Electronic Payment Derecognition Assessment Form
Assess whether an electronic payment liability or item qualifies for derecognition. Please complete all sections for an accurate evaluation.
Payment Item Reference or Description
*
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Electronic Payment Item
*
Please Select
Outgoing Payment
Incoming Payment
Standing Order
Direct Debit
Other
Has the payment liability been fully settled?
*
Yes
No
Are there any continuing involvement or recourse arrangements?
*
No continuing involvement
Yes, limited involvement
Yes, significant involvement
Does the entity retain control over the payment item after transfer?
*
No control retained
Partial control retained
Full control retained
Assessment of Derecognition Criteria
*
Rows
Not Met
Partially Met
Fully Met
No continuing involvement
1
2
3
No control retained
4
5
6
Payment settled in full
7
8
9
Transfer is non-reversible
10
11
12
How confident are you that derecognition criteria are satisfied?
*
1
2
3
4
5
Summary of Assessment or Comments
Assessor's Name
*
First Name
Last Name
Submit Assessment
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