|Financial Institution Name:||REQUIRED|
|Test Contact Name:||REQUIRED|
|Test Contact Phone Number:||REQUIRED|
|Test Contact E-mail:||REQUIRED|
|Type of Test||Please select Regular Testing (for Fedwire® Funds Service or Fedwire Securities Service) and/or Statement Testing (for FedLine Direct customers only).|
|Application Environment||Please select DIT (weekday), DIT (Saturday) or Production (Saturday).|
|Type of Connection||Please select FedLine Direct or FedLine Advantage.|
|Fedwire Application||Please select Fedwire Funds Service, Fedwire Securities Service or both|
|Is this your certification?||Please indicate if you will be following a Certification Script provided by your Wholesale Testing Unit.
(NOT APPLICABLE FOR FEDLINE ADVANTAGE CUSTOMERS)
|Test Start Date:||REQUIRED. (MM/DD/YYYY) FORMAT|
|Test End Date||REQUIRED. (MM/DD/YYYY) FORMAT|
|Number of messages requested||Please indicate if you require Fedwire Funds and/or Securities messages to be sent to your FedLine Advantage or FedLine Direct access solution, and if so, how many messages you require.|
|Test Location||Please select Primary Site, Alternate Site or both.|
|Node Information (for Statements testing only)||Please select Production Node or Test Node.
(NOT APPLICABLE TO FEDLINE ADVANTAGE CUSTOMERS)
|Indicate which reports you would like to test. (Reports are not available on Saturdays)||(NOT APPLICABLE FOR FEDLINE ADVANTAGE CUSTOMERS)|
|Please provide any additional comments regarding your testing needs (200 characters limit)||Please provide any additional information that will assist the Wholesale Testing Unit in meeting your testing needs.
Please indicate all ABA numbers for which that you would like to receive Fedwire Funds or Fedwire Securities messages traffic and/or Reports
For questions related to testing FedLine Advantage and FedLine Direct, please contact the appropriate Wholesale Testing Unit. For other FedPayments Manager or Fedwire Services-specific questions, please contact the appropriate Wholesale Operations Site.