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ACCT-06
Accounting Information Services Subscription
Form 6-Affiliate Access for Account Management
Information (AMI) Service
*Required Fields
Section 1: Service Description and Form Instructions
This service grants an institution access to Account Balance, Daylight Overdraft Balance, and Available Funds
Balance information, Accounting transactions, daily statements (Accounting Information); and/or monthly Billing
information and statements (Billing Information) via the Accounting Management Information (AMI) application
for the subscribing institution identified in Section 2.
Retrieving information from the Account Management Information (AMI) application requires FedLine Web® or
FedLine AdvantageSM 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 Electronic Access Solutions and Account Services, go to the Federal Reserve’s Financial Services
website.
For assistance completing this form, please contact Account Services Customer Support located at
frbservices.org under the contact us section.
Send completed forms to Customer Contact Center via:
Email: ccc.bankservices@kc.frb.org
Fax: (877) 281-3647
Section 2: Customer Information
Institution Name*
Identification Number (RTN/CIN)*
First MI Last
Requesting Contact Name*
Country Code Phone Extension
Requesting Contact Phone Number*
Requesting Contact Email Address*
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ACCT-06
Section 3: Service Specific Information / Customer Specific Requests
Effective date (MM/DD/YYYY)
☐Add _______________
Accounting Information
☐Change (Actual effective date may vary. Please
allow 5-7 business days for processing.)
☐Delete
This form is to*
Effective date (MM/DD/YYYY)
☐Add _______________
☐Change Billing Information (Actual effective date may vary. Please
allow 5-7 business days for processing.)
☐Delete
Name of Institution*
(to be granted access)
Identification Number*
(RTN/CIN)
Select one option below for Accounting Information
(Note: The institution identified in this section can only be defined with one of the options below. If the institution has existing affiliate
relationships, their existing view will be applicable to all new affiliate relationships. Please confirm with the institution you are granting
access to view your information to determine what their viewing option is.)
☐All Account Balance, Daylight Overdraft Balance, and Available Funds Information (for Account Holders)
and all Accounting Transactions and Statements (Account Holders and non-Account Holders) for or
☐Cash Letter Transactions Only– (For Service Bureaus only) – Limited to the Find Transaction(s) Features
for Cash Letter Service categories (e.g. 15 and 30) only.
Section 4: Authorized Approval from Subscribing Institution (Section 2)
The authorized signer must be listed on the Customer’s Official Authorization List (OAL).
First MI Last
Authorized Signer Name*
Authorized Signer Email Address*
Country Code Phone Extension
Authorized Signer Phone Number*
Authorized Signature*
The Financial Services logo, “FedLine Web,” “FedLine Advantage,” “FedLine” and “FedMail” “FedLine Direct” and “FedLine Command” 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.
Last updated 10/03/2016
Version 1
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