Form EIB 12-01 EIB 12-01 MT MGA Disbursement Approval Request

MT MGA Disbursement Approval Request

EIB 12-01 Disbursement Request

MT MGA Disbursement Approval Request

OMB: 3048-0049

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3048-0049 can be found here:

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EIB 12-01 MT MGA Disbursement Approval Request
Disbursement Request Submission Screenshots (MT Guarantee)

February 5, 2013

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Table of Contents
I. Summary ............................................................................................................................................... 3
II.

Disbursement Request Forms - Workflow ............................................................................................ 6
A.

Workflow processes .......................................................................................................................... 6

Data displayed with each disbursement request form..................................................................... 9

Accessing a Transaction .................................................................................................................. 10

III.

Disbursement Request Forms – Sample Forms .............................................................................. 11

Disbursement Request Form – MT Guarantee (US Cost) ............................................................... 11

Disbursement Request Form – MT Guarantee (Local Cost) ........................................................... 12

Disbursement Request Form – MT Guarantee (IDC) ...................................................................... 13

Disbursement Request Form – MT Guarantee (Foreign Currency – Fixed US Cost) ...................... 14

Disbursement Request Form – MT Guarantee (Foreign Currency – Fixed Local Cost)................... 15

Disbursement Request Form – MT Guarantee (Foreign Currency – Fixed IDC) ............................. 16

Disbursement Request Form – MT Guarantee (Foreign Currency – Floating US Cost) .................. 17

Disbursement Request Form – MT Guarantee (Foreign Currency – Floating Local Cost) ............ 18

Disbursement Request Form – MT Guarantee (Foreign Currency – Floating IDC) ....................... 19

Disbursement Request Form – MT Guarantee (Delegated Authority US Cost).............................. 20

Disbursement Request Form – MT Guarantee (Delegated Authority Local Cost) .......................... 21

Disbursement Request Form – MT Guarantee (Lease Delivery US Cost) ....................................... 22

M.
N.

Disbursement Request Form – MT Guarantee (Lease Delivery Local Cost) ............................... 23
Disbursement Request Form – MT Guarantee (Lease Delivery Foreign Currency – Fixed US Cost)
24

O. Disbursement Request Form – MT Guarantee (Lease Delivery Foreign Currency – Fixed Local
Cost) ........................................................................................................................................................ 25
P. Disbursement Request Form – MT Guarantee (Lease Delivery Foreign Currency – Floating US
Cost) ........................................................................................................................................................ 26
Q. Disbursement Request Form – MT Guarantee (Lease Delivery Foreign Currency – Floating Local
Cost) ........................................................................................................................................................ 27

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I.
Summary
Ex-Im Bank has developed an electronic disbursement approval processing system for guaranteed
lenders with transactions documented under Medium-term Master Guarantee Agreements. After an
export transaction has been authorized by Ex-Im Bank and legal documentation has been completed,
the lender will obtain and review the required disbursement documents (e.g. invoices, bills of lading,
Exporter’s Certificates, etc.) and will disburse the proceeds of the loan for eligible goods and services. In
order to obtain approval of the disbursement, the lender will access and complete an electronic
questionnaire through ExIm Online. Ex-Im Bank’s action (approved or declined) will be posted on the
lender’s history page.
An electronic request for disbursement approval has been developed for transactions approved under
the 3 types of Medium-term Master Guarantee Agreement with variations in the disbursement request
related to the 3 program types:
1. Master Guarantee Agreement (Medium Term Credits - Electronic Compliance Program)
2. Master Guarantee Agreement (Medium Term Credits – Medium Term Delegated Authority
Program)
3. Master Guarantee Agreement (Medium Term Credits – Finance Lease)
Eligible costs in the following categories may be authorized by Ex-Im Bank and the disbursement request
will have variations depending on the type of cost selected:
•
•
•

U.S. goods and services
Local cost goods and services
Interest during construction (available under Master Guarantee Agreement 1)

Finally, transactions denominated in a foreign currency may be authorized under Master Guarantee
Agreements 1 and 2 listed above. Disbursements under these transactions have special foreign
exchange conversion rules depending on whether the U.S. exporter receives payment in U.S. dollars or a
foreign currency under the terms of its supply contract. There are slight variations in the request which
reflect the foreign exchange conversion approach:
 Fixed (the U.S. Exporter is paid in foreign currency): The lender is required to enter all financial
data in foreign currency values and the System will convert the information to U.S. dollars based
on a pre-approved fixed exchange rate associated to the transaction.
 Floating (the U.S. Exporter is paid in U.S. dollars): The lender is required to enter the total
amount of the request in both U.S. dollars and foreign currency values so that a conversion rate
can be established with the remaining financial data entered only in U.S. dollars.
The remainder of this document will provide screenshots of the sample Disbursement Request Forms
that can be submitted by a Lender through the Ex-Im Online System. These forms are only available in
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electronic format and therefore all Lenders are required to submit for approval “on-line.” The on-line
process helps to confirm that all necessary data is collected up-front by enforcing data validations upon
submission as well as ensuring the integrity of the data, meaning what was entered by the Lender, is
what is received by Ex-Im Bank. As mentioned earlier, the decision to approve or decline a
disbursement request is recorded on the history page and, in addition, is communicated via email to the
individual assigned as the contact person on the disbursement request form. Depending on certain
attributes of the transaction, the System will dynamically display the appropriate request form (i.e., if
the transaction is a foreign currency deal, if the transaction contains local cost, etc.). In addition, the
System will automatically display certain fields that are “view-only.” This is data that Ex-Im Bank is able
to pre-populate based on transaction details stored in our transaction processing systems. These fields
are included in the Transaction Information Section. The MT Exposure Fee rate is also pre-populated for
transactions under the Medium-Term Guarantee program.

The System will default the Contact Information fields based on the contact information submitted with
the disbursement request and provide the option for the Lender to update this information. The
contact person will receive all email correspondence distributed by the System in reference to the
disbursement request submitted.

Lastly, where noted, the System will require at least one invoice entry to be included with a
disbursement request as well as any required field will be designed with an asterisk (*). For transactions
where the Exposure Fee was paid up front and not financed, the System will not require the Lender to
input the Exposure Fee amount and Date Exposure Fee paid. This information is known by the System
because it is data that is collected prior to disbursement and subsequently stored in Ex-Im Online.

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To better understand what is being communicated in the following pages, see below for a list of
acronyms and their corresponding definition:
•
•
•
•
•
•

MT – Medium-Term
MTG – Medium Term Guarantee
IDC – Interest During Construction
FC – Foreign Currency
USD – U.S. Dollar
EOL – Ex-Im Online

The following section provides workflow diagrams, which define the process that will lead the
System to determine which form should be presented to the Lender. In order to better illustrate the
data collected for each form, a matrix has been included to show the data elements captured for
each variation of the disbursement request form. In addition, Section III includes sample
screenshots of each request form with the appropriate reference to a particular workflow process
(i.e. A. Disbursement Request Form – MT Guarantee (US Cost) corresponds to MT Guarantee – US
Cost Workflow “Form A reference” and “Form A” on the matrix).
.

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II.

Disbursement Request Forms - Workflow

A.
Workflow processes
The workflow diagrams illustrate the System processes that occur when identifying which disbursement
request form to display to the lender. Section III provides sample screenshots which correspond to an
“end state” outlined through the workflow as well as a column in the data matrix outlining the specific
elements displayed on a particular form (see section II B.)
MT Guarantee – US Cost Workflow
MT Guarantee – US Cost Workflow
Lender logs into
the EOL System

Lender selects to
request a
disbursement
approval

System prompts
the Lender to
select an Action
type

System displays a listing
of the Lender’s
transactions and prompts
the Lender to select a
transaction

Lender selects
“Start a New
Request”

Lender selects the
transaction for
request of
disbursement
approval

System verifies Is
Guarantee a
CGF?

Yes

See CGF –
EIB 12-02 CGF
Disbursement
Approval
Request

No
System verifies
Is Guarantee a
US Cost
transaction?

Yes
System verifies Is
the Guarantee a
Delegated
Authority?

Yes

System retrieves
and displays
Delegated
Authority - US
Cost (Form J)

System verifies is
the Guarantee a
Lease
Transaction?

System verifies is
the Guarantee
Foreign Currency?

Yes

System
verifies is the
Guarantee
Foreign
Currency?

Foreign
Currency –
Fixed?

System retrieves
and displays
Lease Delivery US Cost (Form L)

Yes

System retrieves
and displays
Lease US Cost –
Fixed Foreign
Currency (Form N)

End

System verifies is
Guarantee a Local
Cost transaction?

Yes

Foreign
Currency – Fixed?

System retrieves and
displays US Cost
(Form A)

Yes
No

System retrieves
and displays US
Cost – Fixed
Foreign Currency
(Form D)

System retrieves
and displays US
Cost – Floating
Foreign Currency
(Form G)

Yes

See
Local
Cost

Is Guarantee an IDC
transaction?

Yes

See IDC

End

System retrieves
and displays
Lease US Cost –
Floating Foreign
Currency (Form P)

End

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MT Guarantee - Local Cost Workflow
MT Guarantee – Local Cost Workflow
Local
Cost

System verifies Is
the Guarantee a
Delegated
Authority?

System verifies is
the Guarantee a
Lease
Transaction?

System verifies is
the Guarantee
Foreign Currency?

Yes

System
verifies is the
Guarantee
Foreign
Currency?

Foreign
Currency –
Fixed?

Yes

System retrieves
and displays
Delegated
Authority - Local
Cost (Form K)

Yes
No
No

System retrieves
and displays
Lease Delivery Local Cost (Form
M)

Foreign
Currency – Fixed?

Yes

System retrieves
and displays
Lease Local Cost
– Fixed Foreign
Currency (Form O)

Yes

System retrieves and
displays Local Cost
(Form B)

End

System retrieves
and displays Local
Cost – Fixed
Foreign Currency
(Form E)

System retrieves
and displays Local
Cost – Floating
Foreign Currency
(Form H)

End

System retrieves
and displays
Lease Local Cost
– Floating Foreign
Currency (Form Q)

End

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MT Guarantee - IDC Workflow
MT Guarantee – IDC Workflow
IDC

System verifies is
the Guarantee
Foreign Currency?

System retrieves and
displays IDC (Form C)

Yes

System retrieves
and displays IDC –
Fixed Foreign
Currency (Form F)

End

Yes

Foreign
Currency –
Fixed?

System retrieves
and displays IDC –
Floating Foreign
Currency (Form I)

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Data displayed with each disbursement request form
Data Element

TRANSACTION INFORMATION
Transaction Number
Agreements/Transaction/Program Type
Operative Date
Final Disbursement Date
Initial Eligibility Date
Authorized Amount/Undisbursed (USD)
CONTACT INFORMATION
Contact Person
Telephone Number
Email
DISBURSEMENT [LEASE DELIVERY] INFORMATION
Total amount of this request (USD)
Total amount of this request (FC (i.e. EUR))
Amount of Exposure Fee related to this request (USD)
Exposure Fee Rate related to this request
Amount of Exposure Fee paid to ExIm Bank under this request
Date of Disbursement related to this request
Date of Lease Delivery related to this request
Date Exposure Fee was paid to Ex-Im Bank under this request
CERTIFICATIONS
Is payment of the commitment fee current?
Have all Conditions Precedent and Special Conditions to disbursement
been met?
Have all Disbursement Documents been received and are they all in
compliance with the Medium-term Master Guarantee Agreement?
Have all Lease Delivery Documents been received and are they all in
compliance with the Medium-term Master Guarantee Agreement?
Has the Disbursement been calculated in accordance with the applicable
Medium-Term Master Guarantee Agreement?
Has the Lease Supplement Financed Amount been calculated in
accordance with the applicable Medium-Term Master Guarantee
Agreement?
Were Goods shipped and/or Services provided on or after the Initial
Eligibility Date approved by Ex-Im Bank?
Were Local Cost Goods shipped and/or Services provided on or after the
Initial Eligibility Date approved by Ex-Im Bank?
Have all Exporters been approved in writing by Ex-Im Bank?
Have all Local Cost Providers been approved in writing by Ex-Im Bank?
Have all Goods and Services been approved in writing by Ex-Im Bank?
Have all Local Cost Goods and Services been approved in writing by Ex-Im
Bank?
Has any Exporter provided a statement pursuant to its Exporter's
Certificate describing Goods and/or Services listed on the U.S. Munitions
List (part 121 of Title 22 of the Code of Federal Regulations)? If yes,
identify the Exporter and attach the Exporter's statement or list the
Good/Services and the U.S. Dollar amount of each in the comment box
below?
Additional Comments Box
ATTACHMENTS
Attachments Link

Form #
A B C D E F G H I J K L M N O P Q
X
X
X
X
X
X

X
X
X
X
X
X

Comment
System populated - view only
System populated - view only
System populated - view only
System populated - view only
System populated - view only
System populated - view only

Default to individual entering
X X X X X X X X X X X X X X X X X the request
Default to individual entering
X X X X X X X X X X X X X X X X X the request
Default to individual entering
X X X X X X X X X X X X X X X X X the request
X X X X
X
X X X X
X X X X
X X
X X X X X X X X X X X
X
X X X X X X X X X X X X
X
X X X X
X X X X X X X
X X X X X X X
X X X

X
X
X
X

X X
X X X X
X X X X X
X X X X X System populated - view only
X

X X X X X
X X X X X

X X X X X X X X X X X X X X X X X
X X X X X X X X X X X X X X X X X
X X X X X X X X X X X
X X X X X X
X X X X X X X X X X X

X X X X X X
X

X
X

X
X
X

X
X

X
X
X
X

X
X

X
X
X
X
X
X
X
X X X X X X X X X X X X X X X X X
X X X X X X X X X X X X X X X X X

EXPORTER/LOCAL COST PROVIDER INVOICE(S) [OR LEASE SUPPLEMENT(S)]

Exporter/Local Cost Provider
NAICS Code
Product Description
Gross/total invoice amount paid (USD)
Gross/total invoice amount paid (FC (i.e. EUR))
Financed Amount (excluding Exposure Fee) (USD)
Financed Amount (excluding Exposure Fee) (FC (i.e. EUR))
Number of invoices
Number of invoices or lease supplements
U.S. Content Percentage from the Exporter's Certificate

X
X
X
X

X X
X X
X X

X
X
X
X

X X
X X

X X

X X
X X

X X

X X X X
X X X X
X X X X
X
X
X X
X X X X
X X
X X
X X
X X X X X X
X
X
X
X
X
X
X
X

X
X
X
X

Pre-populated based on
approved list of exporter/local
X cost providers
X
X
X

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C.
Accessing a Transaction
Once logged into ExIm Online, the System will present the Lender with a menu of options asking the
Lender, “What do you want to do today?” On the left hand side, the Lender will select “Manage –
Request a Disbursement Approval” (see below).

From this screen, the System will ask the Lender what action they want to take and the Lender will
select to “Start a New Request”.

Once this option is selected, the System will display a listing of transactions associated to the Lender.
Based on the transaction selected, the System will display the appropriate disbursement request screens
which are included in Section III of this document.

10 | P a g e

III.

Disbursement Request Forms – Sample Forms
A.

Disbursement Request Form – MT Guarantee (US Cost)

11 | P a g e

Disbursement Request Form – MT Guarantee (Local Cost)

12 | P a g e

Disbursement Request Form – MT Guarantee (IDC)

13 | P a g e

Disbursement Request Form – MT Guarantee (Foreign Currency – Fixed US Cost)

14 | P a g e

Disbursement Request Form – MT Guarantee (Foreign Currency – Fixed Local Cost)

15 | P a g e

Disbursement Request Form – MT Guarantee (Foreign Currency – Fixed IDC)

16 | P a g e

Disbursement Request Form – MT Guarantee (Foreign Currency – Floating US Cost)

17 | P a g e

Disbursement Request Form – MT Guarantee (Foreign Currency – Floating Local Cost)

18 | P a g e

Disbursement Request Form – MT Guarantee (Foreign Currency – Floating IDC)

19 | P a g e

Disbursement Request Form – MT Guarantee (Delegated Authority US Cost)

20 | P a g e

Disbursement Request Form – MT Guarantee (Delegated Authority Local Cost)

21 | P a g e

Disbursement Request Form – MT Guarantee (Lease Delivery US Cost)

22 | P a g e

Disbursement Request Form – MT Guarantee (Lease Delivery Local Cost)

23 | P a g e

Disbursement Request Form – MT Guarantee (Lease Delivery Foreign Currency – Fixed
US Cost)

24 | P a g e

Disbursement Request Form – MT Guarantee (Lease Delivery Foreign Currency – Fixed
Local Cost)

25 | P a g e

Disbursement Request Form – MT Guarantee (Lease Delivery Foreign Currency –
Floating US Cost)

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Disbursement Request Form – MT Guarantee (Lease Delivery Foreign Currency –
Floating Local Cost)

27 | P a g e

File Type	application/pdf
Author	Lauren Kirsch
File Modified	2013-05-30
File Created	2013-05-30