Gifts and Hospitality Declaration Form
Use this form to declare any gifts, meals, entertainment, travel, or hospitality received or offered in connection with business relationships. Please provide complete and accurate details for compliance purposes.
Full Name
*
First Name
Last Name
Department
*
Date of Declaration
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Gift or Hospitality
*
Please Select
Gift
Meal
Entertainment
Travel
Other
Description of Gift, Meal, Entertainment, Travel, or Hospitality
*
Estimated Value (in local currency)
*
Date Received or Offered
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Received From / Offered To (Name and Organization)
*
Business Relationship or Purpose
*
Submit Declaration
Should be Empty: