CME Clearing Europe OTC Online System Access Request Form User Information Request Type Add ☐
Change Existing User ID: Click here to enter text. ☐
Delete ☐
Resume ☐
(must be filled in if request type is Change, Delete, or Resume)
Clearing Member Firm Information Firm#: Click here to enter text.
Firm Name: Click here to enter text. End User Information User name: Click here to enter text. (First, Middle Initial, Last) Business Phone: Click here to enter text. Firm Address: Click here to enter text. User Email Address: Click here to enter text. City: Click here to enter text. IN ORDER TO PROCESS PASSWORD RESETS OVER THE PHONE YOU WILL NEED TO PROVIDE AN ANSWER TO ONE OF THE FOLLOWING QUESTIONS BELOW: Birth Place? Click here to enter text. Date of Birth (MM/DD/YYYY)? Click here to enter text. School? Click here to enter text. Approved Signer Information Authorizing Signature: ______________________ Print Name: ________________________ Direct security access inquiries to the EASE Team at + 1 312 930 3444 Opt #2 Please allow a minimum of 48 hours for processing your security request Our fax number is +1 312 604 9450 Page 1 CME Clearing Europe OTC Online System Access Request Form User Information Title:_________________________ Date: _______________ Phone: ________________________ Exchanges User Needs Access To: CMECE (IRS) ☐ Firm #’s : Click here to enter text. Environments Needed: Production ☐ New Release ☐ Certification ☐ Requested System Please identify below the Online System you need access to: System Update Access Read-­‐Only Access FEC for OTC IRS (DMS) EREP -­‐ Operations Reports ☐ N/A N/A EREP -­‐ Risk Reports EREP -­‐ Financial Reports Fee System Portal (EFS) Asset Management N/A N/A ☐ ☐ ☐ ☐ N/A Settlements Firm ☐ ☐ ☐ ☐ Special Instructions: Click here to enter text. Direct security access inquiries to the EASE Team at + 1 312 930 3444 Opt #2 Please allow a minimum of 48 hours for processing your security request Our fax number is +1 312 604 9450 Page 2 CME Clearing Europe OTC Online System Access Request Form User Information Third Party Platform Access Authorization If Clearing Member Firm intends to access FEC through a third party platform instead of directly, this section must be completed. The purpose of this section is for Clearing Member Firm to allow a third party platform to interact with CME in a limited capacity as outlined below. BY AUTHORIZING A THIRD PARTY PLATFORM, CLEARING FIRMS ACKNOWLEDGE THAT ANY ACTION (OR FAILURE TO PERFORM ACTION) BY THE THIRD PARTY PLATFORM WILL BE VIEWED AS IF THE ACTION (OR FAILURE TO PERFORM ACTION) WAS PERFORMED BY THE CLEARING FIRM. Responsibility that Clearing Member Firm delegates to third party platform Type of Responsibility Click here to enter text. OTC IRS FEC Accept / Reject Click here to enter text. OTC CDS FEC Accept / Reject Click here to enter text. OTC FX FEC Accept / Reject Click here to enter text. Authorized Third Party Platform Information Name of the Platform Click here to enter text. Primary Contact Name Click here to enter text. Primary Contact Phone Click here to enter text. Primary Contact Email Click here to enter text. Secondary Contact Name Click here to enter text. Secondary Contact Phone Click here to enter text. Secondary Contact Email Click here to enter text. Direct security access inquiries to the EASE Team at + 1 312 930 3444 Opt #2 Please allow a minimum of 48 hours for processing your security request Our fax number is +1 312 604 9450 Page 3