CRA Community Services Report

Please complete one form for each organization.
For ongoing service hours, only one form is needed per year.

CRA Service Form

Employee Name:

Employee Email

Title:

Branch/Department:

The Community Development Reinvestment Act (CRA) encourages banks, its officers, and employees to be involved in their communities. Under the regulation, a bank may receive credit for community development services conducted by the bank and its employees. The CRA regulation defines community development services as a service that:

Has as its primary purpose community development;
Is related to the provision of financial services; and
Benefits Low-to-Moderate-Income individuals, families, businesses, and/or areas.

Please document below the activities in which you have participated that may qualify for CRA Community Development Services:

Organization Name:

Organization Type:

For Profit

Nonprofit

How does this organization benefit Low-to-Moderate-Income individuals, families, businesses, and/or areas (mission statement or other information):

Your Title/Role at the Organization

Organization's Website:

How did you use your Banking/Financial Experience?

Number of Hours Served:

One-time Hours

Ongoing Hours

One-time service hours:

Ongoing service hours:

hours per

month

quarter

year

Have Supporting Documents to Upload?

Maximum file size: 5MB

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Please complete one form for each organization.
For ongoing service hours, only one form is needed per year.

Thank You for Representing First Bank in Your Service to the Community!

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