AML/KYC Verification Form Template

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Company/Business Name: [Company Name]

Department/Team: [Team]

Form ID (Optional): [ID]

Date Opened: [Date]

Completed By: [Name, Title]

Reviewer/Approver (If Any): [Name, Title]

Customer Type: ☐ Individual ☐ Business/Entity

Purpose of Relationship (Optional): [Product/service + reason]

1. Customer Information

1.1 Individual Customer (if applicable):

Full legal name: [Name]
Date of birth: [DOB]
Nationality (optional): [__]
Residential address: [__]
Phone/email: [__]
Occupation/employer (optional): [__]

Full legal name: [Name]

Date of birth: [DOB]

Nationality (optional): [__]

Residential address: [__]

Phone/email: [__]

Occupation/employer (optional): [__]

1.2 Business/Entity Customer (if applicable):

Legal entity name: [Name]
Registration number: [__]
Country/state of incorporation: [__]
Registered address: [__]
Operating address (if different): [__]
Website (optional): [__]
Primary contact name/title: [__]
Phone/email: [__]

Legal entity name: [Name]

Registration number: [__]

Country/state of incorporation: [__]

Registered address: [__]

Operating address (if different): [__]

Website (optional): [__]

Primary contact name/title: [__]

2. Identification Documents (Documentary Verification)

2.1 Documents Reviewed (Select all that apply):

☐ Passport

☐ Driver’s license

☐ National ID card

☐ Proof of address (utility bill/bank statement)

☐ Business registration certificate

☐ Articles/operating agreement/bylaws (optional)

☐ Tax ID confirmation (optional)

☐ Other: [List]

2.2 Document Details (No full numbers):

Document type: [__]
Issuer: [__]
Last 4 digits/partial ID: [____]
Expiration date: [Date]
Verified name matches customer: ☐ Yes ☐ No (explain)

Document type: [__]

Issuer: [__]

Last 4 digits/partial ID: [____]

Expiration date: [Date]

Verified name matches customer: ☐ Yes ☐ No (explain)

2.3 Document Review Result: ☐ Pass ☐ Fail ☐ Needs follow-up (notes: [__])

3. Non-Documentary Verification (If Used)

3.1 Method(s): ☐ database check ☐ email/phone verification ☐ micro-deposits ☐ video verification ☐ other: [**]

3.2 Results/notes: [**]

4. Beneficial Ownership and Control (Businesses)

4.1 Beneficial Owners (Attach additional page if needed):

Name: [] | Ownership %: [] | Role: [Owner/Controller] | Country: [__]
Name: [] | Ownership %: [] | Role: [Owner/Controller] | Country: [__]

Name: [] | Ownership %: [] | Role: [Owner/Controller] | Country: [__]

4.2 Authorized Signers (if applicable): [Names/Titles].

4.3 Proof collected: ☐ ownership declaration ☐ cap table ☐ corporate registry extract ☐ other: [__]

5. Screening Checks

5.1 Sanctions List Screening: ☐ Clear ☐ Possible match ☐ Not performed (explain)

5.2 PEP Screening: ☐ Clear ☐ Possible match ☐ Not performed (explain)

5.3 Adverse Media (Optional): ☐ Clear ☐ Concern identified ☐ Not performed (explain)

5.4 Notes/Links (Internal): [Notes] (avoid including unnecessary personal data)

6. Risk Assessment

6.1 Risk Rating: ☐ Low ☐ Medium ☐ High

6.2 Reasons (Select all that apply):

☐ High-risk jurisdiction

☐ Unusual ownership structure

☐ High transaction volume expected

☐ PEP/sanctions/adverse media concerns

☐ Cash-intensive business

☐ Other: [Explain]

6.3 Enhanced Due Diligence Required: ☐ No ☐ Yes (steps): [List]

7. Decision and Approval

7.1 Decision: ☐ Approved ☐ Approved with conditions ☐ Rejected ☐ Pending

7.2 Conditions/Restrictions (If Any): [Limits, monitoring, document follow-up].

7.3 Approval Date: [Date]

7.4 Approver Signature (Optional): ___________________________

7.5 Internal Notes: [Notes]

8. Data Handling and Retention (Optional)

8.1 Data will be used for verification and risk compliance purposes only and stored securely with limited access.

8.2 Retention Period: [__] years/months (or “per policy/law”).

Signatures

Completed By: [Name, Title]

Date: [Date]

Signature: ___________________________

Reviewed By (Optional): [Name, Title]

Date: [Date]

Signature: ___________________________

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AML/KYC Verification Form Template

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AML/KYC Verification Form Template — quick answers

Reviewed July 2026 Free download, PDF & DOCX

What is an AML/KYC verification form?

An AML/KYC Verification Form is used to document “Know Your Customer” (KYC) identity checks and anti-money laundering (AML) screening steps. Businesses use it to record who the customer is, how identity was verified, and whether any red flags or high-risk factors were identified.

Who should use it?

It’s commonly used by financial services, fintechs, marketplaces, payment providers, crypto-adjacent businesses (where permitted), B2B vendors, and any company that needs to document customer due diligence as part of compliance or risk controls.

What information is typically collected?

Common sections include: customer identity details, beneficial owners/controllers (for businesses), verification method (documents or electronic), sanctions/PEP/adverse media checks, risk scoring, and an approval decision. This template includes individual and business options.

How do you handle sensitive data?

Collect only what you need, store it securely, restrict access, and follow privacy laws. This template includes a short data handling statement and retention field you can customize.

Is this form legal advice or a full compliance program?

No. AML/KYC requirements vary by jurisdiction and industry. This template helps with documentation but does not replace legal/compliance advice or required regulatory procedures.

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