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.

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.

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] – 12th District's Email BIC Agreement letter template.

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.

PGP Public Key: Right-click on this key, choose 'Save Target As' to save the file to your computer, and import this key into your copy of PGP to exchange encrypted email with the Federal Reserve Bank of San Francisco.

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.