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AML form online and for download

Prepare client information, return to your draft and download a PDF or editable Word document.

Enter only details needed for the case. This form does not perform statutory identification or due diligence. Complex and foreign structures and trusts require tailored additional information.

Without this option, exports contain only the client part. Hidden fields are neither exported nor saved.

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Record details

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Client identification details

Complete details needed for the case. For a company, also identify its natural-person representative; add further representatives below and record statutory-body members to the required extent as required by sections 5 and 8 of the Czech AML Act.

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Who acts and under what authority? For example, a director or power of attorney. Add further people below.

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Purpose, funds and risk circumstances

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Describe the specific funding source and evidence, not just “own funds”. Adapt supporting records to risk.

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For “yes” or “unsure”, specify function, period and connection. PEP status is not an automatic service ban; assessment and measures belong in the internal part.

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Additional representatives

Add only necessary people and details. Distinguish each role and evidence; record verification performed in the internal part with a reference to that person.

Information to consider adding

An indicative list of empty core fields. This is not a legal completeness check or AML score; some fields may not be needed for your case.

Download completed form

Export contains client information, not confirmation of completed checks.

Select sections and preview export

Selection changes only PDF and Word; the saved draft and JSON retain the full form scope.

Document sections

AML information form

Working material. Completion or signature does not replace statutory identification and due diligence. Adapt the scope to the activity and risk; enter only necessary data. Complex structures need annexes and individual assessment.

Record details

Case reference and date
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Obliged entity – name and registration number
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Service or transaction and expected scope
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Client identification details

Full name
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Czech birth number; if not assigned, date of birth
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Place of birth
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Sex, if no Czech birth number was assigned
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Citizenship
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Address and country
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Acting on own behalf / representation and evidence of authority
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Purpose, funds and risk circumstances

Purpose and intended nature of relationship
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Source of funds and supporting evidence; source of wealth where required by risk
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Does the client or a relevant person have a prominent public function or PEP connection?
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PEP – yes / no / unsure; function, connection, person and period
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Countries connected with the transaction and other risk circumstances
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Uncertainties and additional information
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Client: date, name and signature after checking the information
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A4 for printing · Word for further editing · created in this browser

Work in progress

Saving is optional and manual. The localStorage draft is not encrypted and is accessible to users of this browser profile. It is removed on the next visit after 30 days from saving. Do not save on a shared device. This is not a statutory archive.

Legal basis: Czech Act 253/2008, especially sections 5, 8, 9 and 16 · FAÚ: client identification. Working version 4. 10. 2026 · Redakce eAML.cz.