Forms
Fedwire® Securities Service 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
Fedwire Services Forms
| Form | Links |
|---|---|
| Fedwire Services Third Party Service Arrangement (Operating Circular 6, Appendix C) The Third Party Service Arrangement form is used by financial institutions to designate another entity to act as its service provider with respect to the Fedwire Funds Service and/or the Fedwire Securities Service. | Form (PDF) |
| Fedwire Services Application Test Request Form An essential component of Fedwire Services includes widely available and reliable testing. We operate the Depository Institution Testing (DIT) environment on a daily basis Monday through Saturday. In addition, on selected Saturdays, the production environment is available for customer testing. Complete the form to schedule a test for FedLine Direct, FedPayments Manager, Cover Payments or Statements. | Form |
| FedLine Direct Message Connectivity Test or Repoint Request Form This form should be used to request a FedLine Direct Message connectivity test and/or an alternate site processing repoint. The information requested in this form may be obtained in the FedLine Direct Implementation Plan that was provided to your organization when the FedLine Direct connection was established. | Form (PDF) |
| Fedwire Services Contingency Test Request Form A two-step process that requires you to validate your organization’s testing eligibility. After entering your ABA, if your organization is eligible to participate, a link will be provided to the registration forms. You must then complete one registration form for each date that you plan to test. Specific testing dates are designated by the Federal Reserve Banks each year and listed on our site. | Form |
| Fedwire Services Contingency Post Test Survey Form We encourage participating organizations to provide feedback on their testing experience at the conclusion of Fedwire Services Contingency Tests. The survey will help the Federal Reserve Banks to ensure that we continue to provide the highest level of support during these tests. | Form |
Fedwire Securities Services Forms
| Form | Links |
|---|---|
| Audit Confirmation Request Form Financial institutions, audit firms or their regulators making audit confirmation requests can use this Audit Confirmation Request Form, including requests for copies of securities holdings statements as of a particular date. Complete the ‘Wholesale Operations’ business line in Section 3 of the Audit Confirmation Request Form to request Fedwire Securities Services audit confirmations. The Fedwire Securities Service prefers to receive audit confirmation requests through Confirmation.com in place of the paper form. To take advantage of this electronic approach, please work with your audit firm to submit requests via Confirmation.com. For your audit firm to utilize Confirmation.com, please complete the Authorization to Release Information to Accounting Firms (Information Release Form) (PDF). | Form (PDF) |
| Authorization to Release Information to Accounting Firms (Information Release Form) for electronic Audit Confirmation Requests Form is required for preferred electronic processing of confirmation requests from Audit Entities, for Fedwire Securities Service holdings statement information through Confirmation.com. | Form |
| Authorization to Release Information to Accounting Firms (Information Release Form) for electronic Audit Confirmation Requests Form is required for preferred electronic processing of confirmation requests from Audit Entities, for Fedwire Securities Service holdings statement information through Confirmation.com. | Form (PDF) |
| Transaction and Service Fee Settlement Authorization (Operating Circular 1 – Appendix 2) The Transaction and Service Fee Settlement Authorization form is used by financial institutions to establish correspondent/respondent relationships for the purpose of settling financial transactions and service charges. | Form (PDF) |
| Pledgee Agreement and Authorization List & Instructions (Operating Circular 7 – Appendix C) The Fedwire Securities Joint Custody Service is designed to assist state and local government entities in mitigating risk to deposits of public funds in excess of Federal Deposit Insurance Corporation (FDIC) insurance limits. The service facilitates the collateralization of deposits made by a government entity, including deposits above the current $250,000 insurance limit, through the pledging of book-entry securities by its depository financial institution. | Form (PDF) Instructions |
| Joint Custody Service FedMail Request Form & Instructions (Operating Circular 5) Provides the ability to receive Joint Custody Daily Activity Statements and monthly Book-Entry Securities Holdings Statements electronically. The email is sent in text format; the statements and reports are sent as attachments, which may be viewed with a text editor, spreadsheet or word processing software. Please note: FedMail® Fax was eliminated on December 31, 2023. If you utilized FedMail Fax and have yet to convert to FedMail Email to receive Joint Custody reports, an authorized individual listed on your organization’s current pledgee agreement on file with the Federal Reserve Bank must submit the Fedwire Securities Joint Custody Service FedMail Request Form to setup FedMail Email. | Form and Instructions (PDF) |