Fedwire® Contingency Test Registration Form

For questions related to this sign-up form, please contact the Support Center at (833) 377-7827, (option 3, sub-option 3) for Fedwire Services.

Please print this page for your records after you have completed the form. Then, click "Submit" to complete your registration.

A member of our testing services team will contact you about the next steps after your form is submitted.

* Required fields

Section 1: Testing Date Selection

Section 2: Customer Information

Nine digit number required (999999999)


Operational Contact



Please enter your 10-digit phone number without hyphens. For example XXXXXXXXXX.



Requested by

(if different than operational contact above)




Please enter your 10-digit phone number without hyphens. For example XXXXXXXXXX.



ASP Vendor

(if applicable)





Please enter your 10-digit phone number without hyphens. For example XXXXXXXXXX.



MQ Support Contact



Please enter your 10-digit phone number without hyphens. For example XXXXXXXXXX.



Next-Level Officer Contact

The financial institution officer used for escalation purposes if the operational contact listed above cannot be reached.




Please enter your 10-digit phone number without hyphens. For example XXXXXXXXXX.



Section 3: Service Specific Information
Service
Section 4: Test Environment Location

Primary Production Site Information




(i.e. X.X.X.123)

Information you provide in this form will be added to our database and used to communicate with you related to your submission, including future commercial communications. Information you provide may also be used for internal reporting purposes and may influence email preferences. FRFS maintains appropriate technical and organizational safeguards against unauthorized processing and unauthorized disclosure of your information. We do not sell or otherwise disclose your data except as described in this notice or with external service providers with whom we collaborate in organizing events or providing services. You will be able to unsubscribe from commercial communications by following the “Update Subscription Preferences” link at the bottom of a message or by replying "unsubscribe" to the message. Detailed information on the processing of your personal data can be found in our FRBservices.org Privacy Policy.

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