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Travelers Check Forms

Notice to Individual - Use of Information

The following items comprise the application package for a license to engage in the business of selling travelers checks:

• California Financial Code - Division 1. Banks, Chapter 14A. Travelers Checks, Articles 1 - 7
• California Code of Regulations - Title 10, Chapter 1, Subchapter 70. Travelers Checks
• FDIC 3064-0006 - Interagency Biographical and Financial Report Form
• FDIC 3064-0006 - Interagency Biographical and Financial Report Form Instructions (Adobe PDF)
• Form 2 - Personal Financial Statement (Rev.01-06) (Adobe PDF)
• Form 3 - Confidential Resume (Rev.02-07) (Adobe PDF)
• Form 4010TC - Application for License under Travelers Checks Act (Rev.02-07) (Adobe PDF)
• Form 4020TC - Contract of Applicant for License under Travelers Checks Act (Adobe PDF)
• Form 4025TC - Appointment of Commissioner of Financial Institutions as Agent for Service of Process (Travelers Checks) (Rev. 02-07) (Adobe PDF)
• Form 4030TC - Authorization for Release of Information (Travelers Check) (Rev.02-07) (Adobe PDF)

Forms needed for fingerprinting are not available on the internet, but may be received by calling Meli Brown at (415) 263-8542 or email at mbrown@dfi.ca.gov.