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
(Formerly FDIC 6440/12)
| Personal Financial Statement
|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|