FedCash ® Services Forms

Use the links below to access the forms and agreements you will need to set up or use Federal Reserve Financial Services. Service and Access Setup provides more details and guidance on the steps required to begin using a new service or to modify current services or access. If you are unable to locate the form you seek, Contact provides a comprehensive list of service and support contacts who can assist you.

Table of Contents

FedCash Services Forms

Information on FedCash forms
Number Form Links
CASH-01 FedCash Services Request Form
The FedCash Services Request form can be used to set up new endpoints, change existing endpoint information, or cancel Cash Services, and make changes related to armored carrier transportation services to and from the Federal Reserve dock. In order to use this form to set up Cash Services, your institution must already have a Master Account Agreement or Transaction and Service Fee Settlement Authorization form on file.
Form (PDF)
Instructions (PDF)
CASH-02 Difference Claim Request Form
This form can be used to submit claims for piece-level differences found in currency and coin shipments received from the Federal Reserve.
Form (PDF)
Instructions (PDF)
CASH-03 Deposit Adjustment Dispute Form
This form can be used to dispute an adjustment that the Federal Reserve made to your institution's deposit.
Form (PDF)
Instructions (PDF)
CASH-04 FedCash Services Contaminated Currency Form
The FedCash Services Contaminated Currency form must be used to provide advance written notification to your local Federal Reserve Bank of an incoming deposit containing contaminated currency.

District - Cash Forms and Agreements

FedCash Services forms for your District can be obtained by contacting your District FedCash Contacts