## Visa Direct Program Implementation Questionnaire

Thank you for your interest in launching a Visa Direct program. This questionnaire covers business and operational functions required to implement a successful Visa Direct program*. A program is a product or service offering money transfer and/or funds disbursements capabilities using Visa Direct transactions. This questionnaire has two main purposes:

1. To provide you information to best understand the full breadth of capabilities that are needed for a comprehensive Visa Direct program.
2. To gather information that may help Visa direct you on next steps in building out a push payment service offering.

Please submit the completed questionnaire by:

| Region or Country of Origination | Questionnaire Submission Options |
| --- | --- |
| United States | Clicking the "SUBMIT" button at the end of this questionnaire or Emailing to VisaDirectSupport@visa.com |
| Canada | Emailing to CanadaVisaDirect@visa.com |
| Europe | Emailing to EUVisaDirect@visa.com |
| LAC | Emailing to LACVisaDirect@visa.com |
| Asia-Pacific | Emailing to APVisaDirect@visa.com |
| CEMEA | Emailing to CEMEAVisaDirect@visa.com |

If you are using Google Chrome, please download the form before completing it. Please complete ALL sections.

## Business Case

**Enter the name of your business entity, location, and contact information (email and phone) (required):**

| Name: |  |  |  |
| --- | --- | --- | --- |
| Street Address: |  |  |  |
| City: |  | State/Province: |  |
| Country: |  | Postal Code: |  |
| Email: |  |  |  |
| Phone: |  |  |  |

---

**Please provide a brief description of your business (include URL of your company's website): (required)**

**Visa Direct Type of Service: (check all that apply) (required):**

- Domestic Person-to-Person Money Transfer  
- Cross-Border Person-to-Person Money Transfer  
- Others

**Please provide a brief description of your type of service for each type of service selected. If Person-to-Person Money Transfer is selected, please provide source of funds details (required):**

*Describe service, if applicable:*

*Describe service, if applicable:*

*Describe service, if applicable:*

*Describe service, if applicable:*

**What is the size of your existing customer base targeted for Visa Direct services? (required)**

**Does your target customer base have debit/prepaid/credit card accounts? (check all that apply) (required)**

- Prepaid  
- Debit  
- Deferred Debit (Europe Region)  
- Credit  
- Not applicable

**Enter the projected monthly transaction count and dollar volume targeted for Visa Direct transactions: (required)**

Monthly transaction count

Monthly transaction amount

---

## Business Readiness

**Target launch date – when is the program expected to launch? (required)**

## How are you planning to connect to Visa for push-to-card transaction processing? (required)

| Traditional Acquirer Processor(if selected, please provide name) |  | Name: |
| --- | --- | --- |
| Third Party Provider/Processor |  | Name: |
| Visa Direct APIs |  | I don't know yet |

## Are you an approved VisaNet Acquirer processor? (required)

Yes

**A Visa licensed Acquirer is required for all Visa Direct programs. Do you have a committed Acquirer to sponsor this program? If yes, please provide name: (required)**

Yes

No

Name:

**Will you be sending transactions for your own business, or on behalf of other clients/merchants? (required)**

Own Business:

Behalf of Other Clients:

**If you plan to send transactions on behalf of other clients, do you have a pilot client in mind? Please explain:**

## Do you have an existing Visa relationship? (required)

Yes

No

**If yes, who is your Visa contact? (required)**

## Are you PCI DSS compliant? (required)

Yes

No

---

**Please work with your Acquirer or third party service provider to answer the following questions.**  
**Can you, your Acquirer, or your service provider: (required)**

|  | You | Acquirer | Service Provider | I don't know yet |
| --- | --- | --- | --- | --- |
| Provide customer service (including a complaints management system): | ☑️ | ☑️ | ☑️ | ☑️ |
| Receive Visa reports (such as settlement & data reports) through direct Visa connection or any other way: | ☑️ | ☑️ | ☑️ | ☑️ |
| Complete reconciliation processes using Visa settlement reports: | ☑️ | ☑️ | ☑️ | ☑️ |
| Process and manage exceptions such as chargebacks, reversals, adjustments etc.: | ☑️ | ☑️ | ☑️ | ☑️ |
| Monitor fraud, with the ability to stop all transactions if suspicious behavior is detected: | ☑️ | ☑️ | ☑️ | ☑️ |
| Provide controls to prevent money laundering: | ☑️ | ☑️ | ☑️ | ☑️ |
| Complete OFAC/SDN screening of senders and recipients in accordance with local AML/ATF laws and regulations: | ☑️ | ☑️ | ☑️ | ☑️ |
| If you are sending transactions on behalf of other clients/merchants: |  |  |  |  |
| Produce detailed merchant level reports: | ☑️ | ☑️ | ☑️ | ☑️ |
| Collect funds from merchants and support billing: | ☑️ | ☑️ | ☑️ | ☑️ |
| Establish and handle transaction controls per merchant: | ☑️ | ☑️ | ☑️ | ☑️ |

**I certify that the information provided above is true and accurate to the best of my knowledge.**

| Yes | No |
| --- | --- |