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 more information on downloading and using these files, see PDF Help, MS Word Help, and FDICconnect Frequently Asked Questions.
| Form Title/Number | Available via FDICconnect? | |
|---|---|---|
| Application for Consent to Exercise Trust Powers FDIC 6200/09, OMB 3064-0025 (01/31/2025) Electronic Submission for FDIC 6200/09 |
||
| Application Pursuant to Section 19 of the FDI Act FDIC 6710/07, OMB 3064-0018 (12/31/2024) Electronic Submission for FDIC 6710/07 |
||
| Interagency Bank Merger Act Application FDIC 6220/01, OMB 3064-0015 (07/31/2024) Electronic Submission for FDIC 6220/01 |
||
| Interagency Charter and Federal Deposit Insurance Application FDIC 6200/05, OMB 3064-0001 (10/31/2025) Electronic Submission for FDIC 6200/05 |
||
| Loan/Application Register FDIC 3064-0046 (Formerly FDIC 6440/12) (www.ffiec.gov) |
||
| Personal Financial Statement FDIC 7600-01 |
||
| Applications Pursuant to Prompt Corrective Action | ||
| Application for Brokered Deposit Waiver | ||
| Application to Establish or Relocate Domestic Branch or Office | ||
| Application for an Extension of Time | ||
| Application to Enter Contracts and Make Golden Parachute or Excess Severance Plan Payments | ||
| Application to Reduce or Retire Capital Stock or Capital Debt | ||
| Application to Customize EDIE for Your Bank’s Website | ||