Anti-Money Laundering Campaign Form for Individuals

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, 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.

IMPORTANT

All required documentation (government-issued photo ID) MUST be emailed as attachments under separate cover to:

sales@specialtymetals.com

Full Name (First, Middle, Last) *
Full Name (First, Middle, Last)
Address *
Address
For numbers outside US, include country code.
Previous Address
Previous Address
Enter your previous address if you have moved within the last three years.
Please give us a brief description of your transaction with us (i.e., sale of inheritance, sale of investments, refining of production scrap, etc.)
Please describe the source of the material you have for refining and brief explanation of how it was obtained.
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.