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Compliance report response form

Introduction If you believe you are not required to lodge an AML/CTF compliance report for the 2009 reporting period (1 January 2009 to 31 December 2009) or if you have received an email/letter from AUSTRAC but have already lodged your compliance report, please complete this form.
* Organisation/person legal and trading names:
* AUSTRAC reference (the reference number on your letter or email): HINT: Type the reference exactly as it appears on your letter to ensure AUSTRAC can correctly identify you.
* Contact name and title:
* Contact phone number (include area code):
Declaration Please select ONE of the options below and complete any additional information as prompted. I/my business am/is not required to lodge an AML/CTF compliance report for the 2009 reporting period because I/it (tick the most applicable):
	am/is not a reporting entity because no designated service is provided.
	am/is a reporting entity, but did not provide a designated service within the 2009 reporting period.
	hold(s) an Australian financial services (AFS) licence and the only designated service provided was to make arrangements for a person to receive another designated service.
I/my business do(es) not intend to lodge an AML/CTF compliance report for the 2009 reporting period because I/my business:
	was sold during 2009. Date of sale: Contact details of new owner:
	ceased business. Date business ceased:
	was merged or acquired by another business during 2009. Date of merger/acquisition: Contact details of controlling entity:
I/my business am/is meeting my/its AML/CTF compliance reporting obligation because I/my business:
	am/is enrolled with AUSTRAC and have/has already lodged an AML/CTF compliance report for 2009 (AUSTRAC Business Number must be included). AUSTRAC Business Number:
	am/is a member of the following designated business group that has lodged an AML/CTF compliance report:

© Commonwealth of Australia - AUSTRAC 2009