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Forms and Documents

Bank Supervision: Reports & Notices

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.
  • FDICconnect: For financial institutions conducting business with the FDIC. For each form identified as "Available via FDICconnect," a financial institution can submit the form electronically by accessing the FDICconnect transaction of the same name.

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

Form Title/NumberAvailable via FDICconnect?
Form 3: Initial Statement of Beneficial Ownership of Securities
FDIC 6800/03 (OMB 3064-0030, Expiration Date 04/30/2026)
(Formerly Form F-7)
Form 3 Instructions
 
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Form 4: Statement of Changes in Beneficial Ownership of Securities 
FDIC 6800/04 (OMB 3064-0030, Expiration Date 04/30/2026)
(Formerly Form F-8)
Form 4 Instructions
 
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Form 5: Annual Statement of Beneficial Ownership of Securities
FDIC 6800/05 (OMB 3064-0030, Expiration Date 04/30/2026)
(Formerly Form F-8A)
Form 5 Instructions
 
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Interagency Bank Merger Act Application 
FDIC 6220/01 (OMB 3064-0015, Expiration Date 05/31/2027)
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Interagency Biographical and Financial Report 
FDIC 6200/06 (OMB 3064-0006, Expiration Date 08/31/2027) 

Electronic Submission for FDIC 6200/06		 
Interagency Notice of Change in Control
FDIC 6822/01 (OMB 3064-0019, Expiration Date 08/31/2027)
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Interagency Notice of Change in Director of Senior Executive Officer
FDIC 6822/02 (OMB 3064-0097, Expiration Date 08/31/2027)
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Notice and Authorization Pertaining to Consumer Reports Pursuant to the Fair Credit Reporting Act of 1970, 15 U.S.C. § 1681, et seq.
FDIC 1600/10		 
Notice by Financial Institutions of Government Securities Broker or Government Securities Dealer Activities (G-FIN). 
FDIC 6830/01 (OMB 3064-0093, Expiration Date 03/31/2025) 
G-FIN Instructions 

Electronic Submission for FDIC 6830/01		 
Notice by Financial Institutions of Termination of Activities as a Government Securities Broker or Government Securities Dealer (G-FINW). 
FDIC 6830/04 (OMB 3064-0093, Expiration Date 03/31/2025) 
G-FINW Instructions 

Electronic Submission for FDIC 6830/04		 
Notification of Performance of Bank Services 
FDIC 6120/06 (OMB 3064-0029, Expiration Date 06/30/2026)
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Registered Transfer Agents
Transfer Agent Registration and Amendment Form (Form TA-1)
FDIC 6342/01 (OMB 3064-0026, Expiration Date 02/28/2026) 

Electronic Submission for FDIC 6342/01		 
Registered Transfer Agent
Request for Deregistration for Registered Transfer Agents (Form TA-W) 
FDIC 6342/12 (OMB 3064-0026, Expiration Date 02/28/2026) 

Electronic Submission for FDIC 6342/12		 
Disclosure form for persons associated with a Financial Institution Government Securities Broker or Dealer (G-FIN-4) 
FDIC 6830/02 (OMB 3064-0093, Expiration Date 03/31/2025) 

Electronic Submission for FDIC 6830/02		 
Uniform Termination Notice for Persons Associated with a Financial Institution Government Securities Broker or Dealer (G-FIN-5) 
FDIC 6830/03 (OMB 3064-0093, Expiration Date 03/31/2025) 

Electronic Submission for FDIC 6830/03		 
Application for registration as a municipal securities dealer or amendment of the same (Form MSD)
(OMB 3235-0083, Expiration Date 11/30/2022) 
 		 
Form for reporting activities of transfer agents registered pursuant to Section 17A of the Securities Exchange Act of 1934 (TA-2)
(OMB 3235-0337, Expiration Date 02/28/2022)		 
Uniform Application for Municipal Securities Principal or Municipal Securities Representative Associated With a Bank Municipal Securities Dealer (MSD-4)
FDIC 6200/54 (OMB 3064-0022, Expiration Date 05/31/2027)
MSD-4 Instructions 

Electronic Submission for FDIC 6200/54		 
Uniform Termination Notice for Municipal Securities Principal or Municipal Securities Representative Associated with a Bank Municipal Securities Dealer (MSD-5)
FDIC 6200/55 (OMB 3064-0022, Expiration Date 05/31/2027)
MSD-5 Instructions 

Electronic Submission for FDIC 6200/55		 
Notice of Withdrawal From Registration as a Municipal Securities Dealer
Pursuant to Rule 15Bc3-1 (17 CFR 240.15Bc3-1) (MSD-W)
(OMB 3235-0087, Expiration Date 12/31/2022)
 		 
The BSA E-Filing System supports electronic filing of Bank Secrecy Act (BSA) forms (either individually or in batches) through a FinCEN secure network. BSA E-Filing provides a faster, more convenient, more secure, and more cost-effective method for submitting BSA forms. Learn more about BSA E-Filing here. 
Notification of Branch Closing
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FDIC Post Examination Surveys
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Last Updated: March 25, 2024