FS Form 5441-2 End User Authorization Contact (TAAPS EUAC) Designation

FS Form 5441-2

OMB No. 1530-0056

End User Authorization Contact (TAAPS EUAC)
Designation and Authorization for TAAPS
"TAAPS®" is a registered trademark of the Department of the Treasury, Bureau of the Fiscal Service

Institution:
Address:
City/State/Zip:
To the Federal Reserve Bank of New York:
We designate the following two individuals as TAAPS End User Authorization Contacts (TAAPS EUAC)
for our Institution as per the Certification Practice Statement associated with TAAPS. The TAAPS EUACs
are responsible for identification, authentication and notification processes between our Institution and the
Federal Reserve Bank of New York or its agents related to TAAPS. This includes advising you of
authorized individuals called Subscribers (i.e., users) who should be issued a credential (a certificate on a
USB token and/or user ID, password or passphrase) in order to access and transact business over
TAAPS. Subscribers will comply with all terms and conditions specified in the Submitter Agreement, and
all agreements referenced therein, as well as all applicable security procedures. You and your agents
may rely on and act upon instructions or other information related to TAAPS that you receive from (or
reasonably believe that you have received from) either of the TAAPS EUACs until you receive (and have
had a reasonable time to act upon) a written amendment or revocation of this authorization.
Note: Please provide the information specified below. All fields are mandatory except the Middle Initial
field.
TAAPS EUAC

TAAPS EUAC

First Name
Middle Initial
Last Name
Telephone Number-Direct line
Telephone Number-Main line
Email Address
Street Address
City/State/Zip
 Add

Add/Modify/Delete TAAPS
EUAC

 Modify

 Delete

 Add

Authorized Signature**:

 Modify

 Delete

Date:

**The individual signing this form must have signatory authority for the Institution and may not be
designated as a TAAPS EUAC on this form
Name:

Title:

Phone:

E-mail Address:

Date:
For WSS EUAC Use Only
Due Diligence Verification Signature
Privacy and Paperwork Reduction Act Notices. The information collected is not associated with a Privacy Act system of records and is not subject
to provisions of the Privacy Act. We estimate it will take you about 05 minutes to complete this form. However, you are not required to provide information
requested unless a valid OMB control number is displayed on the form. Any comments or suggestions regarding this form should be sent to the Bureau
of the Fiscal Service, Forms Management Officer, Parkersburg, WV 26106-1328.
FS Form 5441-2

Department of the Treasury | Bureau of the Fiscal Service

Revised April 2020