Forms
FedACH® Services Forms
Use the links below to access the forms and agreements you will need to set up or use Federal Reserve Financial Services.
Service and Access 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
FedACH Services Participation Agreement
FedACH Services Participation Agreement
| Number | Form | Links |
|---|---|---|
| ACH-Instructions | FedACH Services Participation Agreement This new FedACH Participation Agreement is effective as of March 3, 2017. Existing agreements currently in place with the Federal Reserve Banks will remain effective regardless of this change, and new agreements will not need to be re-submitted. Before a financial institution begins to originate or receive FedACH items through the Federal Reserve Banks, a FedACH Participation Agreement must be completed and signed by an authorized individual at the institution. If a financial institution has updates to an existing agreement, only applicable portions should be completed and signed. The Agreement gives the Federal Reserve Banks authorization to direct items and settlement for FedACH participants. | Instructions (PDF) IAT Output Sort Sign Up Instructions |
Part 1 – Agreement to Terms and General Participant Information
| Number | Form | Links |
|---|---|---|
| ACH-01 | Part 1 – Agreement to Terms and General Participant Information This part is used to update your institution’s name, published phone number, Payments Association affiliation and address. | Form (PDF) |
Part 2 – Origination Options
| Number | Form | Links |
|---|---|---|
| ACH-Instructions | Need help choosing an Origination table? | Instructions (PDF) |
| ACH-02, S.1 | Table S.1 – Basic Sending Point Option Your organization is a Sending Point | Form (PDF) |
| ACH-02, S.2 | Table S.2 – Service Provider Designation Your organization is not a Sending Point but is an Originating Depository Financial Institution | Form (PDF) |
| ACH-02, S.3 | Table S.3 – Sending Point Designation Your organization is neither a Sending Point nor an Originating Depository Financial Institution | Form (PDF) |
| ACH-02, S.4 | Table S.4 – Sending Point/Service Provider Contact Form Individuals within your organization who are authorized to verify ACH file control information | Form (PDF) |
Part 3A – Receipt Options
| Number | Form | Links |
|---|---|---|
| ACH-Instructions | Need help choosing a Receipt table? | Instructions (PDF) |
| ACH-03A, R.1 | Table R.1 – Receiving Point Options for Participating Institutions/Service Providers Your institution is a Receiving Point. | Form (PDF) |
| ACH-03A, R.2 | Table R.2 – Receiving Point File Sort Selections for Depository Institutions This form was combined with ACH-03A R.1. Please utilize Table R.1 going forward. | |
| ACH-03A, R.3 | Table R.3 – Service Provider Designation for Participating Institutions Your institution will use a single Receiving Point (other than itself) to receive all item types. | Form (PDF) |
| ACH-03A, R.4 | Table R.4 – Participating Institution Item Type Receipt Sort Options Your institution will use multiple Receiving Points to receive different item types. | Form (PDF) |
Part 3B – Receipt Options
| Number | Form | Links |
|---|---|---|
| ACH-Instructions | Need help choosing a Receipt table? | Instructions (PDF) |
| ACH-03B, R.5 | Table R.5 – Basic Receipt Option for Non-Depository Institution Processors This form was combined with ACH-03A R.1. Please utilize Table R.1 going forward. | |
| ACH-03B, R.6 | Table R.6 – Receiving Point File Sort Selections for Service Providers This form was combined with ACH-03A, R.1. Please utilize Table R.1 going forward. | |
| ACH-03B, R.7 | Table R.7 – Receiving Point Designation Your organization is not a Receiving Point and another entity will receive your unsorted files. | Form (PDF) |
| ACH-03B, R.8 | Table R.8 – Service Provider File Sort Selections Your organization is not a Receiving Point and another entity will receive your sorted files. | Form (PDF) |
Part 4 – Sending Point and Receiving Point Contingency Information
| Number | Form | Links |
|---|---|---|
| ACH-04 | Part 4 – Sending Point and Receiving Point Contingency Information | Form (PDF) |
Part 5
| Number | Form | Links |
|---|---|---|
| ACH-05A | Part 5A – Advices | Form (PDF) |
| ACH-05B | Part 5B – Balance Report | Form (PDF) |
| ACH-05D | Part 5D – Information File | Form (PDF) |
Part 6A – FedGlobal ACH Payments
| Number | Form | Links |
|---|---|---|
| ACH-06A, Sec A | Section A – FedGlobal Service Request Form | Form (PDF) |
| ACH-06A, Sec B | Section B – F3X Service Request Form | Form (PDF) |
Part 6B – FedACH Risk Origination Monitoring Service
| Number | Form | Links |
|---|---|---|
| ACH-06B | Part 6B – FedACH Risk Origination Monitoring Service | Form (PDF) |
Part 6C – FedACH Risk RDFI Alert Service Request Form
| Number | Form | Links |
|---|---|---|
| ACH-06C | Part 6C – FedACH Risk RDFI Alert Service Request Form | Form (PDF) |
Part 6D – FedPayments Reporter
| Number | Form | Links |
|---|---|---|
| ACH-06D, Sec A | Section A – Service Request Form | Form (PDF) |
| ACH-06D, Sec B | Section B – Designation of Nonpayment File Delivery Channel and Connection (Reports via FedLine) | Form (PDF) |
| ACH-06D, Sec C | Section C – Designation of Nonpayment File Sending Connection (On-us Inclusion) | Form (PDF) |
Part 6E – Designation of Service Participation Point
| Number | Form | Links |
|---|---|---|
| ACH-06E, Sec A | Section A – Service Participation Point Owned by Your Institution | Form (PDF) |
| ACH-06E, Sec B | Section B – Third Party Service Participation Point | Form (PDF) |
Part 6F – Exception Resolution Service
| Number | Form | Links |
|---|---|---|
| ACH-06F | Part 6F – FedACH Exception Resolution Service Request Form | Form (PDF) |
Part 6G – FedPayments® Insights Service
| Number | Form | Links |
|---|---|---|
| ACH-06G | Part 6G: FedACH FedPayments Insights Service – Service Request Form | Form (PDF) |
Part 6H – FedDetect Anomaly Notification for FedACH Services
| Number | Form | Links |
|---|---|---|
| ACH-06H | Part 6H: FedDetect Anomaly Notification for FedACH Services – Service Request Form | Form (PDF) |
Part 7 – Merger Options
| Number | Form | Links |
|---|---|---|
| ACH-07 | Part 7 – Merger Options Form | Form (PDF) |
Part 8 – ACH Security Procedure Agreement
| Number | Form | Links |
|---|---|---|
| ACH-08 | Part 8 – ACH Security Procedure Agreement | Form (PDF) |
Part 9 – Receipt Discount Program
| Number | Form | Links |
|---|---|---|
| ACH-09 | Part 9 – Receipt Discount Program | Form (PDF) |
FedACH Test Request Form
| Number | Form | Links |
|---|---|---|
| FedACH Test Request Financial institutions may want to test FedACH operations due to a new sending or receiving point, a platform change or for contingency purposes by scheduling to send/receive a data test file. | Form |
Exception Fax Forms
| Number | Form | Links |
|---|---|---|
| ACH-09A | ACH Return Item Exception Fax Form | Form (PDF) Instructions (PDF) |
| ACH-09B | ACH Return Item Exception Fax Form for IAT Items | Form (PDF) Instructions (PDF) |
| ACH-09C | Notification of Change (NOC) Exception Fax Form | Form (PDF) Instructions (PDF) |
| ACH-09D | Notification of Change (NOC) Exception Fax Form for IAT Items | Form (PDF) Instructions (PDF) |
| ACH-09E | Dishonored Return Item Exception Fax Form | Form (PDF) Instructions (PDF) |
| ACH-09F | Contested Dishonored Return Item Exception Fax Form | Form (PDF) Instructions (PDF) |
FedACH Exception Case Request Form
| Number | Form | Links |
|---|---|---|
| ACH-10 | FedACH Exception Case Request For use by Exception Resolution Service Offline Service Participants | Form (PDF) |