The Federal Reserve Bank Discount Window & Payment System Risk Website

12th District (San Francisco)
Forms

Please note: These forms are specifically for the Federal Reserve Bank of San Francisco. Information and forms for your Federal Reserve Bank may be available on your district's Contacts & Resources page.

Appendix A - Instructions & Template [MS Word; 60K]

Audit Certification [MS Word; 28K]

Application for Borrower-In-Custody (BIC) [MS Word; 127K] – Application for new Borrower-In-Custody relationship with the 12th District.

Application for Borrower-In-Custody (BIC) [MS Word; 127K] – Application for new Borrower-In-Custody relationship with the 12th District.

Collateral Transmittal & Custody Receipt for Pledge of Loans (Form BIC 1) [MS Word; 68K] – Monthly transmittal form for collateral pledged under the BIC program to the 12th District.

Pledge Listing Template [MS Excel; 30K] – Recommended template for listing of loans pledged, to be submitted monthly with the Collateral Transmittal & Custody Receipt (BIC 1) for the 12th District. Use of this template will allow for loan specific valuation of collateral.

Contingency Contact Information [MS Word; 40K]

Collateral Transmittal & Custody Receipt for Pledge of Credit Card Receivables (Form CCR-1) [MS Word; 73K]

Collateral Transmittal for Pledge of Definitive Securities (CRM-1) [MS Excel; 32K] – Deposit form for securities under the DTC (Depository Trust Company) Agreement with the 12th District.

eBIC Agreement
[PDF; 225K] or [MS Word; 46K] – As of February 2011, this document is no longer necessary.

Electronic Collateral Reports [MS Word; 50K] – Request form for Electronic Subscription of Collateral Reports.

FR 2046 – Form for completion by participants of the Seasonal Credit Program.

Letter of Agreement Regarding Collateral held by DTC [MS Word; 29K] – Borrowing agreement for DTC arrangement.

Official OC-10 Authorization List [MS Word; 40K] – The 12th district's Authorization List for pledging collateral and borrowing.

Irrevocable Power of Attorney [MS Word; 36K] – Irrevocable POA form for the 12th District.

Seasonal Borrowing - Calculation of Deposits and Loans Worksheet [MS Word; 60K] – Calculation of Deposits and Loans Worksheet – Application for the Seasonal Credit program with the 12th District.

Please contact us for additional information.

Current Interest Rates
Primary Credit	0.75%
Secondary Credit	1.25%
Seasonal Credit	0.25%
Fed Funds Target	0 - 0.25%