Anti-Money Laundering Campaign Form for Businesses

Customer Information Instructions

Specialty Metals is required by law, by corporate policy, and by good business practice to identify and know our customers, and to ensure that our transactions with them meet high standards of integrity. Accordingly we require customers to provide the following information and certification, as a condition to doing business.

The following Customer Identification Form seeks basic information that identifies a customer, and that permits Specialty Metals to verify that information, to check with third parties, and to make contractual commitments. Specialty Metals requires that all applicable information requested in this form be provided.

For each natural person who is identified as a customer, or as an owner (ten percent or greater) or general partner of a customer, Specialty Metals requires a copy of a current government-issued photo identity document, such as a passport or driver’s license. This document must show the issuing government, document number, dates of issue and expiration, date of birth and signature of the individual, and a clear photograph.

For each customer that is a business corporation that is not incorporated in the United States, Specialty Metals requires a notarized copy of the Articles of Incorporation of the company.

IMPORTANT

All required documentation (government-issued photo ID, notarized articles of incorporation, etc.) MUST be emailed as attachments (JPG or PDF) under separate cover to:

sales@specialtymetals.com

Primary Contact Full Name *
Primary Contact Full Name
Mailing Address *
Mailing Address
Physical Address (If different from above)
Physical Address (If different from above)
For numbers outside US, include country code.
http://www...
http://
Previous Address
Previous Address
Enter your previous address if you have moved within the last three years.
Business Information
Type of Company *
KEY OFFICERS INFORMATION
Date of Birth *
Date of Birth
Email scan/copy as attachment under separate cover. File should be JPG or PDF.
Date of Birth
Date of Birth
Email scan/copy as attachment under separate cover. File should be JPG or PDF.
If your company has more than two owners/shareholder, please list the remaining individuals here.
Foreign Businesses
Businesses incorporated outside the United States
If you are a business located outside of the United States, please provide us with copies of your articles of incorporation and any other business documents that you are required to have under the laws of your local government. Additional Corporate Documentation Attachments should be in PDF format. Email scan/copy as attachment under separate cover.
AML Compliance Information
Anti-money laundering (AML) compliance requirement *
Is your company required to have an anti-money laundering program in compliance with the USA PATRIOT Act, the U.S. Bank Secrecy Act and other regulatory requirements? Please select one:
If your company has an AML compliance program in place, please provide a copy of this program. File should be in the form of a PDF and emailed as attachment under separate cover.
Transaction Information
Please describe what your company does
Please give us a brief description of your transaction with us (i.e., sale of excess/old inventory, sale of investments, refining of production scrap, etc.)
Trade References
Please provide a trade Reference
Address *
Address
Phone *
Phone
Bank/Financial Institution Information
Enter your Bank/Financial Institution Information
Enter your Bank/Financial Institution Information
Address *
Address
Phone *
Phone
AGREE TO TERMS *
By checking this box, I warranty to Specialty Metals Smelters & Refiners, LLC that any products or materials I submit for smelting, refining and purchase is with good legal title.
You must agree to the terms to proceed
Please type your name
Date *
Date
Please type today's date
IMPORTANT
Print a copy of this form BEFORE hitting "Submit" for your records.