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CASS 10 Templates
1 Appointed Institutions
1. BASIC INFORMATION | |||||||||
Name: | Type: | ||||||||
Address: | Point of Contact: | ||||||||
POC Telephone: | POC Email: | ||||||||
Date Appointed: | Appointed By: | ||||||||
2. FUNCTION SUMMARY | |||||||||
Which type/s of placement is this institution used for? | |||||||||
Placement of Client Money | Holding Client Money | The Deposit of Safe Custody Assets | |||||||
YES/NO | YES/NO | YES/NO | |||||||
Numbers of all accounts opened with Institution:
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Provide a summary of the institution’s function/s:
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3. DUE DILIGENCE & REVIEWS | |||||||||
Initial due diligence assessment date: | Last periodic selection review date: | ||||||||
Provide a summary of the grounds upon which the firm satisfied itself as to the appropriateness of its selection and appointment:
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Are the selection & appropriateness assessment and subsequent reviews attached? | YES/NO | ||||||||
If reviews are not attached to this record, insert the location of the documents:
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4. DOCUMENTATION | |||||||||
Are this institution’s agreements, letters and supporting documents attached? | YES/NO | ||||||||
If documents are not attached to this record, insert the location of the documents:
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Are all relevant notifications and acknowledgements attached? | YES/NO | ||||||||
If documents are not attached to this record, insert the location of the documents:
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Provide information for the retrieval of any documents/information where applicable:
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Date this document was last reviewed: | |||||||||
Document reviewed by: |
2 Appointed Agents[Inc appointed representatives, tied agents, field representatives or other agents acting its capacity as the firm’s agent]
1. BASIC INFORMATION | ||||||||
Name: | Type: | |||||||
Address: | Point of Contact: | |||||||
POC Telephone: | POC Email: | |||||||
Date Appointed: | Appointed By: | |||||||
2. OPERATIONAL FUNCTION | ||||||||
Is the agent responsible for Client Money? | YES/NO | |||||||
Is the agent responsible for Client Assets? | YES/NO | |||||||
Provide a summary of the agent’s function/s:
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3. DUE DILIGENCE & REVIEWS | ||||||||
Initial due diligence assessment date: | Last periodic selection review date: | |||||||
Provide a summary of the grounds upon which the firm satisfied itself as to the appropriateness of its selection and appointment:
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Are the selection & appropriateness assessment and subsequent reviews attached? | YES/NO | |||||||
If reviews are not attached to this record, insert the location of the documents:
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4. DOCUMENTATION | ||||||||
Are this agent’s agreements, letters and supporting documents attached? | YES/NO | |||||||
If documents are not attached to this record, insert the location of the documents:
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Are all relevant notifications and acknowledgements attached? | YES/NO | |||||||
If documents are not attached to this record, insert the location of the documents:
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Provide information for the retrieval of any documents/information where applicable:
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Date this document was last reviewed: | ||||||||
Document reviewed by: |
3 CASS Employees & Oversight
1. EMPLOYEE INFORMATION | |||||
Name: | Position: | ||||
Home Address: | Office Address: | ||||
Home Telephone: | Office Telephone: | ||||
Office Email: | Department: | ||||
2. OPERATIONAL FUNCTIONS | |||||
Is the employee a Director? | YES/NO | ||||
Is the employee a Senior Manager? | YES/NO | ||||
Has the employee been assigned the CF10a CASS Oversight Function? | YES/NO | ||||
Has the employee been assigned the CASS Prescribed Responsibility (PR)(z)? | YES/NO | ||||
Provide details of the CASS obligations, prescribed responsibilities and/or operational functions allocated:
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Date this document was last reviewed: | |||||
Document reviewed by: |
4 CASS Outsourcing
1. BASIC INFORMATION | |||||||||
Name: | Point of Contact: | ||||||||
Address: | |||||||||
POC Telephone: | POC Email: | ||||||||
2. GROUP MEMBERS | |||||||||
Is the company a group member? | YES/NO | ||||||||
If yes complete the below, otherwise go straight to section 3 | |||||||||
Type of Entity: | |||||||||
Jurisdiction of Incorporation: | |||||||||
Related Operational Functions: | |||||||||
3. THIRD PARTIES | |||||||||
Is the company a third-party non-group member? | YES/NO | ||||||||
If yes complete the below, otherwise go straight to section 4 | |||||||||
Describe how access to CASS information is obtained: | |||||||||
Explain how to effect transfers of client money and/or assets: | |||||||||
3. OPERATIONAL FUNCTIONS | |||||||||
Describe which operational functions are performed in relation to: | |||||||||
Client Money | Client Assets | ||||||||
3. DUE DILIGENCE & REVIEWS | |||||||||
Initial due diligence assessment date: | Last periodic selection review date: | ||||||||
Provide a summary of the grounds upon which the firm satisfied itself as to the appropriateness of its selection and appointment: | |||||||||
Are the selection & appropriateness assessment and subsequent reviews attached? | YES/NO | ||||||||
If reviews are not attached to this record, insert the location of the documents: | |||||||||
4. DOCUMENTATION | |||||||||
Are this company’s agreements, letters and supporting documents attached? | YES/NO | ||||||||
If documents are not attached to this record, insert the location of the documents: | |||||||||
Are all relevant notifications and acknowledgements attached? | YES/NO | ||||||||
If documents are not attached to this record, insert the location of the documents: | |||||||||
Provide information for the retrieval of any documents/information where applicable: | |||||||||
Date this document was last reviewed: | |||||||||
Document reviewed by: |
5 Clients
1. COMPANY INFORMATION | ||||||||
Name: | Categorisation: | |||||||
Address: | Point of Contact: | |||||||
POC Telephone: | POC Email: | |||||||
2. SAFE CUSTODY ASSETS | ||||||||
Does the firm hold/place Safe Custody Assets on behalf of this client? | YES/NO | |||||||
If yes complete the below, otherwise go straight to section 3 | ||||||||
Has the client consented to using the Safe Custody Assets? | YES/NO | |||||||
Number of Safe Custody Assets used: | ||||||||
Location of Client Agreement with right to use: | ||||||||
Last Internal Custody Record Check: | Last External Custody Reconciliation: | |||||||
Actions taken during process:
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Actions taken during process: | |||||||
Discrepancies & corrective actions taken:
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Discrepancies & corrective actions taken: | |||||||
3. CLIENT MONEY | ||||||||
Does the firm hold/place Client Money on behalf of this client? | YES/NO | |||||||
If yes complete the below, otherwise go straight to section 4 | ||||||||
Last Internal Client Money Reconciliation: | Last External Client Money Reconciliation: | |||||||
Actions taken during process:
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Actions taken during process: | |||||||
Discrepancies & corrective actions taken:
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Discrepancies & corrective actions taken: | |||||||
4. DOCUMENTATION | ||||||||
Are all client agreements, letters and supporting documents attached? | YES/NO | |||||||
If documents are not attached to this record, insert the location of the documents:
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Are all relevant client notifications and acknowledgements attached? | YES/NO | |||||||
If documents are not attached to this record, insert the location of the documents:
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Provide information for the retrieval of any documents/information where applicable:
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Date this document was last reviewed: | ||||||||
Document reviewed by: |