The Due diligence procedural questions contained in this form will be applied to donations over £[x], according to the levels of risk. The answers to these questions will assist in the process of deciding whether or not to make a donation.

To be completed by [person(s) making that decision, eg the Risk team].

1. 1. 1

      General

      Proposed recipient	[Insert name]
      Date	[Insert date]
      Internal contact	[Insert name]

   1. 2

      The donation

      Amount of proposed donation (in £)	£[Insert amount]
      Reason(s) for donation	[Insert reason(s)]
      Is/are the reason(s) for donation clear and legitimate?	☐ Yes☐ No—the donation must not be made
      Could the timing of the donation influence the award of business or a contract, or be perceived to?	☐ Yes—refer to [insert name, eg ABC Officer]☐ No
      Has the donation been proposed, requested or arranged through a third party?	☐ Yes—refer to [insert name, eg ABC Officer]☐