Cost Projection Survey

Are you still writing off?
(Include prior conversion expenses, core processing equipment / not PC’s or printers, software purchase)
- Yes
- No
List
Item: Monthly Cost: Months Remaining
Membership
Number of members (not accounts):
How many memberships close per month:
ATM / DEBIT CARDS
ATM Provider:
ATM Online/Batch
- Online
- Batch
ATM Number of monetary transactions (monthly):
Does not include authorized
CREDIT CARDS
Credit Cards Provider:
Credit Cards Online/Batch
- Online
- Batch
Credit Cards number of monetary transactions (monthly):
Does not include authorized
Do you own your BIN(s)?
- Yes
- No
If the credit union has credit cards with FNIS (FIS or Certegy), a copy of a recent monthly invoice with detail may be requested

SHARE DRAFTS
Share Draft Provider:
Share Draft average monthly transactions:
AUDIO RESPONSE
Total minutes used per month:
Any data from your existing system will help here (i.e. number of logins, transactions, etc). If you don’t have the minutes, please provide what you can.
WEB BANKING
Web Banking Provider:
Do you have check imaging?
- Yes
- No
This allows the member to see an image of the actual check through home banking.
ONLINE BILL PAY
Bill Pay Provider:
Do you have bill pay services?
- Yes
- No
This allows the member to see an image of the actual check through home banking.
Who provides the service:
Is it integrated to your web-banking?
- Yes
- No
This means the member only signs into web banking and does not have to sign on again to bill pay.
Number of members using it:
Number of bill pay transactions:
Contract term:

ACH
ACH Provider:
Do you originate?
- Yes
- No
How many returns do you typically process monthly?
How many NOC’s (Notice of Change) do you typically process monthly?
CREDIT BUREAU
Credit Bureau Provider:
Number of credit reports pulled monthly:
How many bureaus do you report to monthly:
LOAN FORMS
Loan Form Provider:
Total number of forms:
Loan forms printer
- Laser
- Dot
- Manual
A budget number will be provided in the cost projection however, an actual bid will be generated based on review of the forms by our programming teams.

BRANCH INFORMATION
Number of branches:
Any located out of state?
- Yes
- No
Do you offer shared branching?
- Yes
- No
Who provides it?
STAFF COUNTS (INCLUDE ALL BRANCHES):
Front tellers:
Drive up tellers:
Loan officers:
Back office:
MSR desks:
HARDWARE
For the purposes of this initial cost projection, hardware is not being assessed in detail. A detailed pre-site walkthrough will be necessary to evaluate your hardware. Please simply provide the general information below for an estimate of hardware cost. If the credit union has a detailed list of all equipment, this information would also be helpful.
EXISTING EQUIPMENT COUNTS
Number of workstations (PC’s):
Number of TCD/TCR:
Number of receipt printers:
Number of check printers:
Number of form printers
Number of photo ID scanners
Number of full page scanners
Phone
This field is for validation purposes and should be left unchanged.

General Information

Item:	Monthly Cost:	Months Remaining