Anti-Money Laundering Risk Assessment
Please complete this form to assess the money laundering risk associated with the client or transaction.
Client/Entity Name
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Client
*
Individual
Corporate
Trust
Other
Country of Residence/Operation
*
Nature of Business/Activity
*
Source of Funds
*
Transaction Amount (USD)
*
Risk Factors (select all that apply)
*
Mitigating Controls in Place
*
Overall Risk Rating
*
Low
Medium
High
Additional Comments
Submit
Should be Empty: