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/Number | Available via FDICconnect? | |
|---|---|---|
| Application for Consent to Exercise Trust Powers FDIC 6200/09, OMB 3064-0025 (01/31/2025) |
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| Application Pursuant to Section 19 of the FDI Act FDIC 6710/07, OMB 3064-0018 (12/31/2024) Electronic Submission for FDIC 6710/07 |
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| Interagency Bank Merger Act Application FDIC 6220/01, OMB 3064-0015 (07/31/2024) |
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| Interagency Charter and Federal Deposit Insurance Application FDIC 6200/05, OMB 3064-0001 (10/31/2025) Electronic Submission for FDIC 6200/05 |
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| Loan/Application Register FDIC 3064-0046 (Formerly FDIC 6440/12) (www.ffiec.gov) |
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| Personal Financial Statement FDIC 7600-01 |
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| 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 | ||