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? | |
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| 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 - pdf |
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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 - pdf |
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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 - pdf |
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| Interagency Bank Merger Act Application FDIC 6220/01 (OMB 3064-0015, Expiration Date 07/31/2024) Electronic Submission for FDIC 6220/01 |
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| Interagency Biographical and Financial Report FDIC 6200/06 (OMB 3064-0006, Expiration Date 07/31/2024) Electronic Submission for FDIC 6200/06 |
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| Interagency Notice of Change in Control FDIC 6822/01 (OMB 3064-0019, Expiration Date 07/31/2024) Electronic Submission for FDIC 6822/01 |
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| Interagency Notice of Change in Director of Senior Executive Officer FDIC 6822/02 (OMB 3064-0097, Expiration Date 07/31/2024) Electronic Submission for FDIC 6822/02 |
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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 |
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| 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 |
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| 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 |
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| Notification of Performance of Bank Services FDIC 6120/06 (OMB 3064-0029, Expiration Date 04/30/2023) Electronic Submission for FDIC 6120/06 |
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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 |
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| 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 |
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| 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 |
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| 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 |
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| Application for registration as a municipal securities dealer or amendment of the same (Form MSD) (OMB 3235-0083, Expiration Date 11/30/2022) |
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| 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) |
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| 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 06/30/2024) MSD-4 Instructions Electronic Submission for FDIC 6200/54 |
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| 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 06/30/2024) MSD-5 Instructions Electronic Submission for FDIC 6200/55 |
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| 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) |
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| 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 | ||
| FDIC Post Examination Surveys | ||