Chapter 6: Application Instructions
1022 Publ 5262 (PDF) · 2026-10-03 edition · updated 2026-10-04 · United States
| Part 1 Question | Instructions for QIs |
|---|---|
| Applicant is applying for | Select the option applicable to your applicant type. Only one selection may be made. A foreign partnership or foreign trust may not select “Qualifed Intermediary.” A foreign reverse hybrid entity must select “Withholding Foreign Partnership.” To change the entity type, the QI, WP, or WT must submit a notice of termination to terminate its QI, WP, or WT agreement and reapply as the desired entity type. |
| If you have a registration account, provide the FATCA ID |
Enter the FATCA ID of the applicant (if applicable). Leave this question blank if the applicant does not have a FATCA registration account.. |
Global Intermediary Identifcation Number (GIIN), if any |
Enter the GIIN of the applicant (if applicable). Leave this question blank if the applicant does not have a GIIN. For applicants that have an approved FATCA registration account, a GIIN has been assigned. |
| Legal name of the applicant |
Enter the legal name of the applicant. The legal name is the name the applicant uses in offcial incorporation or organization documents, or the name otherwise recognized by the country’s/ legal name is the name used by the applicant in legal documents |
| Provide existing EIN, if any | Enter the employer identifcation number (EIN), if the applicant has an EIN other than its QI/ than its QI/ |
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| Part 1 Question | Instructions for QIs | |
|---|---|---|
| Country/ Organization: |
Select the applicant’s country/ select the country of incorporation. For all other types of entities, select the country under whose laws the entity is created, organized, or governed. Only one selection can be made. If selecting “other”, enter the name of the country/ If a QI, WP, or WT needs to change its country/ into a QI, WP, or WT agreement, it must submit a notice of termination and reapply. |
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| Indicate below if the applicant is also applying for status as a qualifed securities lender (QSL) or qualifed derivatives dealer (QDD). (note – If a prospective QI has a branch that is a prospective QDD, the branch must apply for QDD status by completing a separate QI application.) |
Select the appropriate response. Only one selection may be made. For further guidance, including guidance for a QI Branch seeking QDD status, see Frequently Asked Questions on IRS.gov |
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| Has the applicant received any reportable payments this year if applying after March 31st? |
Select the appropriate response. If the applicant is applying on or before March 31, select “no.” If QI is a U.S. pay or, a “reportable payment” means, unless an exception to reporting applies under chapter 61, any reportable amount; any broker proceeds from a sale reportable under Treas. Reg.1.6045–1(c); and any foreign source interest, dividends, rents, royalties, or other fxed and determinable income. If QI is a non-U.S. pay or, a “reportable payment” means, unless an exception to reporting applies under chapter 61, any reportable amount; any broker proceeds from a sale effected at an offce inside the United States, as defned in Treas. Reg. 1.6045–1(g)(3)(iii); and any foreign source interest, dividends, rents, royalties, or other fxed and determinable income if such income is not paid outside the United States as described in the QI agreement. |
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| Indicate the Chapter 3 eligibility of applicant: |
Select the appropriate response. Only one selection may be made. Select “other” if the applicant is not one of the listed categories but meets the requirements of one of the categories in Treas. Reg. section 1.1441-1(e)(5)(ii) or has been determined to be acceptable to the IRS. A non-U.S. fnancial institution means a foreign fnancial institution (FFI) defned in Treas. Reg. section 1.1471-5(d). A branch of a U.S. fnancial institution means a foreign branch of a U.S. fnancial institution or U.S. clearing organization. A non-U.S. clearing organization means a foreign clearing organization If selecting other, provide an explanation regarding Chapter 3 eligibility |
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| Part 1 Question | Instructions for QIs | |
|---|---|---|
| Chapter 4 eligibility of applicant |
Select the appropriate response. Only one selection may be made. “Participating FFI” means an FFI that has agreed to comply with the requirements of an FFI Agreement, including an FFI described in a Model 2 IGA that has agreed to comply with the requirements of an FFI Agreement (reporting Model 2 FFI). The term participating FFI also includes a QI branch of a U.S. fnancial institution, unless such branch is a reporting Model 1 FFI. “Registered deemed-compliant FFI” means an FFI described in Treas. Reg. §1.1471-5(f) (1) and includes a reporting Model 1 FFI and a non reporting Model 2 FFI that is treated as registered deemed-compliant FFI. “Registered deemed-compliant Model 1 IGA FFI” means an FFI treated as a deemed- compliant FFI under an applicable Model 1 IGA that is subject to similar due diligence and reporting requirements with respect to U.S. accounts as those applicable to a registered deemed-compliant FFI under Treas. Reg. §1.1471-5(f)(1), including the requirement to register with the IRS. “Limited FFI” may only be selected by a new QI applicant before December 31, 2016, that is applying for an agreement for the short period ending on December 31, 2016. All new applicants for agreements effective on or after January 1, 2017, and all renewals of existing applicants may not select limited FFI. “Foreign central bank of issue” means an institution that is by law or government sanction the principal authority, other than the government itself, issuing instruments intended to circulate as currency. Such an institution is generally the custodian of the banking reserves of the country under whose law it is organized. A foreign central bank of issue may enter into a QI agreement provided it meets and agrees to assume the obligations of, and to be treated as, a participating FFI (including a reporting Model 2 FFI) or a registered deemed-compliant FFI (including a reporting Model 1 FFI) with respect to any account that it maintains and that is held in connection with a commercial fnancial activity described in Treas. Reg. §1.1471-6(h) and for which it receives a with holdable payment. “Non-fnancial foreign entity” or “NFFE” means a foreign entity that is not a fnancial institution (including an entity that is incorporated or organized under the laws of any U.S. territory and that is not a fnancial institution). The term also means a foreign entity treated as an NFFE pursuant to a Model 1 or Model 2 IGA. “Retirement fund” means a retirement fund or other fund that is an exempt benefcial owner described in Treas. Reg. §1.1471-6(f) or a similar fund that qualifes as an exempt benefcial owner under an applicable Model 1 IGA or Model 2 IGA. “Direct reporting NFFE” means an NFFE that elects to report information about its direct or indirect substantial U.S. owners to the IRS and meets the requirements of Treas. Reg. §1.1472-1(c)(3). A certifed deemed-compliant FFI that meets and agrees to assume the obligations of, and to be treated as, a participating FFI, registered deemed-compliant FFI, or registered deemed-compliant Model 1 IGA FFI should select participating FFI, registered deemed- compliant FFI, or registered deemed-compliant Model 1 IGA FFI (as applicable). |
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| Part 1 Question | Instructions for QIs | |
|---|---|---|
| Identify the Know Your Customer (KYC) rules that apply to the applicant in the jurisdiction where the applicant is located (not including branches) |
Select the appropriate response. Only one selection may be made. If selecting “other”, enter the name of the KYC jurisdiction. If you are not covered by any KYC rules, select “other” and state “No KYC” in the other feld. To request approval of a jurisdiction’s KYC rules, see the instructions at http://www.irs.gov/ of- Approved-KYC-Rules. “Know your customer rules” or “KYC rules” refers to the applicable laws, regulations, rules, and administrative practices and procedures governing the requirements of certain QIs, WPs and WTs that are FFIs to obtain documentation confrming the identity of QI’s account holders, WP’s direct partners, or WT’s direct benefciaries or owners. A list of jurisdictions for which the IRS has received know-your-customer information and for which the know- your-customer rules and specifed documentation are acceptable is available at: http:// www.irs.gov/ |
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| Does the applicant maintain a branch in any jurisdiction, other than the home offce, that will operate as a QI under this application? |
Separately identify each jurisdiction where the applicant maintains a branch outside of the home offce. Use the “add” button to add branches. Select the branch’s country/ “other”, enter the name of the country/ Select the appropriate response for the Know Your Customer (KYC) rules for branch. Only one selection may be made. If selecting “other”, enter the KYC rules. “Know your customer rules” or “KYC rules” refers to the applicable laws, regulations, rules, and administrative practices and procedures governing the requirements of certain QIs that are FFIs to obtain documentation confrming the identity of QI’s account holders. A list of jurisdictions for which the IRS has received know-your-customer information and for which the know-your-customer rules and specifed documentation are acceptable is available viaList of KYC Rules on IRS.gov. Enter the GIIN of the branch (if applicable). Leave this question blank if the branch does not have a GIIN. For applicants that have an approved FATCA registration account, a GIIN has been assigned to approved branches. Notes on branches: Users with a FATCA registration account may have their branches already populated. If a branch entry is missing its KYC rules, edit the entry to add the KYC rules before continuing. You may edit or delete a branch in the application by using the icons in the branch table’s last column. Notwithstanding that the home offce (or prospective QI) includes all relevant branch information with its application or renewal, a separate QI application must be submitted for each branch (including branches that are disregarded entities) that is a prospective QDD. For further guidance, seeFrequently Asked Questions on IRS.gov. |
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| Part 1 Question | Instructions for QIs | |
|---|---|---|
| Address of applicant | Enter the mailing address of the applicant. The address provided will be used to send all mail correspondence related to the applicant’s account, and any other related matters. If selecting “other” for the country/ |
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| Description of business of the applicant. If the applicant is applying for QDD status, indicate which portions of the business description are applicable to the QDD status. (if additional space is required, you will be able to upload a fle before you submit the application) |
Provide a description of the applicant’s business. Files can be uploaded in Part 4, if additional space is needed. For further guidance, seeFrequently Asked Questions on IRS.gov. |
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Description of new account opening procedures If the applicant is applying for QDD or QSL status, also describe the applicant’s procedure for collecting documentation from counter parties. (if additional space is required, you will be able to upload a fle before you submit the application) |
Provide a description of new account opening procedures. Files can be uploaded in Part 4, if additional space is needed. For further guidance, seeFrequently Asked Questions on IRS.gov. |
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Responsible Offcer Information |
Enter the name and contact information of the responsible offcer. “Responsible offcer” means an offcer of the QI, WP, or WT with suffcient authority to fulfll the duties of a responsible offcer as described in the QI, WP, or WT agreement, including the requirements to periodically certify and to respond to requests by the IRS for additional information to review the QI’s, WP’s, or WT’s compliance. The RO may, but is not required to, be the same RO for purposes of the QI’s, WP’s, or WT’s compliance with its FATCA requirements (if applicable). If selecting “other” for country/ country/ may be made. |
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| Contact person information |
Enter the name and contact information of the contact person. Check the box to indicate the responsible offcer’s authorization of the contact person. For purposes of this question, the term “responsible offcer” means an individual who is authorized under local law to consent on behalf of the applicant (an “authorizing individual”) to the disclosure of QI/ same as the individual identifed as the responsible offcer in this application. Once the authorization is granted, it is effective until revoked by either the contact person or by an authorizing individual of the applicant.. |
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