Deposit Broker Compliance Checklist Form
Complete this checklist to review deposit broker compliance readiness, program practices, disclosures, and recordkeeping before submission.
Broker and Business Information
Broker or Business Name
*
Primary Contact Person
*
First Name
Middle Name
Last Name
Business Email
*
example@example.com
Business Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Business Type / Entity Structure
*
Please Select
Sole Proprietorship
Partnership
Limited Liability Company (LLC)
Corporation
Limited Partnership
Nonprofit Organization
Other
Primary Jurisdiction / Region of Operation
*
Please Select
Northeast
Southeast
Midwest
Southwest
West
Nationwide
International
Other
Deposit Program Details
Deposit Program Name
*
Program Type
*
Please Select
Core deposit
Brokered deposit
Sweep deposit
Other
Broker Role in Deposits
*
Accepts deposits
Facilitates deposits
Both
Neither
Target Customer Segment
Please Select
Retail customers
Small businesses
High-net-worth clients
Institutional clients
Other
Operating Channels Used
Branch
Website
Mobile app
Call center
Email
Third-party platform
Other
Deposit-Related Service Flow Description
Marketing and Customer Acquisition Practices
Marketing channels used
*
Website
Email campaigns
Social media
Paid search
Print advertising
Events and seminars
Direct mail
Referral partners
Third-party marketers
Other
Are promotional claims reviewed for accuracy before use?
*
Yes
No
Are customer-facing materials approved by compliance before publication?
*
Yes
No
Describe any special promotions, referral practices, or third-party marketing arrangements
Customer Onboarding and Verification Process
Describe the customer onboarding steps used for this deposit program
*
Which verification or eligibility checks are performed during onboarding?
*
Identity verification
Address verification
Eligibility screening
Sanctions screening
Beneficial ownership review
Other
What documents or information are requested from customers?
*
Government-issued photo identification
Proof of address
Employer information
Source of funds information
Business formation documents
Tax information
Other
How are onboarding exceptions or risk flags handled?
*
Reviewed by a compliance officer
Escalated to management
Routed to a manual review queue
Rejected if unresolved
Other
Who reviews onboarding decisions and what is their role?
*
Disclosures, Acknowledgments, and Recordkeeping
Are all required disclosures provided to customers?
*
Yes
No
How is disclosure delivery documented?
*
Are customer acknowledgments retained?
*
Yes
No
How long are compliance records retained?
*
Where are compliance records stored?
*
Who is responsible for maintaining compliance records?
*
Submit Checklist
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