Accounting Information Services Subscription

Form 1 – Delivery Profile for Statement of Account

To the Federal Reserve Bank of: ________________________________ Customer: ____________________________________

Customer Address: ____________________________________________Effective Date: _____________________________

Routing Transit Number (ABA): __________________________________________

Authorization:

Authorized Approver and Title: ________________________________ Signature: _______________________________________

Telephone: _____________________________________ Email: ________________________________________________

This form is for: Add Change Delete

(See Fee Schedules for any applicable fees)

Please select applicable boxes below for Statement Type and Service/Delivery Method:
Select Statement Type: Additional Notes
Statement of Account (Master Accounts Only)
Check here to not include Statement of Your
Statement includes summary and detail, but is also available as summary only
Subaccounts’ Activity, if applicable Check here for Summary Only
Check here to not include Statement of Your
Respondents’ Activity, if applicable (Statement of Your Subaccounts’ Activity and Statement of Your Respondents’
Check here to not include Statement of Items Activity are available in Detail only)
Through Your Master, if applicable
Statement of Items Through Your Correspondent Statement includes summary and detail, but is also available as summary only
(Respondents) Check here for Summary Only
Statement of Items Through Your Master Statement includes summary and detail, but is also available as summary only
(Subaccounts) Check here for Summary Only

Select Statement Service/Delivery Method:

Report:
a. PDF View and/or Print Statement of Account through the Account Management Information (AMI) application

b. Print-image FedMail e-mail or fax delivery - Please complete the FedMail Service Request form available at
http://www.frbservices.org/servicesetup/access/fedmail_setup.html

Data File:

c. Machine Readable Reconcilement file (FIRD) through the AMI application

d. Reconcilement Statement of Account Spreadsheet Format (SASF) through the AMI application

e. Machine Readable Reconcilement file (FIRD) delivery through FedLine Direct or FedLine Command:

Please specify delivery Routing Transit Number (ABA#)_____________________

FRB use only: Effective Date: __________________ Date Received: _________________Processed By:_______________________
Processor: _____________Sig. Verification: _____________________ Date Contacted:___________Time:_________
DI Contact:____________________ FRB Contact:____________________ Number Called/EXT:________________

Allow at least five business days for a subscription form to be processed at the Federal Reserve Bank. Please contact the Federal Reserve Bank to confirm the date
that this request will be in effect. Retrieving information from the Account Management Information (AMI) application requires FedLine Web® or FedLine AdvantageSM access
and applicable credential access. The Federal Reserve Bank End User Authorization Contact (EUAC) Designation and Authorization Form, the Federal Reserve Bank Subscriber
Credential and Access Control Request Form and instructions can be found at the Federal Reserve Financial Services website: www.frbservices.org. Select “Service and Access
Sign Up ”. For any applicable fee information regarding Access Solutions and Account Services, go to the Federal Reserve’s Financial Services website
www.frbservices.org, select Service Fees.

The Financial Services logo, “FedLine Web,” “FedLine Advantage,” “FedLine” and “FedMail” are either registered or unregistered trademarks or service marks of the Federal
Reserve Banks. A complete list of marks owned by the Federal Reserve Banks is available at www.frbservices.org.
08/09
 Accounting Information Services Subscription
Form 2 – Delivery Profile for Statement of Service Charges

To the Federal Reserve Bank of: ________________________________ Customer: ____________________________________

Customer Address: ____________________________________________Effective Date: _____________________________

Routing Transit Number (ABA): __________________________________________

Authorization:

Authorized Approver and Title: ________________________________ Signature: _______________________________________

Telephone: _____________________________________ Email: ________________________________________________

This form is for: Add Change Delete

Please select applicable boxes below for Statement Type and Service/Delivery Method:

Select Statement Type: Additional Notes

Statement of Service Charges: Master Account A standard summary or a summary with Service Area Totals for Subaccount/Respondents
are available.
Check here: Summary w/ Service Area Totals
Statement of Service Charges: Subaccount A standard summary or a summary with Service Area Totals for Respondents are available
Check here: Summary w/ Service Area Totals
A standard summary or a summary with Service Area Totals for Respondents are available
Statement of Service Charges: Respondent
Check here: Summary w/ Service Area Totals

Select Service/Delivery Method

Report:
a. View, Print and/or Download Summary Statements and Detailed information through the Service Charge Information (SCI) application

b. FedMail e-mail or fax delivery - Please complete the FedMail Service Request form available at
http://www.frbservices.org/servicesetup/access/fedmail_setup.html

c. Print-image file delivery in PDF format through FedLine Direct or FedLine Command:

Please specify delivery Routing Transit Number (ABA#):_________________________

Data Files:
d. Reconcilement Data file through the SCI application

e. Reconcilement Data file delivery through FedLine Direct or FedLine Command:

Please specify delivery Routing Transit Number (ABA#):_________________________

f. Data file through FedLine Direct or FedLine Command:

Please specify delivery Routing Transit Number (ABA#):_________________________

FRB use only: Effective Date: __________________ Date Received: _________________Processed By:_______________________
Processor: _____________Sig. Verification: _____________________ Date Contacted:___________Time:_________
DI Contact:____________________ FRB Contact:____________________ Number Called/EXT:________________

Allow at least five business days for a subscription form to be processed at the Federal Reserve Bank. Please contact the Federal Reserve Bank to confirm the date
that this request will be in effect. Retrieving information from the Account Management Information (AMI) application requires FedLine Web® or FedLine AdvantageSM access
and applicable credential access. The Federal Reserve Bank End User Authorization Contact (EUAC) Designation and Authorization Form, the Federal Reserve Bank Subscriber
Credential and Access Control Request Form and instructions can be found at the Federal Reserve Financial Services website: www.frbservices.org. Select “Service and Access
Sign Up ”. For any applicable fee information regarding Access Solutions and Account Services, go to the Federal Reserve’s Financial Services website
www.frbservices.org, select Service Fees.

The Financial Services logo, “FedLine Web,” “FedLine Advantage,” “FedLine” and “FedMail” are either registered or unregistered trademarks or service marks of the Federal
Reserve Banks. A complete list of marks owned by the Federal Reserve Banks is available at www.frbservices.org.
08/09
 Accounting Information Services Subscription
Form 3 – Delivery Profile for IAS Notifications

To the Federal Reserve Bank of: ________________________________ Customer: ____________________________________

Customer Address: ____________________________________________Effective Date: _____________________________

Routing Transit Number (ABA): __________________________________________

Authorization:

Authorized Approver and Title: ________________________________ Signature: _______________________________________

Telephone: _____________________________________ Email: ________________________________________________

This form is for: Add Change Delete

Notifications through the Account Management Information (AMI) Application

Select if Notification is for:

Own Activity (Notifications for transactions settling in own Fed account)
Correspondents/Master (Correspondent/master requesting to receive respondent/subaccount notifications for transactions settling in the subscribing
master/correspondent account)
Respondents/ Subaccount (Respondent/subaccount requesting to receive notifications for transactions settling in a correspondent/master account)

Please select applicable boxes below for service and delivery method:

(The transaction codes are available in the Account Management Guide published on the Federal Reserve's Financial Services website: www.frbservices.org. After selecting
"Rules and Regulations" on the left menu, select Accounting Guides and then select the Account Management Guide and Appendix B from the Guide's bookmarked Table of
Contents. Appendix B lists the transaction codes.)

Select Service Category Within 2 Digit SIR Code Or, List 4 Digit Transaction Code Below Minimum $ Amount
All Below

ACH [57]

Account Charges (other than service charges) [84]

Capital Stock [66]

Check Collection:
Maturing Deferred Items [05]

Forward Checks (other than Fed Funds Checks) [15]

Return Checks [30]

Currency and Coin [63]

National Settlement Service [11]

Redemption or Interest on Govt. or Agency Securities [20/27]

Savings Bonds [70]

Treasury Investment Program & Paper Tax System [59]

Other Treasury or Government Agency Service [08]

FRB use only: Effective Date: __________________ Date Received: _________________Processed By:_______________________
Processor: ___Sig. Verification +/or ___ Callback +/or ___ Known Contact Date Contacted:___________Time:______
DI Contact:____________________ FRB Contact:____________________ Number Called/EXT:________________

Allow at least five business days for a subscription form to be processed at the Federal Reserve Bank. Please contact the Federal Reserve Bank to confirm the date
that this request will be in effect. Retrieving information from the Account Management Information (AMI) application requires FedLine Web® or FedLine AdvantageSM access
and applicable credential access. The Federal Reserve Bank End User Authorization Contact (EUAC) Designation and Authorization Form, the Federal Reserve Bank Subscriber
Credential and Access Control Request Form and instructions can be found at the Federal Reserve Financial Services website: www.frbservices.org. Select “Service and Access
Sign Up ”. For any applicable fee information regarding Access Solutions and Account Services, go to the Federal Reserve’s Financial Services website
www.frbservices.org, select Service Fees.

The Financial Services logo, “FedLine Web,” “FedLine Advantage” and “FedLine” are either registered or unregistered trademarks or service marks of the Federal Reserve Banks.
A complete list of marks owned by the Federal Reserve Banks is available at www.frbservices.org.

08/09
 Accounting Information Services Subscription
Form 4A – Delivery Profile for Cash Management Basic Services

To the Federal Reserve Bank of: ________________________________ Customer: ____________________________________

Customer Address: ____________________________________________Effective Date: _____________________________

Routing Transit Number (ABA): __________________________________________

Authorization:

Authorized Approver and Title: ________________________________ Signature: _______________________________________

Telephone: _____________________________________ Email: ________________________________________________

This form is for: Add Change Delete
(See Fee Schedules for any applicable fees)

Retrieve and/or download in real-time Account Management Information (AMI) CMS Basic reports. Master accounts can also download CMS Basic reports
via AMI at pre-established times set by the Reserve Bank.

Please select applicable boxes below for service :

Select Service
Own Account Activity (Master Accounts, Subaccounts, and Respondents)
The Master Own Account Activity Report depicts own activity for the account holder; the Subaccount Own Activity Report depicts transactions settling in Master Account; the
Respondent Own Activity Report depicts transactions settling in correspondent account. Master accounts requesting to subscribe to their subaccount and respondent reports
should select the Individual Subaccount and Individual Respondent reports below. Subaccounts requesting to subscribe to their respondent reports should select the
Individual Respondent report below.
Subaccount Recap Activity (Master Accounts Only)

Individual Subaccount Activity (Master Accounts Only)

Respondent Recap Activity (Master Accounts Only)

Individual Respondent Activity (Master Accounts and Subaccounts subscribing to their Respondents’ Individual Reports)

If the Individual Respondent and/or Individual Subaccount reports are selected, please either list individually (up to a limit of 26) or check "All" for delivery for all.
Please attach a sheet if additional space is needed.
All Respondents (Master and Subaccounts Only)
All Subaccounts (Master Accounts Only)

List ABA below if requesting specific Respondent/Subaccount Individual Reports

FRB use only: Effective Date: __________________ Date Received: _________________Processed By:_______________________
Processor: _____________Sig. Verification: _____________________ Date Contacted:___________Time:_________
DI Contact:____________________ FRB Contact:____________________ Number Called/EXT:________________

Allow at least five business days for a subscription form to be processed at the Federal Reserve Bank. Please contact the Federal Reserve Bank to confirm the date
that this request will be in effect. Retrieving information from the Account Management Information (AMI) application requires FedLine Web® or FedLine AdvantageSM access
and applicable credential access. The Federal Reserve Bank End User Authorization Contact (EUAC) Designation and Authorization Form, the Federal Reserve Bank Subscriber
Credential and Access Control Request Form and instructions can be found at the Federal Reserve Financial Services website: www.frbservices.org. Select “Service and Access
Sign Up ”. For any applicable fee information regarding Access Solutions and Account Services, go to the Federal Reserve’s Financial Services website
www.frbservices.org, select Service Fees.

The Financial Services logo, “FedLine Web,” “FedLine Advantage” and “FedLine” are either registered or unregistered trademarks or service marks of the Federal Reserve Banks.
A complete list of marks owned by the Federal Reserve Banks is available at www.frbservices.org.

08/09
 Accounting Information Services Subscription
Form 4B – Delivery Profile for Cash Management Plus Services, the Intra-Day File, and/or Download Search Results in
Spreadsheet Format

To the Federal Reserve Bank of: ________________________________ Customer: ____________________________________

Customer Address: ____________________________________________Effective Date: _____________________________

Routing Transit Number (ABA): __________________________________________

Authorization:

Authorized Approver and Title: ________________________________ Signature: _______________________________________

Telephone: _____________________________________ Email: ________________________________________________

This form is for: Add Change Delete

(See Fee Schedules for any applicable fees)

Please select applicable boxes below for service and delivery times for the CMS Plus and Intra-day files:

Select Service
CMS Plus (AMI Only)– All Activity (Master Accounts Only) Select up to 6 delivery times (Eastern Time).
Intra-day detail activity - ASCII data files through Account Management (Times should be on half hour or hour starting at 7:00 ET until 19:30 ET.
Information (AMI) for all transactions settling in master account, excluding
Fedwire Funds and Fedwire Securities (includes respondents and __:____ET; __:____ET; __:____ET; __:____ET; __:____ET; __:____ET
subaccounts’ activity)

Select box to include end of day Spreadsheet Statement file

CMS Plus (AMI Only) - Own Activity (Master Accounts Only) Select up to 6 delivery times (Eastern Time).
Intra-day detail activity - ASCII data files through Account Management (Times should be on half hour or hour starting at 7:00 ET until 19:30 ET.
Information (AMI) with account details for own activity for all transactions
excluding Fedwire Funds and Fedwire Securities (excludes respondents __:____ET; __:____ET; __:____ET; __:____ET; __:____ET; __:____ET
and/or subaccounts’ activity).
Intra-Day (IDAY) Reconcilement File via FedLine Direct or FedLine Select up to 6 delivery times (Eastern Time).
Command - (Master Accounts Only) (Times should be on half hour or hour starting at 7:00 ET until 19:30 ET.

Electronic Delivery of an Intra-Day Reconcilement file through FedLine Direct __:____ET; __:____ET; __:____ET; __:____ET; __:____ET; __:____ET
or FedLine Command: Files include detail activity in machine readable
format for all transactions settling in master account, excluding Fedwire
Funds and Fedwire Securities (including respondents and subaccounts’
activity)

Please specify delivery Routing Transit Number (ABA#)

___________________________

Download Search Results in spreadsheet format from Account Management

Information (AMI) application

FRB use only: Effective Date: __________________ Date Received: _________________Processed By:_______________________
Processor: _____________Sig. Verification: _____________________ Date Contacted:___________Time:_________
DI Contact:____________________ FRB Contact:____________________ Number Called/EXT:________________

Allow at least five business days for a subscription form to be processed at the Federal Reserve Bank. Please contact the Federal Reserve Bank to confirm the date
that this request will be in effect. Retrieving information from the Account Management Information (AMI) application requires FedLine Web® or FedLine AdvantageSM access
and applicable credential access. The Federal Reserve Bank End User Authorization Contact (EUAC) Designation and Authorization Form, the Federal Reserve Bank Subscriber
Credential and Access Control Request Form and instructions can be found at the Federal Reserve Financial Services website: www.frbservices.org. Select “Service and Access
Sign Up ”. For any applicable fee information regarding Access Solutions and Account Services, go to the Federal Reserve’s Financial Services website
www.frbservices.org, select Service Fees.

The Financial Services logo, “FedLine Web,” “FedLine Advantage” and “FedLine” are either registered or unregistered trademarks or service marks of the Federal Reserve Banks.
A complete list of marks owned by the Federal Reserve Banks is available at www.frbservices.org.

08/09
 Accounting Information Services Subscription
Form 5 – Subaccount Access to Accounting Service Inquiries and Account Management Information (AMI)

To the Federal Reserve Bank of: ________________________________ Customer: ____________________________________

Customer Address: ____________________________________________Effective Date: _____________________________

Routing Transit Number (ABA): __________________________________________

Authorization:

Authorized Approver and Title: ________________________________ Signature: _______________________________________

Telephone: _____________________________________ Email: ________________________________________________

This form is for: Add Change Delete

This service provides inquiry access at the Master Account level for the Subaccounts designated below.
Please designate Subaccount Routing Transit Numbers (ABA) and access for each below (attach an additional page if needed):

Account Management Information (AMI)

FedLine Web®/FedLine AdvantageSM ABMS Balance Inquiry
Subaccount
Yes/No
ABA Number
Yes/No
1.
2.
3.

4.

5.

6.

Account Management Information (AMI) available through FedLine Web or FedLine Advantage provides ABMS, Daylight Overdraft and Account Inquiries via two views. The view
is determined by the type of access requested on the Subscriber Credential Request Form: 1) Non-restricted ABMS view includes balances, activity, memo post, single day net
debit cap, funds collateral and securities collateral, and also includes access to Daylight Overdraft Reports and Inquiries and Account Inquiries; 2) Restricted ABMS view includes
balances and activity as well as access to Daylight Overdraft Inquiries and Account Inquiries. This view does not include access to view collateral, net debit cap, memo post and
Daylight Overdraft Reporting and Pricing (DORPS) reports.

FRB use only: Effective Date: __________________ Date Received: _________________Processed By:_______________________
Processor: _____________Sig. Verification: _____________________ Date Contacted:___________Time:_________
DI Contact:____________________ FRB Contact:____________________ Number Called/EXT:________________

Allow at least five business days for a subscription form to be processed at the Federal Reserve Bank. Please contact the Federal Reserve Bank to confirm the date
that this request will be in effect. Retrieving information from the Account Management Information (AMI) application requires FedLine Web® or FedLine AdvantageSM access
and applicable credential access. The Federal Reserve Bank End User Authorization Contact (EUAC) Designation and Authorization Form, the Federal Reserve Bank Subscriber
Credential and Access Control Request Form and instructions can be found at the Federal Reserve Financial Services website: www.frbservices.org. Select “Service and Access
Sign Up ”. For any applicable fee information regarding Access Solutions and Account Services, go to the Federal Reserve’s Financial Services website
www.frbservices.org, select Service Fees.

The Financial Services logo, “FedLine Web,” “FedLine Advantage” and “FedLine” are either registered or unregistered trademarks or service marks of the Federal Reserve Banks.
A complete list of marks owned by the Federal Reserve Banks is available at www.frbservices.org.

08/09
 Accounting Information Services Subscription
Form 6 – Affiliate Access to Service

To the Federal Reserve Bank of: ________________________________ Customer: ____________________________________

Customer Address: ____________________________________________Effective Date: _____________________________

Routing Transit Number (ABA): __________________________________________

Authorization:

Authorized Approver and Title: ________________________________ Signature: _______________________________________

Telephone: _____________________________________ Email: ________________________________________________

This form is for: Add Change Delete

This service grants a designated institution access to Accounting Information Services for another institution (affiliate) for the
services named below.

Check this box and the appropriate box(es) below if you want to grant the institution named below access to the
above named affiliate institution's accounting information.

_______________________________ _______________________________
Name of Institution ABA

Select one option below for the Account Management Information (AMI)

Account Management Information (AMI) - All AMI Services and Features for All Activity or

Account Management Information (AMI) -( For Service Bureaus only) - Limited to Find Transaction(s) and Notification
Features for Cash Letter Service Categories (e.g. 05, 15 and 30) only - The institution named above will need to complete
Form 3 to establish notification service.

Select the box below for Service Charge Information

Service Charge Information (SCI)

Information regarding the Account Management Information (AMI) can be found at the Federal Reserve Financial Services
website: www.frbservices.org. Select “Sign Up for FedLine®.”

FRB use only: Effective Date: __________________ Date Received: _________________Processed By:_______________________
Processor: _____________Sig. Verification: _____________________ Date Contacted:___________Time:_________
DI Contact:____________________ FRB Contact:____________________ Number Called/EXT:________________

Allow at least five business days for a subscription form to be processed at the Federal Reserve Bank. Please contact the Federal Reserve Bank to confirm the date
that this request will be in effect. Retrieving information from the Account Management Information (AMI) application requires FedLine Web® or FedLine AdvantageSM access
and applicable credential access. The Federal Reserve Bank End User Authorization Contact (EUAC) Designation and Authorization Form, the Federal Reserve Bank Subscriber
Credential and Access Control Request Form and instructions can be found at the Federal Reserve Financial Services website: www.frbservices.org. Select “Service and Access
Sign Up ”. For any applicable fee information regarding Access Solutions and Account Services, go to the Federal Reserve’s Financial Services website
www.frbservices.org, select Service Fees.

The Financial Services logo and “FedLine” are either registered or unregistered trademarks or service marks of the Federal Reserve Banks. A complete list of marks owned by the
Federal Reserve Banks is available at www.frbservices.org.
08/09