Accounting Information Services Subscription Form 1 – Daily Statement ...
ACCT-01
-
INTERNAL FR
(Upon receipt by the Federal Reserve Banks)
Accounting Information Services Subscription Form 1 ? Daily Statement of Account and Monthly Statement of Service Charges Delivery Options
*Required Fields
Section 1: Service Description and Form Instructions
A Daily Statement of Account and a Monthly Statement of Service Charges are automatically available for all Master Account holders in PDF format via the FedLine Web? Account Management Information (AMI) application. Statements can be available in AMI for Respondents and Secondary RTNs (Subaccount RTNs and Other Secondary RTNs) by completing Section 3 of the form. Section 3.1 enables Master Account Holders to subscribe to the Financial Institution Reconcilement Data (FIRD) and/or Statement of Account Spreadsheet Format (SASF). Section 3.2 also enables Master Account Holders to subscribe to the monthly Service Charge Reconcilement Data (SCRD) file.
The daily Statement of Account and monthly Statement of Service Charges are also available in text format via FedMail? by completing the FedMail Service Request Form.
Retrieving information from the AMI application requires FedLine Web or FedLine Advantage? access and applicable credential access. To obtain credentials for Subscribers, an End User Authorization Contact (EUAC) must submit a Subscriber request via the EUAC Center within FedLine? Home for each individual who will be authorized to access the service. For applicable Service Fees information regarding Access Solutions and Account Services, go to ?.
If the form is provided to you with prefilled information, by signing below you confirm that you have reviewed such information and agree that it is current and accurate as of the date of your signature.
For assistance completing this form, please find contact information at Accounting Services Customer Support.
Send completed forms to Customer Contact Center at:
Email: ccc.bankservices@kc.
Fax: (877) 281-3647
Section 2: Customer Information
Institution Name*
Identification Number (RTN/CIN)* Daytime Technical Contact* Daytime Contact Phone Number*
First Country Code
MI
Last
Phone
Extension
1
ACCT-01
-
INTERNAL FR
(Upon receipt by the Federal Reserve Banks)
Daytime Contact Email Address* Evening Technical Contact* Evening Contact Phone Number* Evening Contact Email Address*
First Country Code
MI
Last
Phone
Extension
Section 3: Service Specific Information/Customer Specific Request
Please select applicable boxes below for Statement Type:
Requested Effective Date*1:
(Actual effective date may vary. Please allow 5-7
business days for processing.)
Accounting Statement (End of day):
Add
Change
Delete
Select one option:
Master Accounts
Select Statement Type:
Respondents/Secondary RTNs: (Subaccounts and Other Secondary RTNs [OSRTNs])
Daily Statement
of Account: Items Through Your Correspondent or Master Account
This statement is available via AMI for a Respondent that is settling debit and credit transaction activity to a Correspondent or for secondary RTNs (Subaccount RTNs and Other Secondary RTNs) reporting debit and credit transaction activity to its
Master/Parent RTN.
Billing Statement (Monthly): Select one option: Master Accounts
Respondents/Secondary RTNs: (Subaccounts and Other Secondary RTNs [OSRTNs])
Add
Change
Delete
*Automatically generated in Adobe Acrobat PDF format in AMI
Monthly
This statement is available via AMI for a
Statement of Service Charges: Items through your Correspondent or Master Account
Respondent that is settling service charges to a Correspondent or for secondary RTNs (Subaccount RTNs and Other Secondary RTNs) reporting service charges to its Master/Parent RTN.
Section 3.1: Service Specific Information/Customer Specific Requests
Please select the applicable boxes below for End-of-Day/Monthly Premium Service Data Files
File Type
File Delivery Method
File Details
Data File
Add
Change
Delete
Machine Readable Financial
Institution Reconcilement Data (FIRD) *End of Day (Master Accounts)
AMI Application (Default)
FedLine Direct? or FedLine Command?. Please specify Routing Transit Number if delivery location is
If you choose either FIRD and/or SASF select an option below:
Include Fedwire? Details
different from subscribing RTN.
Exclude Fedwire Details
1 The form is effective no earlier than the business day following the business day that the appropriate Reserve Bank processes the request. If the
Requested Effective Date cannot be met, the Customer will be notified.
2
ACCT-01
Statement of Account Spreadsheet Format (SASF) *End of Day (Master Accounts)
Machine Readable Service Charge Reconcilement Data (SCRD) *Monthly (Master Accounts)
-
INTERNAL FR
(Upon receipt by the Federal Reserve Banks)
(RTN #) _____________________ AMI Application only
Include FedNow Service Details
Exclude FedNow Service Details
AMI Application (Default)
FedLine Direct or FedLine Command
Please specify Routing Transit Number if delivery location is different from subscribing RTN.
(RTN #) _____________________
Section 4: Authorized Approval
The authorized signer must be listed on the Customer's Official Authorization List (OAL).
Official Signature*
Signature Date*
First
Name*
MI
Last
Email Address* Phone Number*
Country Code
Phone
Extension
The Financial Services logo, "," "FedLine Web," "FedLine Advantage," "FedLine," "FedMail," "FedLine Direct," "FedNow," "Fedwire" and "FedLine Command" are service marks of the Federal Reserve Banks. A list of marks related to financial services products that are offered to financial institutions by the Federal Reserve Banks is available at .
Last updated: June 2023 Version: 2
3
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