Anti-Bribery And Corruption Risk Assessment Form
Assess bribery and corruption risk for a business relationship, transaction, third party, or project. Use the form to capture respondent details, risk factors, controls, and mitigation notes.
Respondent and Case Details
Respondent Name
*
First Name
Last Name
Respondent Role / Title
*
Company / Organization
*
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Risk Assessment Inputs
Business relationship or transaction type
*
Third party
Agent
Distributor
Vendor
Customer
Government-related interaction
Merger/Acquisition
Donation/Sponsorship
Other
Country/region of activity
*
Bribery and corruption exposure rating
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Key risk factors
*
Rows
Applicable
Level
Notes
Third-party involvement
1
2
Government interaction
3
4
Cash usage
5
6
Gifts/Hospitality
7
8
Use of intermediaries
9
10
Controls and Summary
Existing anti-bribery controls in place
*
Risk assessment summary and recommended mitigation actions
*
Submit Assessment
Should be Empty: