Money Transmitters and Currency Exchangers Forms

Below is a list of applications and forms available for Washington Money Transmitters and Currency Exchangers. If an application or form that you need is not available online, please e-mail us at dcs@dfi.wa.gov or call (360) 902-8703 and we will send you the form.

Money Transmitter Licensing Forms

• Money Transmitter New Application Checklist
• Money Transmitter Amendment Checklist
• Money Transmitter License Surrender Checklist

Currency Exchanger Licensing Forms

• Currency Exchanger New Application Checklist
• Currency Exchanger Amendment Checklist
• Currency Exchanger License Surrender Checklist

Other Forms

• Money Transmitter Declaration Form
• Average Daily Transmission Liability (ADTL) Model Form
• Permissible Investments Worksheet
• Virtual Currency Permissible Investments Worksheet
• Sample Virtual Currency PI Report