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Federal Deposit
Insurance Corporation

Each depositor insured to at least $250,000 per insured bank

Section 19 Application Instructions

Section 19 of the Federal Deposit Insurance Act prohibits individuals that are convicted of certain criminal offenses from participating in the affairs of an insured depository institution without the written consent of the FDIC.  Individuals or banks can seek the FDIC’s written consent by filing Section 19 Application Form 6710-07, Application Pursuant to Section 19 of the Federal Deposit Insurance Act.  This form distinguishes between applications that are bank-sponsored and applications that are for individual waivers.  The form can be downloaded from the FDIC website in both PDF and Word versions.

In addition to completing Form 6710-07, applicants must contact the appropriate FDIC regional or area office to request supplemental materials that must be completed and submitted with the completed application form.  These supplemental materials are not available on the FDIC website or electronically (e.g., fingerprint cards), and will be mailed to the applicant by the appropriate regional or area office.

Appropriate FDIC office listings are located on page 2 of Form 6710-07.  Also, each FDIC regional or area office has Section 19 contacts available to answer questions about the application process.  An applicant must file with the appropriate FDIC office for his/her application to be processed.  The appropriate FDIC office is determined by the applicant’s current state or territory of residence, and not by the state where the conviction or prosecution occurred. Failure to submit all required information (application and supplemental materials) to the appropriate FDIC office will delay the processing of your application.

Applicants are strongly encouraged to contact the appropriate FDIC office before submitting a Section 19 application for consideration. Please refer to the list below.

If you currently reside in: Your contact is: Contact Information
Alabama, Florida, Georgia, North Carolina, South Carolina, Virginia, West Virginia Anna Mills/Atlanta Regional Office 678-916-2205
Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont or US Territories - Puerto Rico, Virgin Islands Rebecca Williams/Boston Area Office 781-794-5634
Illinois, Indiana, Kentucky, Michigan, Ohio, Wisconsin John Lombardo/Chicago Regional Office 312-382-7516
Colorado, New Mexico, Oklahoma, Texas Sonya Ramsey/Dallas Regional Office 972-761-2049
Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota Dustin Berrie/Kansas City Regional Office 816-234-8058
Arkansas, Louisiana, Mississippi, Tennessee Ken Buford/Memphis Area Office 901-821-5217
Delaware, Maryland, New Jersey, New York, Pennsylvania, Kristi L. Keating/New York Regional Office 917-320-2567
Alaska, Arizona, California, Hawaii, Idaho, Montana, Nevada, Oregon, Utah, Washington, Wyoming or US Territories – American Samoa, Guam Edmund Wong/San Francisco Regional Office 415-808-8252
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