Third Party Due Diligence Information Form

Third Party Due Diligence Information Form

A. Compliance Program Process

Program Elements

B. Business Related Information

B1. Business Services / Unit
B2. Region Involved
E. Status of Form

F. Third Party

F3. Main Office Address
F3. Main Office Address
City
State/Province
Zip/Postal
Country
F6. Type of Service or Items being Offered
F9. Does any government or government related entity hold an equity interest [Q.Business Information 3.d.1]
F10. Has the third party or a key representative ever held a higher level position in the government, at a government controlled entity or in the military [Q.Personal Information 4]
F11. Does a key third party representative or immediate family member work in a higher level position for any government or government controlled entity, customer or potential customer [Q.Personal Information 1 and 2b]
F12. Where there any “Yes” responses in the Internal Request Form
F13. Will any sub-agent be used [Q.Sub-agent Information]

G. Internal Information

G5. Was an additional Business Approval required
G6. Was an additional Due Diligence Report required to be completed
G7. Was the Third Party Compliance Certificate obtained for:

H. Supporting Documentation

Contract---Downloads from Questionnaire---Additional Report/Information---Training/Certifications
Maximum upload size: 2.1MB

I. Compliance Approval, if Required