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Client Engagement and KYC Form

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Client Engagement and KYC Form

Parties and Recitals

This Client Engagement Agreement (the Agreement) is made between Client Name: and Service Provider Name: .

WHEREAS, Client requires certain professional services and has requested that Service Provider perform such services pursuant to the terms and conditions set forth herein; and

WHEREAS, Service Provider maintains policies and procedures to verify client identity, assess beneficial ownership, and manage anti–money laundering and sanctions risks; and

WHEREAS, the parties wish to document the scope of work, payment terms, confidentiality obligations and client identification information in a single binding agreement.

Client Identification (KYC)

Beneficial Owner(s)

Identify all individuals owning or controlling 25% or more of the client or who exercise ultimate control. Attach separate sheet if necessary.

KYC Documentation Provided

Check applicable documents provided and list reference numbers where applicable.

Engagement — Scope of Work

The Service Provider will perform the services described below. The parties agree that scope changes must be documented in writing and signed by both parties.

Payment Terms

Client shall pay Service Provider in accordance with the terms set forth below. All fees are due in the currency specified unless otherwise agreed in writing.

Term and Termination

This Agreement commences on the Effective Date and continues in accordance with the term set forth below unless earlier terminated in accordance with this section.

Effective Date:

Termination Date (if applicable):

Either party may terminate this Agreement for material breach by the other party that remains uncured after the applicable notice period, or immediately for insolvency, fraud, or breaches of applicable sanctions or anti–money laundering laws.

Confidentiality

Each party shall keep confidential all non-public information obtained from the other party in connection with the services. Confidential information shall not include information that is or becomes publicly available other than by breach of this Agreement, is already known to the receiving party without restriction, or is independently developed. Confidential information may be disclosed if required by law, regulatory request, or court order, provided the disclosing party gives prior written notice where permitted and reasonably cooperates with any protections sought.

Representations, Warranties and AML/Sanctions

Client represents and warrants that the information and documentation provided in this KYC form is true, accurate and complete. Client further certifies that it is not subject to any sanctions, is not listed on any prohibited persons list, and that funds provided under this Agreement are derived from lawful activities. Service Provider may suspend or terminate services if any representation is false or if KYC/AML concerns arise.

Governing Law; Entire Agreement

This Agreement shall be governed by and construed in accordance with the laws of the Governing State/Jurisdiction: without regard to principles of conflicts of law. This Agreement, together with any schedules or exhibits signed by the parties, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior agreements, proposals and communications, whether written or oral.

Miscellaneous Provisions

Neither party may assign its rights or obligations under this Agreement without the prior written consent of the other, except to a successor by merger or sale of substantially all assets. Notices shall be in writing delivered to the addresses provided in this form. If any provision is held unenforceable, the remainder shall remain in full force and effect.

Acknowledgement and Signature

By signing below, each signatory represents and warrants that they are duly authorized to enter into this Agreement on behalf of the party for which they sign, and that the information provided in this form is accurate and complete to the best of their knowledge.

Client

Printed Name:

By:

Date:

Service Provider

Printed Name:

By:

Date:

Enter text✕

What the Client Engagement and KYC Form Is and when it’s used

The Client Engagement and KYC Form combines client onboarding details, identity verification data, and the written engagement terms that define services, fees, and responsibilities. It documents who the client is, any beneficial owners, required regulatory checks (for example AML/KYC screening), and signature consent. The form is used by professional service firms, financial institutions, and regulated entities to satisfy due diligence, demonstrate intent to contract, and create a retained record for compliance and future audits under applicable law, including ESIGN and state electronic transactions statutes.

Why a formal Client Engagement and KYC Form matters

A standard Client Engagement and KYC Form centralizes identity data, documents client consent to terms, reduces onboarding risk, and creates an auditable record. Properly completed forms support regulatory compliance, reduce disputes about scope or fees, and provide evidence of intent and attribution under ESIGN and UETA.

Why a formal Client Engagement and KYC Form matters

Who typically prepares and signs this form

The form is used across small businesses and large organizations where client identity, risk screening, and written engagement terms are required.

  • Financial services teams performing customer due diligence and beneficial ownership collection before account opening.
  • Legal and professional services firms documenting engagement scope, hourly rates, and retainers prior to work beginning.
  • Healthcare and social services organizations collecting patient/client identity and consent where HIPAA or privacy rules apply.

Responsibility typically falls to the client-facing team member who owns onboarding and the authorized signer who binds the client to engagement terms.

Stepwise process to complete the Client Engagement and KYC Form

Follow these sequential steps to collect, verify, and finalize the form with minimal friction and clear evidence of consent.

  • 01
    Collect Information: Gather legal name, DOB, SSN/TIN, address, and beneficial ownership details.
  • 02
    Verify Identity: Run ID credential checks, KBA or third-party verification before accepting onboarding.
  • 03
    Set Engagement Terms: Confirm scope, fees, deliverables and any termination or refund terms in clear language.
  • 04
    Execute Signature: Obtain signer authentication, sign electronically or in person, and retain the signed record.

How to configure an online workflow for this form

Configure fields and authentication to match your compliance posture, then automate routing to reduce manual handling.

Field Configuration
Authentication Method Email link plus optional SMS code for moderate assurance
Conditional Fields Show beneficial owner fields only when entity type is company
Template Name Client Engagement and KYC — reusable template
Retention Policy Auto-archive signed copy with 7-year hold

Distribution channels and technical requirements

Use delivery channels and integrations that match your systems and verification needs.

  • Integrations: Salesforce, NetSuite, Google Workspace and other CRM/ERP systems
  • Formats: PDF, DOCX, HTML and Excel supported for import/export
  • Authentication: Email, SMS, KBA, or advanced signer authentication

Strong encryption in transit (TLS 1.2/1.3) and at rest (AES-256), audit trails, and BAA options are typical platform requirements for secure KYC workflows.

Typical electronic signing flow for client onboarding

A standard e-signing flow reduces touchpoints while preserving an auditable record for compliance and dispute resolution.

  • Upload Document: Sender uploads the form and positions required fields
  • Add Signers: Enter signer emails or generate a secure signing link
  • Authenticate Signer: Signer verifies identity per configured method
  • Complete and Archive: Signed copy plus certificate of completion is stored

Essential parts of a professional Client Engagement and KYC Form

A robust form combines identity data, contractual terms, and verifiable signature evidence so the organization can meet regulatory and commercial requirements.

Client Identification

Full legal name, DOB, SSN/TIN, and address collected to support identity proofing and match records against government or watchlist data.

Beneficial Ownership

Names and ownership percentages for individuals with control or 25%+ ownership to satisfy AML and beneficial ownership reporting rules.

Engagement Terms

Scope, fees, payment terms, and termination clauses clearly stated to reduce disputes and define the contracted relationship.

Consent and Disclosures

Consumer-facing disclosures required by ESIGN and specific sectors (financial, healthcare) that explain electronic consent and paper-rights.

Verification Evidence

Attach or reference identity documents, ID screenshots, or third-party verification results used during KYC processing.

Audit Trail

Time-stamped events, IP addresses, and signer authentication logs retained to demonstrate intent and attribution in case of review.

Supporting documents and export options

Attach companion materials and export signed records in standardized formats for storage, legal review, or downstream processing.

Accepted Attachments

Government ID images, proof of address, corporate formation documents, and beneficial ownership declarations are commonly attached.

Signed PDF

Export the completed form as a signed PDF (PDF/A recommended for long-term preservation) with embedded audit information.

Data Export

Export form field data as CSV or Excel for automated KYC reporting and internal records reconciliation.

Retention Copies

Store a copy in secure cloud storage with access controls and an immutable audit trail for compliance.

Security and compliance facts to confirm

Encryption Transit: TLS 1.2/1.3
Encryption Rest: AES-256
Certifications: SOC 2 Type II available
HIPAA Support: BAA available
Audit Trail: Timestamps, IP, action log
21 CFR Part 11: Supported for regulated records

Common mistakes when preparing the form

  • Mismatched names between ID and form causing failed verification and onboarding delays.
  • Omitting required disclosures or consumer consent language for electronic records under ESIGN.
  • Using weak or no signer authentication, increasing risk of disputed signatures or fraud.
  • Failing to retain verification evidence and audit logs required for regulator review.

Key penalties and compliance risks to watch

Regulatory Fines: Possible enforcement by regulators
Contract Risk: Incomplete form may reduce enforceability
Backup Withholding: 24% for missing/incorrect TIN
I-9 Violations: Civil penalties for paperwork errors
Data Breach Liability: Exposure from insecure storage
AML Reporting Gaps: May trigger investigations

Timelines and expected processing stages

Key timing expectations keep onboarding predictable and help set internal SLA targets for verification and signature capture.

Provide W-9 on Request:

W-9 has no fixed filing deadline; supply when payer requests

ID Verification Window:

Verify identity at onboarding or within 24–72 hours depending on risk level

Engagement Effective Date:

Effective date governs obligations and begins rights timeline

Retention Schedule:

Set document retention in accordance with recordkeeping rules

Audit Availability:

Keep signed record accessible for regulator requests

Vendor pricing snapshot for common eSignature platforms

Compare starting prices and a few common feature points across vendors; signNow is listed first per table convention.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by vendor Varies by vendor Varies by vendor Varies by vendor
Bulk Send Yes (Business Premium) Varies by plan Varies by plan Varies by plan Varies by plan
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes (BAA available) Varies by plan Varies by plan Varies by plan Varies by plan
Envelope Cap No envelope cap 100 envelopes/user/year Varies Varies Varies

Representative use cases from real customers

Real-world implementations show how the form supports onboarding, compliance, and integration with business systems.

Optica Ventures LLC

Optica's operations team streamlined client intake with a single form and template-driven routing

  • "The interface is simple and easy-to-use for our team"
  • Their process reduced manual follow-up and made verification consistent across new investments and portfolio companies, improving turnaround for signed engagement letters and KYC checks.

Fertility Centers of Illinois

Clinical admin used an electronic form to collect patient consent and demographic details remotely

  • "The airSlate SignNow team has been exceptional"
  • The team cited faster completion, integrated storage of signed releases, and reliable audit records that proved useful for internal audits and regulatory readiness.

Who can sign and bind the client

Individual Client

An individual with legal capacity signs to accept engagement terms; a signature by the named client binds that person to fees, scope, and privacy notices under the agreement.

Corporate Representative

An authorized officer or agent with board resolution or delegation signs for an entity; confirm authority via corporate documents or POA to ensure enforceability.

Frequently asked questions about the Client Engagement and KYC Form

Answers focus on common execution, authentication, and recordkeeping issues encountered during onboarding and compliance checks.


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