Anti-Money Laundering Customer Due Diligence Checklist Form
Complete this checklist to document key information for AML customer onboarding or periodic review. Do not enter sensitive identification or financial account details.
Customer Full Name
*
First Name
Last Name
Customer Type
*
Individual
Business Entity
Trust/Foundation
Other (specify below)
Date of Onboarding or Review
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Nature of Business or Primary Activity
*
Beneficial Owner(s) Identified?
*
Yes
No
Not Applicable
Source of Funds (describe in brief)
*
Expected Account/Transaction Activity
*
Low (infrequent, low value)
Medium (regular, moderate value)
High (frequent, high value)
Other (specify below)
Jurisdiction/Risk Category
*
Domestic (low risk)
Foreign (medium risk)
High-risk country or region
Multiple jurisdictions
Sanctions/PEP/Adverse Media Screening Status
*
Sanctions screening completed
PEP screening completed
Adverse media screening completed
No matches found
Potential match/es found (see comments)
Reviewer Comments and Outcome
*
Submit Checklist
Should be Empty: