up to 10)

Discrete (only one RTN) or Commingled (multiple RTNs – up to 10)

ONLY if "Commingled"

Contact Information

Financial Institution Name *

Financial Institution RTN *

Nine digit number required (999999999)

First Name *

Last Name *

Contact Work Phone Number *

Contact Work Email Address *

Alternate Contact Name *

Alternate Contact Work Phone Number *

Alternate Contact Work Email Address *

If testing with a service provider, please complete the information below:

Processor / Agent Name

Processor RTN / ETI

Processor Contact Name

Processor Work Phone Number

Processor Email Address

General Information

Special Requests, Additional Information, or Comments

Limit of 254 characters, including spaces.

Submit

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