Declarations
PEP Declaration Form
A short declaration where a customer confirms whether they, a family member or a close associate hold a prominent public function, with the source of funds and wealth that follows.
12 questionsEU AMLR
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Sanctions Compliance Declaration
Private company · Standard · FATF Recommendations
1. Organisation details
Registered legal name*R.10
Registration number and name of the register*
Country of incorporation or registration*
Select a country ▾
Countries where you operate
2. Sanctions and other declarations
Are you, or is any beneficial owner, director or related company, named on a sanctions list (UN, EU, UK or US)?*R.6
NoYes, explain below
Is the organisation owned 50% or more, together, or otherwise controlled by sanctioned persons?*
NoYes, explain below
Do you do business in, with, or through comprehensively sanctioned countries or regions?*
NoYes, explain below
Has the customer, any owner or any director been convicted of, or investigated for, a financial crime?*
NoYes, explain below
3. Declaration and signature
I confirm the information in this form is true and complete, and I will tell you promptly if it changes.*
I agree
Name, position and signature*
Date*
DD / MM / YYYY
About this template
A declaration where a business confirms it is not sanctioned, not owned 50% or more by sanctioned persons and does not trade with comprehensively sanctioned countries.
When to use it
Use it with suppliers, distributors and trade counterparties, alongside your own sanctions screening.
What it covers
This is a focused form. It collects only what this declaration needs. For full onboarding, pair it with a complete KYC or KYB form.
Edit it before you use it
Every question can be removed, reworded, reordered or made optional in the editor. You can add your own questions and fields too.
| Question | Field type | Section | Legal basis |
|---|---|---|---|
| Registered legal name * | Text | Organisation details | R.10 |
| Registration number and name of the register * | Text | Organisation details | Good practice |
| Country of incorporation or registration * | Country | Organisation details | Good practice |
| Countries where you operate | Text | Organisation details | Good practice |
| Are you, or is any beneficial owner, director or related company, named on a sanctions list (UN, EU, UK or US)? * | Single choice | Sanctions and other declarations | R.6 |
| Is the organisation owned 50% or more, together, or otherwise controlled by sanctioned persons? * | Single choice | Sanctions and other declarations | Good practice |
| Do you do business in, with, or through comprehensively sanctioned countries or regions? * | Single choice | Sanctions and other declarations | Good practice |
| Has the customer, any owner or any director been convicted of, or investigated for, a financial crime? * | Single choice | Sanctions and other declarations | Good practice |
| I confirm the information in this form is true and complete, and I will tell you promptly if it changes. * | Checkbox | Declaration and signature | Good practice |
| Name, position and signature * | Text | Declaration and signature | Good practice |
| Date * | Date | Declaration and signature | Good practice |
Is a declaration enough?
No. It is evidence of the counterparty’s position. You still screen them against the lists.
What is the 50% rule?
Under OFAC and EU rules a company owned 50% or more by sanctioned persons is treated as sanctioned itself.
Related templates
Declarations
Source of Funds and Wealth Declaration
A declaration that explains where the money for a relationship or transaction comes from and how the customer built their wealth, with the evidence to back it up.
13 questionsUK MLRs 2017
Declarations
Beneficial Ownership Declaration
A declaration where a company names everyone who owns or controls 25% or more of it, directly or indirectly, and anyone who controls it by other means.
11 questionsEU AMLR
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