Notice To FFLA Form

NOTICE TO FFLA FORM

(to be completed by lawyer/law firm for each IOTA account)
IOTA ACCOUNT
Please enter your IOTA account number exactly as assigned by your eligible institution (do not omit any numbers).*
FFLA USE ONLY

ELIGIBLE INSTITUTION
Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact *
Telephone*

Area CodePhone Number
FFLA USE ONLY

LAWYER/LAW FIRM
Name*
Law Firm (if applicable)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact*
Florida Bar Member Responsible for Account
Telephone*

Area CodePhone Number
E-mail *
I/my law firm is establishing this IOTA account in compliance with 5-1.1(g) Rules Regulating The Florida Bar (IOTA Program) for all nominal or short-term funds of clients or third persons that “the lawyer has determined cannot practicably be invested for the benefit of the client or third person.” Client or third-person trust funds that lawyers or law firms determine can earn income for the individual client or third person, in excess of the costs to secure such income, cannot be deposited into IOTA accounts. For further guidance in determining IOTA eligible funds, visit the FFLA website at https://fundingfla.org
Date*

MonthDayYear
Electronic Signature*
(Full Name)
You agree your electronic signature is the legal equivalent of your manual signature on this form. *

I Agree

FFLA MEMBERSHIP

Every member of The Florida Bar, whether in solo practice or in a law firm, who maintains an IOTA account automatically becomes a member of FFLA, unless declined, (whether or not the member individually maintains client or third-party trust funds).

For FFLA membership records, please enter the full name and Florida Bar attorney number of The Florida Bar member in solo practice, or every Florida Bar member in the law firm: (Add more as needed).
Last Name*
First Name*
Middle Initial
Attorney #*

For more information about the IOTA program and the charitable programs it supports, or for assistance in setting up this account, remitting interest or dividends to FFLA, or handling remittance errors, please visit FFLA's website at fundingfla.org, or call (407) 960-7000, or (800) 541-2195 (FL), and ask for the IOTA Department.
Should be Empty:

NOTICE TO FFLA FORM