Draft form: Suspicious Transaction Report
Updated on August 18, 2023
From: Financial Transactions and Reports Analysis Centre of Canada (FINTRAC)
This page provides businesses (reporting entities) with access to the mock form of the Suspicious Transaction Report (STR) so they can prepare and ask questions to FINTRAC related to the upcoming changes to this report form.
Please note this is a draft document and, as such, may be subject to minor changes.
Form structure
Main changes since December 2022
Clarified the wording of field “Contact identifying number” to “Contact identifier”
“Transaction information” block:
Modified the wording to prompt if the transaction is attempted or completed from “Transaction status” (Table 2) to “Was the transaction attempted?” (Table 16)
Added time of posting field
Updated “virtual currency related fields:
Added “Receiving virtual currency address 1 of X” to “Starting action”
Added “Sending virtual currency address 1 of X” to “Completing action”
Added field “Province or state (name)” as another free text option to what was already there (“Province or state (code)”) to each structured address block
Removed “assets” from “Source of funds or virtual currency” header
Table 7 – Identifier type (person): Added new value of “Social Insurance Number”. Validation rules will prevent the submission of numbers if SIN is selected.
Table 11a – Starting action type (In): Updated table to reflect both email and mobile transfers
Updated the “Incorporation / Registration” block to clarify the options available
Added Table 20 – Registration or incorporation type and allowed options for both “Incorporated and registered” and “unknown”
Table 24 – Public-private partnership (PPP) project name: Added new project codes (Project ANTON, Project GEMENI, and Project LEGION)
Updated table values (removed TBD and filled in database values)
Minor adjustments to comply with Canada.ca Content Style Guide
Questions or comments If you have any questions or comments about this draft form, please e-mail us at F2R@fintrac-canafe.gc.ca .
Legend
* Indicates a mandatory field
† Indicates a mandatory if applicable field
‡ Indicates a mandatory for processing field
1 Numbers in brackets represent character limits
General information
*Reporting entity number:
(7)1
‡Reporting entity report reference number:
(100)
Which one of the following types of reporting entities best describes you?
*Activity sector:
See Table 1 for list of options
Whom can FINTRAC contact about this report?
*Contact identifier:
(7)
†Surname:
(100)
†Given name:
(100)
Other/initial:
(100)
†Telephone number:
(20)
Extension:
(10)
Email address:
(200)
Report information
Ministerial Directive:
See Table 15 for list of options
Transaction information: Transaction 1 of X
Information about the transaction
*Was the transaction attempted?
See Table 16 for list of options
†Reason transaction was not completed:
(200)
†Date of transaction:
YYYY-MM-DD
Time of transaction:
HH:MM:SS±ZZ:ZZ
*Method of transaction:
See Table 3 for list of options
†If 'Other', please specify:
(200)
Date of posting (if different from date of transaction):
YYYY-MM-DD
Time of posting (if different from time of transaction):
HH:MM:SS±ZZ:ZZ
‡Reporting entity transaction reference number:
(200)
Purpose of transaction:
(200)
Information about where the transaction was conducted or attempted
*Reporting entity location number:
(30)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Starting action
Starting action 1 of Y of transaction X
‡Direction of starting action (In / Out)
See Table 31 for list of options
‡Type of funds, assets or virtual currency (In / Out):
See Table 11a (in) and Table 11b (out) for list of options
†If 'Other', please specify:
(200)
*Amount:
(27)
†Currency:
See ISO 4217 for list of options
†Virtual currency type:
See Table 10 for list of options
†If 'Other', please specify:
(200)
Exchange rate:
(27)
†Virtual currency transaction identifier 1 of X:
(200)
†Sending virtual currency address 1 of X:
(200)
†Receiving virtual currency address 1 of X:
(200)
†Reference number:
(200)
Other number related to reference number:
(200)
†Financial institution number:
(50)
†Branch number:
(50)
†Account number:
(50)
†Account type:
See Table 6 for list of options
†If 'Other', please specify:
(200)
†Account currency:
See ISO 4217 for list of options
†Account virtual currency type:
See Table 10 for list of options
†If 'Other', please specify:
(200)
†Date account opened:
YYYY-MM-DD
Date account closed:
YYYY-MM-DD
†Status of account at time of transaction:
See Table 18 for list of options
How were the funds, virtual currency obtained?
(200)
‡Was information about the source (person / entity) of funds or virtual currency obtained?
See Table 16 for list of options
Account holder
Person 1 of N of starting action Z
†Surname:
(100)
†Given name:
(100)
Other/Initial:
(100)
Entity 1 of N of starting action Z
†Name of entity:
(100)
Source of funds or virtual currency
Person 1 of N of starting action Y
†Surname:
(100)
†Given name:
(100)
Other/Initial:
(100)
Account number:
(100)
Policy number:
(50)
Identifying number:
(50)
Entity 1 of N of starting action Y
†Name of entity:
(100)
Account number:
(50)
Policy number:
(50)
Identifying number:
(50)
Conductor information
Conductor indicator
‡Have you obtained any conductor information related to this transaction or attempted (Only select No if the conductor is not your client and, after taking reasonable measures, you were not able to obtain any conductor details)
See Table 16 for list of options
Person 1 of A of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Alias:
(100)
Client number:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Email address:
(200)
URL:
(200)
Date of birth:
YYYY-MM-DD
Country of residence:
See ISO 3166 for list of options
Country of citizenship:
See ISO 3166 for list of options
Occupation:
(200)
Name of employer:
(100)
Information about the employer's address
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Identification of the person
Identification 1 of N of person conductor A
Identifier type:
See Table 7 for list of options
†If 'Other', please specify:
(200)
Number associated with identifier type:
(100)
Jurisdiction of issue (country):
See ISO 3166 for list of options
Jurisdiction of issue (province or state) (code):
See Table 17 for list of options
Jurisdiction of issue (province or state) (name):
(100)
Information about conducting or attempting to conduct the transaction online
Type of device used:
See Table 4 for list of options
†If 'Other', please specify:
(200)
Username:
(100)
Device identifier number:
(200)
Internet protocol address:
(200)
Date and time of online session in which request was made:
YYYY-MM-DDTHH:MM:SS±ZZ:ZZ
Entity 1 of A of starting action Y
Name of entity:
(100)
Client number:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Email address:
(200)
URL:
(200)
Information respecting the structure of Entity 1 of entity conductor A
Entity structure / type:
See Table 14 for list of options
If 'Entity other than a corporation or trust' is selected, please specify:
(200)
Nature of entity's principal business:
(200)
‡Do you have the entity’s incorporation or registration information?
See Table 16 for list of options
Incorporated or registered?
See Table 20 for list of options
Incorporation of the entity
Incorporation 1 of N of entity conductor A
Incorporation number:
(100)
Jurisdiction of issue (country) of incorporation:
See ISO 3166 for list of options
Jurisdiction of issue (province or state) of incorporation (code):
See Table17 for list of options
Jurisdiction of issue (province or state) of incorporation (name):
(100)
Registration of the entity
Registration 1 of N of entity conductor A
Registration number:
(100)
Jurisdiction of issue (country) of registration:
See ISO 3166 for list of options
Jurisdiction of issue (province or state) of registration (code):
See Table 17 for list of options
Jurisdiction of issue (province or state) of registration (name):
(100)
Identification of the entity
Identification 1 of N of entity conductor A
Identifier type:
See Table 8 for list of options
†If 'Other', please specify:
(200)
Number associated with identifier type:
(100)
Jurisdiction of issue (country):
See ISO 3166 for list of options
Jurisdiction of issue (province or state) (code):
See Table 17 for list of options
Jurisdiction of issue (province or state) (name):
(100)
Information about conducting or attempting to conduct transaction online
Type of device used:
See Table 4 for list of options
†If 'Other', please specify:
(200)
Username:
(100)
Device identifier number:
(200)
Internet protocol address:
(200)
Date and time of online session in which request was made:
YYYY-MM-DDTHH:MM:SS±ZZ:ZZ
Person authorized to bind the entity or act with respect to the account
Person 1 of N (maximum 3)
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Entity structure / type
Corporate information
Director(s) of a corporation
Director 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Person who directly or indirectly owns or controls 25% or more shares of the corporation
Person 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Trust information
Trustee(s) of a trust
Trustee 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Settlor(s) of a trust
Settlor 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Widely held or publicly traded trust information
Person who directly or indirectly owns or controls 25% or more units of a widely held or publicly traded trust
Person 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Beneficiary(s) of a trust, other than a widely held or publicly traded trust
Beneficiary 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Entity other than a corporation or trust information
Person who directly or indirectly owns or controls 25% or more of an entity other than a corporation or trust
Person 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
On behalf of
On behalf of indicator
‡Was this transaction conducted or attempted on behalf of another person or entity?
See Table 16 for list of options
Person 1 of B of conductor A
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Alias:
(100)
Client number:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
URL:
(200)
Email address:
(200)
Date of birth:
YYYY-MM-DD
Country of residence:
See ISO 3166 for list of options
Country of citizenship:
See ISO 3166 for list of options
Occupation:
(200)
Name of employer:
(100)
Information about the employer's address
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Identification of the person
Identification 1 of N of on behalf of person B
Identifier type:
See Table 7 for list of options
†If 'Other', please specify:
(200)
Number associated with identifier type:
(100)
Jurisdiction of issue (country):
See ISO 3166 for list of options
Jurisdiction of issue (province or state) (code):
See Table 17 for list of options
Jurisdiction of issue (province or state) (name):
(100)
Relationship of the person named above to the person or entity conducting or attempting to conduct the transaction
Relationship:
See Table 9 for list of options
†If 'Other', please specify:
(200)
Entity 1 of B of conductor A
Name of entity:
(100)
Client number:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Email address:
(200)
URL:
(200)
Information respecting the structure of Entity 1 of B
Entity structure / type:
See Table 14 for list of options
If 'Entity other than a corporation or trust' is selected, please specify:
(200)
Nature of entity's principal business:
(200)
‡Do you have the entity’s incorporation or registration information?
See Table 16 for list of options
Incorporated or registered?
See Table 20 for list of options
Incorporation of the entity
Incorporation 1 of N of entity conductor B
Incorporation number:
(100)
Jurisdiction of issue (country) of incorporation:
See ISO 3166 for list of options
Jurisdiction of issue (province or state) of incorporation (code):
See Table 17 for list of options
Jurisdiction of issue (province or state) of incorporation (name):
(100)
Registration of the entity
Registration 1 of N of entity conductor B
Registration number:
(100)
Jurisdiction of issue (country) of registration:
See ISO 3166 for list of options
Jurisdiction of issue (province or state) of registration (code):
See Table 17 for list of options
Jurisdiction of issue (province or state) of registration (name):
(100)
Identification of the entity
Identification 1 of N of on behalf of entity B
Identifier type:
See Table 8 for list of options
†If 'Other', please specify:
(200)
Number associated with identifier type:
(100)
Jurisdiction of issue (country):
See ISO 3166 for list of options
Jurisdiction of issue (province or state) (code):
See Table 17 for list of options
Jurisdiction of issue (province or state) (name):
(100)
Person authorized to bind the entity or act with respect to the account
Person 1 of N (maximum 3)
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Entity structure / type
Corporate information
Director(s) of a corporation
Director 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Person who directly or indirectly owns or controls 25% or more shares of the corporation
Person 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Trust information
Trustee(s) of a trust
Trustee 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Settlor(s) of a trust
Settlor 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Widely held or publicly traded trust information
Person who directly or indirectly owns or controls 25% or more units of a widely held or publicly traded trust
Person 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Beneficiary(s) of a trust, other than a widely held or publicly traded trust
Beneficiary 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Entity other than a corporation or trust information
Person who directly or indirectly owns or controls 25% or more of an entity other than a corporation or trust
Person 1 of N of starting action Y
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Information about conducting or attempting to conduct transaction online
Type of device used:
See Table 4 for list of options
†If 'Other', please specify:
(200)
Username:
(100)
Device identifier number:
(200)
Internet protocol address:
(200)
Date and time of online session in which request was made:
YYYY-MM-DDTHH:MM:SS±ZZ:ZZ
Relationship of the entity named above to the person or entity conducting or attempting to conduct the transaction
Relationship:
See Table 9 for list of options
†If 'Other', please specify:
(200)
Completing action
Completing action 1 of Z of transaction X
*Details of disposition:
See Table5 for list of options
†If 'Other', please specify:
(200)
*Amount:
(27)
†Currency:
See ISO 4217 for list of options
†Virtual currency type:
See Table 10 for list of options
†If 'Other', please specify:
(200)
†Exchange rate:
(27)
Value in Canadian dollars:
(27)
†Virtual currency transaction identifier 1 of X:
(200)
†Sending virtual currency address 1 of X:
(200)
†Receiving virtual currency address 1 of X:
(200)
†Reference number:
(200)
Other number related to reference number:
(200)
†Financial institution number:
(50)
†Branch number:
(50)
†Account number:
(100)
†Account type:
See Table6 for list of options
†If 'Other', please specify:
(200)
†Account currency:
See ISO 4217 for list of options
†Account virtual currency type:
See Table10 for list of options
†If 'Other', please specify:
(200)
†Date account opened:
YYYY-MM-DD
Date account closed:
YYYY-MM-DD
†Status of account at the time of transaction:
See Table18 for list of options
‡Was there any other person or entity involved in the completing action?
See Table16 for list of options
Account holder
Person 1 of N of completing action Z
†Surname:
(100)
†Given name:
(100)
Other/Initial:
(100)
Entity 1 of N of completing action Z
†Name of entity:
(100)
Involved in the completing action
Person 1 of N of completing action Z
†Surname:
(100)
†Given name:
(100)
Other/Initial:
(100)
Account number:
(100)
Policy number:
(100)
Identifying number:
(100)
Entity 1 of N of completing action Z
†Name of entity:
(100)
Account number:
(100)
Policy number:
(100)
Identifying number:
(100)
Beneficiary
Beneficiary indicator
‡Have you obtained any beneficiary information related to this transaction or attempted (Only select No if the beneficiary is not your client and, after taking reasonable measures, you were not able to obtain any beneficiary details)
See Table 16 for list of options
Person 1 of C of completing action Z
†Surname:
(100)
†Given name:
(100)
Other/Initial:
(100)
Alias:
(100)
Username:
(100)
Client number:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Email address:
(200)
Date of birth:
YYYY-MM-DD
Country of residence:
See ISO 3166 for list of options
Occupation:
(200)
Name of employer:
(100)
Identification of the person
Identification 1 of N of person beneficiary C
Identifier type:
See Table7 for list of options
†If 'Other', please specify:
(200)
Number associated with identifier type:
(100)
Jurisdiction of issue (country):
See ISO 3166 for list of options
Jurisdiction of issue (province or state) (code):
See Table 17 for list of options
Jurisdiction of issue (province or state) (name):
(100)
Entity 1 of C of completing action Z
†Name of entity:
(100)
Username:
(100)
Client number:
(100)
Apartment/Room/Suite/Unit number:
(10)
House/Building number:
(10)
Street address:
(100)
City:
(100)
District:
(100)
Country:
See ISO 3166 for list of options
Province or state (code):
See Table 17 for list of options
Province or state (name):
(100)
Sub-province and/or sub-locality:
(100)
Postal or zip code:
(20)
Unstructured address details:
(500)
Telephone number:
(20)
Extension:
(10)
Email address:
(200)
Nature of entity's principal business:
(200)
‡Do you have the entity’s incorporation or registration information?
See Table 16 for list of options
Incorporated or registered?
See Table 20 for list of options
Incorporation of the entity
Incorporation 1 of N of entity beneficiary C
Incorporation number:
(100)
Jurisdiction of issue (country) of incorporation:
See ISO 3166 for list of options
Jurisdiction of issue (province or state) of incorporation (code):
See Table 17 for list of options
Jurisdiction of issue (province or state) of incorporation (name):
(100)
Registration of the entity
Registration 1 of N of entity beneficiary C
Registration number:
(100)
Jurisdiction of issue (country) of registration:
See ISO 3166 for list of options
Jurisdiction of issue (province or state) of registration (code):
See Table 17 for list of options
Jurisdiction of issue (province or state) of registration (name):
(100)
Identification of the entity
Identification 1 of N of entity beneficiary C
Identifier type:
See Table 8 for list of options
†If 'Other', please specify:
(200)
Number associated with identifier type:
(100)
Jurisdiction of issue (country):
See ISO 3166 for list of options
Jurisdiction of issue (province or state) (code):
See Table 17 for list of options
Jurisdiction of issue (province or state) (name):
(100)
Person authorized to bind the entity or act with respect to the account
Person 1 of N (maximum 3)
Surname:
(100)
Given name:
(100)
Other/Initial:
(100)
Details of suspicion
*Description of suspicious activity
*Please describe in clear, simple and concise language your grounds for suspicion of a money laundering or terrorist activity financing offence – including the facts, context, and indicators that allowed you to reach reasonable grounds for suspicion.
*Suspicion type:
See Table 21 for list of options
Single value select
Public-Private Partnership Project Name:
See Table 24 for list of options
Multi value select
Does this report include information about an individual who you have determined to be a politically exposed person (PEP)?
See Table 16 for list of options
Single value select
Related report(s)
Report 1 of X
Are there previously submitted reports that may relate to the suspicious activity mentioned in this report?
Reporting entity report reference number (1 of N):
(200)
Reporting entity transaction reference number (1 of N):
(200)
Action taken
*Please describe what action, if any, was or will be taken by you as a result of the suspicious transaction(s).
Appendix A – Tables and code values
Table 1 – Activity sector
Accountant
1
Bank
2
Caisse populaire
3
Crown agent
4
Casino
5
Co-op credit society
6
Life insurance broker or agent
9
Life insurance company
10
Money services business
11
Provincial savings office
12
Real estate
13
Credit union
14
Securities dealer
15
Trust and/or loan company
16
British Columbia notary
17
Dealer in precious metals and stones
18
Credit union central
19
Financial services cooperative
20
Foreign money services business
21
Table 3 – Method of transaction
In person
1
Automated banking machine
2
Armoured car
3
Courier
4
Mail deposit
5
Telephone
6
Other
7
Night deposit
8
Quick drop
9
Self-redemption kiosk
10
Virtual currency ATM
11
Online
12
Table 4 – Type of device
Computer/Laptop
1
Mobile phone
2
Tablet
3
Other
4
Table 5 – Completing action type – Details of disposition
Deposit to account
1
Exchange to fiat currency
3
Purchase of casino product
4
Purchase of bank draft
5
Purchase of money order
6
Life insurance policy purchase or deposit
7
Investment product purchase or deposit
8
Real estate purchase or deposit
9
Cash out
10
Other
11
Purchase of jewellery
14
Purchase of precious metals
15
Added to virtual currency wallet
17
Exchange to virtual currency
18
Outgoing virtual currency transfer
19
Outgoing email money transfer
20
Holding funds
21
Purchase of precious stones
22
Issued cheque
23
Outgoing domestic funds transfer
24
Outgoing international funds transfer
25
Purchase of prepaid payment product/card
26
Denomination exchange
27
Payment to account
28
Purchase of / Payment for goods
29
Purchase of / Payment for services
30
Outgoing mobile money transfer
31
Cash withdrawal (account based)
32
Table 6 – Account type
Personal
1
Business
2
Trust
3
Other
4
Casino
5
Table 7 – Identifier type (person)
Birth certificate
1
Passport
2
Other
3
Driver's licence
4
Provincial health card
5
Citizenship card
14
Certificate of Indian Status
15
Social Insurance Number
27
Permanent resident card
32
Record of landing
33
Credit file
34
Government issued identification
35
Insurance documents
36
Provincial or territorial identity card
37
Record of employment
38
Travel visa
39
Utility statement
40
Table 8 – Identifier type (entity)
Articles of association
1
Certificate of corporate status
2
Certificate of incorporation
3
Letter/Notice of assessment
4
Partnership agreement
5
Annual report
6
Other
7
Table 9 – Relationship type
Accountant
1
Agent
2
Borrower
3
Broker
4
Customer
5
Employee
6
Friend
7
Relative
8
Other
9
Legal counsel
10
Employer
11
Joint/Secondary owner
12
Power of attorney
13
Vendor / Supplier
14
Table 10 – Virtual currency types
Placeholder – Virtual currency types
To be determined
Table 11a – Starting action type (In)
Bank draft
1
Cash
2
Casino product
3
Cheque
4
Domestic funds transfer
5
Email money transfer
6
International funds transfer
8
Investment product
9
Jewelry
10
Mobile money transfer
11
Money order
12
Precious metals
13
Precious stones
14
Virtual currency
16
Other
17
Table 11b – Starting action type (Out)
Casino product
3
Funds withdrawal
7
Investment product
9
Virtual currency
16
Other
17
Table 14 – Entity ownership structure type
Corporation
1
Entity other than a corporation or trust
2
Trust
3
Widely held or publicly traded trust
4
Table 15 – Ministerial directive
IR2020
IR2020
Table 16 – Boolean options
Yes
true
No
false
Table 17 – Province/State
Alberta
AB
British Columbia
BC
Manitoba
MB
New Brunswick
NB
Newfoundland and Labrador
NL
Nova Scotia
NS
Northwest Territories
NT
Nunavut
NU
Ontario
ON
Prince Edward Island
PE
Quebec
QC
Saskatchewan
SK
Yukon
YT
Alaska
AK
Alabama
AL
Arkansas
AR
Arizona
AZ
California
CA
Colorado
CO
Connecticut
CT
District of Columbia
DC
Delaware
DE
Florida
FL
Georgia
GA
Hawaii
HI
Iowa
IA
Idaho
ID
Illinois
IL
Indiana
IN
Kansas
KS
Kentucky
KY
Louisiana
LA
Massachusetts
MA
Maryland
MD
Maine
ME
Michigan
MI
Minnesota
MN
Missouri
MO
Mississippi
MS
Montana
MT
North Carolina
NC
North Dakota
ND
Nebraska
NE
New Hampshire
NH
New Jersey
NJ
New Mexico
NM
Nevada
NV
New York
NY
Ohio
OH
Oklahoma
OK
Oregon
OR
Pennsylvania
PA
Rhode Island
RI
South Carolina
SC
South Dakota
SD
Tennessee
TN
Texas
TX
Utah
UT
Virginia
VA
Vermont
VT
Washington
WA
Wisconsin
WI
West Virginia
WV
Wyoming
WY
Aguascalientas
AG
Baja, Calif. (North)
BA
Baja, Calif. (South)
BJ
Campeche
CE
Chihuahua
CH
Chiapas
CI
Colima
CL
Coahuila de Zaragoza
CU
Distrito
DF
Durango
DO
Guerreo
GR
Guanajuato
GU
Hidalgo
HL
Jalisco
JL
Michoacan de Ocampo
MC
Morelos
MR
Mexico (State)
MX
Nayarit
NA
Nuevo Leon
NL
Oaxaca
OA
Puebla
PB
Quintana Roo
QR
Queretaro de Arteaga
QU
Sinaloa
SI
San Luis Potosi
SL
Sonora
SO
Tamaulipas
TA
Tabasco
TB
Tlaxcala
TL
Veracruz-Llave
VC
Yucatan
YU
Zacatecas
ZA
Table 18 – Account status
Active
1
Inactive
2
Dormant
3
Closed
4
Table 19 – Person/Entity
Person
1
Entity
2
Table 20 – Incorporation or registration type
Incorporated
1
Registered
2
Incorporated and registered
4
Unknown
5
Table 21 – Suspicious type
Money laundering
1
Terrorist financing
2
Money laundering and terrorist financing
3
Table 24 – Public-private partnership (PPP) project name
Project ANTON
1
Project ATHENA
2
Project CHAMELEON
3
Project GEMINI
4
Project GUARDIAN
5
Project LEGION
6
Project PROTECT
7
Project SHADOW
8
Table 30 – Non-Boolean options
Yes
1
No
2
Unknown
3
Table 31 – In / Out
In
1
Out
2
Date Modified:
2023-08-18
