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Anti Money Laundering Declaration Form for Canada

Anti Money Laundering Declaration Form Template for Canada

A comprehensive declaration form designed to comply with Canadian anti-money laundering regulations, particularly the Proceeds of Crime (Money Laundering) and Terrorist Financing Act (PCMLTFA) and FINTRAC requirements. This document captures essential information about the source of funds, beneficial ownership, and the nature of financial transactions, while including necessary attestations and declarations regarding PEP status and high-risk activities. The form serves as a critical compliance tool for reporting entities in Canada to meet their due diligence obligations and maintain proper documentation for regulatory purposes.

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What is a Anti Money Laundering Declaration Form?

The Anti Money Laundering Declaration Form is a crucial document required by Canadian financial institutions and other reporting entities to comply with federal anti-money laundering legislation. This form must be completed when establishing new business relationships, conducting certain threshold-based transactions, or when suspicious activities are identified. It implements requirements from the Proceeds of Crime (Money Laundering) and Terrorist Financing Act (PCMLTFA) and associated regulations, helping organizations meet their regulatory obligations while managing financial crime risks. The form collects detailed information about transaction parties, source of funds, beneficial ownership, and PEP status, serving as a key component of the organization's overall AML compliance program.

What sections should be included in a Anti Money Laundering Declaration Form?

1. Declarant Information: Basic information about the person or entity making the declaration, including full legal name, address, and contact details

2. Purpose of Declaration: Statement explaining the purpose of the form and its relationship to AML compliance requirements

3. Source of Funds Declaration: Detailed declaration regarding the origin of funds involved in the transaction(s), including nature of business or employment

4. Beneficial Ownership Declaration: Declaration of ultimate beneficial ownership information, including all natural persons owning or controlling 25% or more

5. PEP/HIO Status Declaration: Declaration regarding Politically Exposed Person or Head of International Organization status

6. Transaction Details: Information about the specific transaction(s) requiring this declaration

7. Compliance Attestation: Declaration of compliance with AML laws and regulations, and confirmation of truthful information

8. Signature and Date: Space for declarant's signature, date, and witness signature if required

What sections are optional to include in a Anti Money Laundering Declaration Form?

1. Corporate Structure Details: Required for corporate entities only - details of corporate structure, directors, and officers

2. Third Party Determination: Required when transactions are conducted on behalf of a third party

3. International Business Activities: Required for entities conducting significant international transactions

4. High-Risk Business Declaration: Required for entities operating in FINTRAC-designated high-risk business sectors

5. Virtual Currency Declarations: Required for transactions involving virtual currencies or crypto assets

What schedules should be included in a Anti Money Laundering Declaration Form?

1. Schedule A - Identification Documents: List of acceptable identification documents and copies of provided documentation

2. Schedule B - Beneficial Ownership Structure: Organizational chart or detailed breakdown of ownership structure for complex entities

3. Schedule C - Source of Funds Documentation: Supporting documentation evidencing declared source of funds

4. Appendix 1 - Risk Assessment Factors: Checklist of risk factors considered in the AML assessment

5. Appendix 2 - Reporting Requirements: Summary of ongoing reporting requirements and thresholds

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Canada

Document Type

Declaration Form

Cost

Free to use

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