DFI Forms - Master List (by number)

Notice to Individual - Use of Information

Form Number Form Title Revised Format
FDIC 3064-006

Interagency Biographical and Financial Report Form

05-17 Adobe PDF
HUD-GFE Good Faith Estimate Form (GFE). Available in the following languages: English; Chinese - 汉语; Korean Korean language; Spanish - Español; TagalogVietnamese - Tính Từ. 06-10 Adobe PDF
DBO-02 Personal Financial Statement 02-17 PDF
DBO-03 Confidential Resume 05-17 PDF
DBO-09 This Form has been replaced by form DBO-803. 08-13 PDF
DBO-10 Application for Authority to Organize Bank 05-16 PDF
DBO-25 Uniform California Application/Notice 08-13 Word | PDF
DBO-55 Appointment of the Commissioner of Business Oversight as Attorney for Service of Process 08-13 PDF
DBO-65 This Form has been combined with form DBO-55. - -
DBO-75 This Form has been combined with form DBO-55. - -
DBO-85 This Form has been combined with form DBO-55. - -
DBO-88 Application for Approval to Act as Approved Depository 08-13 PDF
DBO-90 Agreement of Approved Depository 08-13 PDF
DBO-93 Application for Approval for Withdrawal and Release of Eligible Assets 08-13 PDF
DBO-95 Report of Applicable Minimum 08-13 PDF
DBO-301 Summary of Merger Approval Process - Credit Unions 08-13 Word | PDF
DBO-301G Items Needed for Credit Union Examination 08-13 Word | PDF
DBO-301H Pre-Entry Questionnaire for Credit Union Examination 08-13 Word | PDF
DBO-310 Sample Form of Application - Credit Unions 08-13 Word | PDF
DBO-320 Sample Form of Plan of Merger - Credit Unions 08-13 Word | PDF
DBO-330 Sample Form of Notice of Merger - Credit Unions 08-13 Word | PDF
DBO-340 Sample Form of Officers' Certificate Regarding Giving of Notice - Credit Unions 08-13 Word | PDF
DBO-350 Sample Form of Certificate of Merger of Surviving Credit Union 08-13 Word | PDF
DBO-360 Sample Form of Certificate of Merger of Disappearing Credit Union 08-13 Word | PDF
DBO-380 DBO 380 - Credit Union Official - Questionnaire 05-17 PDF
DBO-390 Application for Approval to Form a Credit Union 08-13 PDF
DBO-502 Trust Company Report of Condition 08-13 Excel
DBO-505 Schedule T - Fiduciary and Related Services 11-13 Excel
DBO-506 Schedule U 08-13 Excel
DBO-507 Schedule S - discontinued 12/31/08    
DBO-507C Call Report Certification Page for State Chartered Banks 08-13 Word | PDF
DBO-523 Report of Income for Foreign Banks 08-13 Excel
DBO-523C Call Report Certification Page for Foreign Banks 08-13 PDF
DBO-524 Trust Company Report of Income 08-13 Excel
DBO-525 Call Report for Money Transmitters, Payment Instruments and Travelers Check 05-16 Excel
DBO-550 Emergency Contact Person Information 05-17 PDF
DBO-700 Application for Authorization to Invest in Corporation 05-17 PDF
DBO-704 Agreement to Comply with Regulations 08-13 PDF
DBO-706 Appointment of Commissioner of Business Oversight as Agent for Service of Process 08-13 PDF
DBO-801 Consumer Complaint Form - Use for consumer complaints on a DBO licensee. 05-17 PDF
DBO-801B Consumer Complaint Form – Spanish (Formulario para quejas del consumidor al DBO) 03-14 PDF
DBO-803 Citizen Comment or Complaint Form - Use for comments/complaints on the Department, not for complaints on a licensee. 05-17 PDF
DBO-1002 Local Agency Deposits Weekly Report 08-13 Word | PDF
DBO-1002 Local Agency Deposits Weekly Report 12-14 Excel
DBO-1003 Local Agency Deposits and Securities Called Report 08-13 Word | PDF
DBO-1003 Local Agency Deposits and Securities Called Report 12-14 Excel
DBO-1004

Local Agency Security Program Collateral Transfer

08-13 PDF
DBO-1005 Local Agency Security Program Form 08-13 Word
DBO-1010 Application for License as Business and Industrial Development Corporations 05-17 PDF
DBO-1802 Stock Purchase Questionnaire 08-13 PDF
DBO-1815 Premium Finance Agency Application 05-17 PDF
DBO-1820 For Item 2(d) of the Premium Finance Company Application 08-13 PDF
DBO-1821 Customer Authorization of Disclosure of Financial Records 08-13 PDF
DBO-2110 Application for a License to Engage in the Money Transmission Business 05-17 PDF
DBO-2118 Application for Approval to Acquire Control of Money Transmitter 05-17 PDF
DBO-2120 English Unlicensed Money Transmitter Complaint 05-17 PDF
DBO-2120 Spanish Unlicensed Money Transmitter Complaint/Queja Con Respecto A Un Transmisor De Dinero No Authorizado 05-16 PDF
DBO-4030 Authorization for Release of Information (Money Transmitters) 05-17 PDF
DBO-5025 Appointment of Commissioner of Business Oversight as Agent for Service of Process (Money Transmitters) 05-17 PDF
DBO-BCII 8016 Request for Live Scan Service and Live Scan Process Instruction Form 05-16 PDF
DBO-SLS-100 Supplemental Request for Information 11-17 Word
DBO-SLS-101 Appointment of Commissioner of Business Oversight as Agent for Service of Process 11-17 Word