Forms and policy documents required for doing business and contracting with the FDIC.
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.
For more information on downloading and using these files, see PDF Help and MS Word Help.
Contracting and Leasing
| Form Title/Number | ||
|---|---|---|
| FDIC Leasing Representations and Certifications FDIC Form 3700/44 (OMB 3064-0072, Expiration Date 03/31/2025) Electronic Submission for FDIC Form 3700/44 |
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Acquisition
| Form Title/Number | ||
|---|---|---|
| Policy and Procedures | ||
| Acquisition Program FDIC Directive 3700.16 |
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| Acquisition Procedures and Guidance Manual (APGM) (Includes Provisions and Clauses in Module 7) |
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| Background Investigation (If you experience difficulty accessing the forms, please contact your Contracting Officer.) | ||
| Background Investigation Questionnaire for Contractors FDIC Form 1600/07 (OMB 3064-0072; Expiration 01/31/2022) Electronic Submission for FDIC Form 1600/07 |
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| Background Investigation Questionnaire for Contractor Personnel and Subcontractors FDIC Form 1600/04 (OMB 3064-0072; Expiration 01/31/2022) Electronic Submission for FDIC Form 1600/04 |
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| Notice and Authorization Pertaining to Consumer Reports FDIC Form 1600/10 |
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| Past Performance | ||
| FDIC Past Performance Questionnaire FDIC Form 3700/57 |
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| Directives | ||
| Information Technology Acceptable Use FDIC Directive 1300.04 |
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| Protecting Information FDIC Directive 1360.09 |
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| Corporate Passwords Standards FDIC Directive 1360.10 |
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| Reporting Information Security Incidents FDIC Directive 1360.12 |
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| Access Control for Information Technology Resources FDIC Directive 1360.15 |
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| Mandatory Information Security Awareness Training FDIC Directive 1360.16 |
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| Possession of Firearms and Dangerous Weapons in FDIC Facilities FDIC Directive 1600.1 |
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| Workplace Violence Prevention FDIC Directive 1600.2 |
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| Personnel Security and Suitability Program for FDIC Contractors and Contractor Personnel FDIC Directive 1610.2 |
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| Cooperation with the Office of Inspector General FDIC Directive 12000.01 |
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| FDIC Equal Opportunity Policy Circular 2710.1 |
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| Anti-Harassment Program FDIC Directive 2710.03 |
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| Travel | ||
| Contractor Travel Reimbursable Guidelines | ||
| Accessibility - Section 508 | ||
| Accessibility Conformance Report (ACR) | ||
| Miscellaneous | ||
| 12 CFR 366 - Minimum Standard of Integrity and Fitness for an FDIC Contractor | ||
| 12 CFR 367 - Suspension and Exclusion of Contractor and Termination of Contracts | ||
| Limitation on Use of Appropriated Funds to Influence Certain Federal Contracting and Financial Transactions Contractor 31 USC 1352 |
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| FDIC Breach Response Plan | ||
| FDIC Post-Government Employment Certification | ||
| SRS Prime Contractor User Guide | ||
| Certification – Fair Inclusion of Minorities and Women FDIC Form 3700/59 Electronic Submission for FDIC Form 3700/59 |
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| FDIC Contractor Representations and Certifications FDIC Form 3700/04A (OMB 3064-0072; Expiration 03/31/2025) Electronic Submission for FDIC Form 3700/04a |
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| FDIC Integrity and Fitness Representations and Certifications FDIC Form 3700/12 (OMB 3064-0072; Expiration 03/31/2025) Electronic Submission for FDIC Form 3700/12 |
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| Pre-Exit Clearance/Transfer Record for Contractor Personnel FDIC Form 3700/25 |
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Financial Management
| Form Title/Number | ||
|---|---|---|
| Payee Information for Automatic Deposit of Payment FDIC 4531/09 |
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| Substitute Form W9, Request for Taxpayer Identification Number and Certification FDIC 4531/10 |
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Legal Services
| Form Title/Number | ||
|---|---|---|
| Agreement for Services (Expert/Legal Support Services (LSS) Provider) Amendment FDIC Form 5210/03 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5210/03 |
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| Agreement for Services (Expert/Legal Support Services (LSS) Provider) Rate Schedule FDIC Form 5210/04 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5210/04 |
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| Expert Budget FDIC Form 5210/08 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5210/08 |
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| Expert Invoice for Fees and Expenses (EIF&E) FDIC Form 5210/01 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5210/01 |
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| Law Firm Travel Voucher FDIC Form 5210/12 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5210/12 |
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| Legal Invoice for Fees and Expenses FDIC Form 5210/11 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5210/11 |
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| Legal Services Agreement FDIC Form 5210/13 (OMB 3064-0122, Expiration Date 03/31/2026) See Outside Counsel Application Package Electronic Submission for FDIC Form 5210/13 |
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| Legal Services Agreement (LSA) Amendment FDIC Form 5210/06 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5210/06 |
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| Legal Support Services (LSS) Provider Budget Form FDIC Form 5210/15 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5210/15 |
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| Legal Support Services (LSS) Provider Invoice for Fees and Expenses (IF&E) FDIC Form 5210/02 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5210/02 |
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| Litigation Budget FDIC Form 5000/35 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5000/35 |
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| Non-Litigation Budget FDIC Form 5000/26 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5000/26 |
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| Amended Litigation Budget Form FDIC Form 5000/31 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5000/31 |
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| Amended Non-Litigation Budget FDIC Form 5000/33 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5000/33 |
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| Oral Representations and Certifications for Expert Legal Support Services Telephone Authorization for Expenditures Under $5,000 FDIC Form 5210/14 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5210/14 |
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| Outside Counsel Legal Services Agreement (LSA) Rate Schedule FDIC Form 5210/10 (OMB 3064-0122, Expiration Date 03/31/2026) See Outside Counsel Application Package Electronic Submission for FDIC Form 5210/10 |
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| Representations and Certifications for Experts and Legal Support Services Provider FDIC Form 5210/09 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5210/09 |
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| Representations & Certifications for Legal Contractors FDIC Form 5200/01 (OMB 3064-0122, Expiration Date 03/31/2026) Electronic Submission for FDIC Form 5200/01 |
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| Certification of Identity FDIC Form 1360/09 |
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