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Forms

Doing Business with the FDIC

now that file extensions on file links are added automatically, removed the "Word" from link text.

Forms and policy documents required for doing business and contracting with the FDIC.

Download, fill out, and submit the following forms depending on use:

  • Electronic Submission: For public use when digital signatures (via DocuSign) are required.
  • Adobe PDF / MS Word Document: For public use when print-and-sign signatures are required.

For more information on downloading and using these files, see PDF Help and MS Word Help.

Contracting and Leasing

Form Title/Number
FDIC Leasing Representations and Certifications 
FDIC Form 3700/44 (OMB 3064-0072, Expiration Date 03/31/2025)

Electronic Submission for FDIC Form 3700/44

Acquisition

Acquisition Policy, Procedures & Forms
Links to the Acquisition Procedures and Guidance Manual and relevant policies; forms for vendors; security requirements; and information regarding cooperation with the Office of the Inspector General.

Financial Management

Form Title/Number
Payee Information for Automatic Deposit of Payment 
FDIC 4531/09 - FDIC 4531/09
Substitute Form W9, Request for Taxpayer Identification Number and Certification 
FDIC 4531/10 - FDIC 4531/10

Legal Services

Form Title/Number
Agreement for Services (Expert/Legal Support Services (LSS) Provider) Amendment 
FDIC Form 5210/03 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5210/03
Agreement for Services (Expert/Legal Support Services (LSS) Provider) Rate Schedule 
FDIC Form 5210/04 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5210/04
Expert Budget 
FDIC Form 5210/08 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5210/08
Expert Invoice for Fees & Expenses (EIF&E) 
FDIC Form 5210/01 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5210/01
Firm Travel Voucher 
FDIC Form 5210/12 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5210/12
Legal Invoice for Fees and Expenses 
FDIC Form 5210/11 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5210/11
Legal Services Agreement 
FDIC Form 5210/13 (OMB 3064-0122, Expiration Date 03/31/2026) 
See Outside Counsel Application Package 

Electronic Submission for FDIC Form 5210/13
Legal Services Agreement (LSA) Amendment 
FDIC Form 5210/06 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5210/06
Legal Support Services (LSS) Provider Budget
FDIC Form 5210/15 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5210/15
Legal Support Services (LSS) Provider Invoice for Fees and Expenses (IF&E) 
FDIC Form 5210/02 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5210/02
Litigation Budget 
FDIC Form 5000/35 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5000/35
Non-Litigation Budget 
FDIC Form 5000/26 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5000/26
Amended Litigation Budget
FDIC Form 5000/31 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5000/31
Amended Non-Litigation Budget 
FDIC Form 5000/33 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5000/33
Oral Representations and Certifications for Expert Legal Support Services Telephone Authorization for Expenditures Under $5,000 
FDIC Form 5210/14 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5210/14
Outside Counsel Legal Services Agreement (LSA) Rate Schedule 
FDIC Form 5210/10 (OMB 3064-0122, Expiration Date 03/31/2026) 
See Outside Counsel Application Package 

Electronic Submission for FDIC Form 5210/10
Representations and Certifications for Experts and Legal Support Services Provider 
FDIC Form 5210/09 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5210/09
Representations and Certifications for Legal Contractors
FDIC Form 5200/01 (OMB 3064-0122, Expiration Date 03/31/2026) 

Electronic Submission for FDIC Form 5200/01
Certification of Identity
FDIC Form 1360/09

Last Updated: September 20, 2024