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Bank Supervision: Reports & Notices

Last Updated: April 20, 2023

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?
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

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
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

Interagency Bank Merger Act Application
FDIC 6220/01 (OMB 3064-0015, Expiration Date 07/31/2024)

Electronic Submission for FDIC 6220/01
 
Interagency Biographical and Financial Report
FDIC 6200/06 (OMB 3064-0006, Expiration Date 07/31/2024)

Electronic Submission for FDIC 6200/06
 
Interagency Notice of Change in Control
FDIC 6822/01 (OMB 3064-0019, Expiration Date 07/31/2024)

Electronic Submission for FDIC 6822/01
 
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
 
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
 
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
 
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
 
Notification of Performance of Bank Services
FDIC 6120/06 (OMB 3064-0029, Expiration Date 04/30/2023)

Electronic Submission for FDIC 6120/06
 
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
 
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
 
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
 
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
 
Application for registration as a municipal securities dealer or amendment of the same (Form MSD)
(OMB 3235-0083, Expiration Date 11/30/2022)
 
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)
 
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

 
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

 
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)
 
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