Minority Depository Institution and Women Depository Institution Designations

Request Certification

United States Federal Reserve System

Complete this form to request certification as either a minority depository institution or women depository institution. All fields are required for proper submittal.

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General Information

Bank Name

Date

Choose a Federal Reserve District

Contact Information

Primary Contact

First Name

Last Name

Title

Email Address

Area Code + Phone Number

Secondary Contact

First Name

Last Name

Title

Email Address

Area Code + Phone Number

Bank Information

Mailing Address

City

State

Zip Code

Size of Institution (in U.S. dollars)

Website

Qualification Information

Please check how the bank qualifies to be a Minority Depositor Institution or Women's Depository Institution:

Ownership must be by U.S. citizens or permanent legal U.S. residents to be counted in determining minority ownership.

51 percent or more of the voting stock is owned by minority individuals. A majority of the board of directors are minority and the community that the institution serves is predominantly minority. Women’s Depository Institution: (A) more than 50 percent of the ownership or control of which is held by one or more women; (B) more than 50 percent of the net profit or loss of which accrues to one or more women; and (C) a significant percentage of senior management positions are held by women.

Please provide an overview of your organization to include mission and communities served:

Additional information/comments:

Attachments

Any attachments should be emailed to [ATTACHMENTS_MAILTO]

Any instructions that go with the email should go here.

Next Steps

Once the form has been submitted, we will contact you within 48 hours to acknowledge receipt of the form and discuss next steps.

Feel free to [CONTACT_US_LINK] for questions or [RESTART_FORM_LINK]

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