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Anti Money Laundering Declaration Form for Belgium

Anti Money Laundering Declaration Form Template for Belgium

A standardized declaration form compliant with Belgian Anti-Money Laundering legislation and EU directives, designed to collect comprehensive information about individuals or entities engaged in financial transactions. The form ensures compliance with the Belgian AML Law of 2017 and subsequent regulations, facilitating proper customer due diligence and risk assessment. It includes detailed sections for identity verification, beneficial ownership declaration, and transaction profiling, aligned with requirements set by the Belgian Financial Intelligence Unit (CTIF-CFI) and the National Bank of Belgium.

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What is a Anti Money Laundering Declaration Form?

The Anti Money Laundering Declaration Form is a mandatory compliance document required under Belgian law for financial institutions and other regulated entities to fulfill their customer due diligence obligations. This form implements requirements from the Belgian AML Law of 18 September 2017, which transposes EU AML Directives into national law. It serves as a key document in the customer onboarding process, collecting essential information for risk assessment and ongoing monitoring. The form must be completed before establishing business relationships or conducting certain transactions, particularly when dealing with high-risk customers or transactions above specified thresholds. Regular updates are required to ensure continued compliance with Belgian AML regulations and EU directives.

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

1. Declaration Details: Date, reference number, and identifying information of the financial institution requiring the declaration

2. Declarant Information: Full legal name, address, and contact details of the individual or entity making the declaration

3. Identity Verification: Details of identification documents provided (passport, ID card, or other official documents) including document numbers and issuing authorities

4. Business Activity Information: Nature of business activities, source of funds, and expected transaction patterns

5. Beneficial Ownership Declaration: Information about ultimate beneficial owners holding 25% or more ownership/control as per Belgian law

6. PEP Status Declaration: Declaration regarding Politically Exposed Person status of the declarant and related parties

7. Transaction Profile: Expected types and volumes of transactions to be conducted

8. Declarations and Undertakings: Formal statements confirming the truthfulness of provided information and commitment to update any changes

9. Signature Section: Space for date, signature, and name of authorized signatory

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

1. Corporate Structure: For legal entities only - detailed information about the company structure, shareholders, and directors

2. Intermediary Declaration: Required when the declarant is acting on behalf of another person or entity

3. Tax Residency Information: Additional section for cross-border activities or when required by specific institutional policies

4. Source of Wealth Declaration: Detailed explanation of wealth sources, required for high-risk customers or transactions above certain thresholds

5. Related Party Information: Information about connected parties, required for complex corporate structures or group relationships

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

1. Appendix A - Document Checklist: List of required supporting documents and verification materials

2. Appendix B - Beneficial Ownership Structure Chart: Visual representation of ownership structure for complex corporate entities

3. Appendix C - Risk Assessment Form: Internal risk classification worksheet based on provided information

4. Appendix D - Supporting Documents: Copies of identification documents, proof of address, and other supporting materials

5. Appendix E - Transaction Profile Details: Detailed breakdown of expected transaction types, volumes, and frequencies

Authors

Alex Denne

Head of Growth (Open Source Law) @ Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

Belgium

Publisher

Ƶ

Document Type

Declaration Form

Cost

Free to use
Relevant legal definitions
























Clauses




















Relevant Industries

Banking and Finance

Insurance

Investment Services

Real Estate

Legal Services

Accounting and Tax Advisory

Trust and Company Service Providers

Payment Services

Cryptocurrency Services

Diamond Trading

Art Dealing

Gaming and Gambling

Non-Profit Organizations

Relevant Teams

Compliance

Legal

Risk Management

Customer Onboarding

Financial Crime

Client Relations

Due Diligence

Regulatory Reporting

Account Management

Investigation

Relevant Roles

Compliance Officer

Money Laundering Reporting Officer (MLRO)

Risk Manager

Legal Counsel

Account Manager

Customer Due Diligence Officer

Onboarding Specialist

AML Analyst

KYC Specialist

Relationship Manager

Financial Crime Investigator

Regulatory Reporting Officer

Chief Risk Officer

Compliance Manager

Due Diligence Manager

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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