Draft form: Suspicious Transaction Report

Please note this a draft document and, as such, may be subject to minor changes.

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 Table1 for list of options

Whom can FINTRAC contact about this report?
*Contact identifying number:	(7)
†Surname:	(100)
†Given name:	(100)
Other/initial:	(100)
†Telephone number:	(20)
Extension:	(10)
Email address:	(200)

Report information
Ministerial Directive:	See Table15 for list of options

Transaction information

Transaction 1 of X

Information about the transaction
*Transaction status:	See Table2 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 Table3 for list of options
†If 'Other', please specify:	(200)
Date of posting (if different from date of transaction):	YYYY-MM-DD
‡Reporting entity transaction reference number:	(200)
Purpose of transaction:	(200)

Information about where the transaction was conducted or attempted
*Reporting entity location number:	(30)
Apt/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:	See Table17 for list of options
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 Table31 for list of options
‡Type of funds, assets or virtual currency (In / Out):	See Table11a (in) and Table11b (out) for list of options
†If 'Other', please specify:	(200)
*Amount:	(27)
†Currency:	See ISO 4217 for list of options
†Virtual currency type:	See Table10 for list of options
†If 'Other', please specify:	(200)
Exchange rate:	(27)
†Sending virtual currency address 1 of X:	(200)
†VC Transaction identifier 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 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 time of transaction:	See Table18 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 Table16 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, assets 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)
Apt/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:	See Table17 for list of options
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
Apt/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:	See Table17 for list of options
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 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):	See Table17 for list of options

Information about conducting or attempting to conduct the transaction online
Type of device used:	See Table4 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:	See Table17 for list of options
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)

Identification of the entity

Identification 1 of N of entity conductor A
Identifier type:	See Table8 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):	See Table17 for list of options

Information about conducting or attempting to conduct transaction online
Type of device used:	See Table4 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 (max. 3)
Surname:	(100)
Given name:	(100)
Other/Initial:	(100)

Information respecting the structure of Entity 1 of entity conductor A
Entity structure / type:	See Table14 for list of options
If 'Entity other than a corporation or trust' is selected, please specify:	(200)
Nature of entity's principal business:	(200)
Is the entity registered or incorporated?	See Table16 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:	See Table17 for list of options

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:	See Table17 for list of options

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:	See Table17 for list of options
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:	See Table17 for list of options
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:	See Table17 for list of options
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:	See Table17 for list of options
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:	See Table17 for list of options
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:	See Table17 for list of options
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
Apt/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:	See Table17 for list of options
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 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):	See Table17 for list of options

Relationship of the person named above to the person or entity conducting or attempting to conduct the transaction
Relationship:	See Table9 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:	See Table17 for list of options
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)

Identification of the entity

Identification 1 of N of on behalf of entity B
Identifier type:	See Table8 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):	See Table17 for list of options

Person authorized to bind the entity or act with respect to the account

Person 1 of N (max. 3)
Surname:	(100)
Given name:	(100)
Other/Initial:	(100)

Information respecting the structure of Entity 1 of B
Entity structure / type:	See Table14 for list of options
If 'Entity other than a corporation or trust' is seleteced, please specify:	(200)
Nature of entity's principal business:	(200)
Is the entity registered or incorporated?	See Table16 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:	See Table17 for list of options

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:	See Table17 for list of options

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:	See Table17 for list of options
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:	See Table17 for list of options
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:	See Table17 for list of options
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:	See Table17 for list of options
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:	See Table17 for list of options
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)

Relationship of the entity named above to the person or entity conducting or attempting to conduct the transaction
Relationship:	See Table9 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 Table10 for list of options
†If 'Other', please specify:	(200)
†Exchange rate:	(27)
Value in Canadian dollars:	(27)
†VC Transaction identifier 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:	See Table17 for list of options
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):	See Table17 for list of options

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:	See Table17 for list of options
Sub-province and/or sub-locality:	(100)
Postal or zip code:	(20)
Unstructured address details:	(500)
Telephone number:	(20)
Extension:	(10)
Email address:	(200)

Information respecting the structure of Entity 1 of entity beneficiary C
Entity structure / type:	See Table14 for list of options
If 'Entity other than a corporation or trust', please specify:	(200)
Nature of entity's principal business:	(200)
Is the entity registered or incorporated?	See Table16 for list of options

Incorporation of the entity
Incorporation 1 of N of entity beneficiary 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:	See Table17 for list of options

Registration of the entity
Registration 1 of N of entity beneficiary 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:	See Table17 for list of options

Identification of the entity
Identification 1 of N of entity beneficiary C
Identifier type:	See Table8 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):	See Table17 for list of options

Person authorized to bind the entity or act with respect to the account
Person 1 of N (max. 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 Table21 for list of options	Single value select
Public-Private Partnership Project Name:	See Table24 for list of options	Multi value select
Was an individual's information who you have determined to be a politically exposed person (PEP) included in this report?	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

Detailed description

*Please describe what action, if any, was or will be taken by you as a result of the suspicious transaction(s).

Legend

* Indicates a mandatory field
† Indicates a mandatory if applicable field
‡ Indicates a mandatory for processing field
1 Numbers in brackets represent character limits

Appendix A – Tables and code values

Table 1 – Activity sector
Accountant	1
Bank	2
British Columbia notary	17
Caisse populaire	3
Casino	5
Co-op credit society	6
Credit union	14
Credit union central	19
Crown agent	4
Dealer in precious metals and stones	18
Financial services cooperative	20
Foreign money services business	21
Life insurance broker or agent	9
Life insurance company	10
Money services business	11
Provincial savings office	12
Real estate	13
Securities dealer	15
Trust and/or loan company	16

Table 2 – Transaction status
Attempted	TBD
Completed	TBD

Table 3 – Method of transaction
Armoured car	3
Automated banking machine	2
Courier	4
In person	1
Mail deposit	5
Night deposit	8
Online	TBD
Quick drop	9
Telephone	TBD
Self-redemption kiosk	10
Virtual currency ATM	11
Other	7

Table 4 – Type of device
Computer/Laptop	1
Mobile phone	2
Tablet	3
Other	4

Table 5 – Completing Action Type - Details of disposition
Added to virtual currency wallet	17
Outgoing virtual currency transfer	19
Cash Out (non-account based)	10
Cash Withdrawal (account based)	TBD
Denomination exchange	27
Deposit to account	1
Payment to account	28
Exchange to fiat currency	3
Exchange to virtual currency	18
Holding funds	21
Investment product purchase or deposit	8
Issued cheque	23
Life insurance policy purchase or deposit	7
Outgoing domestic funds transfer	24
Outgoing email money transfer	31
Outgoing mobile money transfer	32
Outgoing international funds transfer	25
Purchase of bank draft	5
Purchase of casino product	4
Purchase of jewellery	14
Purchase of money order	6
Purchase of precious metals	15
Purchase of precious stones	22
Purchase of prepaid payment product/card	26
Real estate purchase or deposit	9
Purchase of / Payment for goods	29
Purchase of / Payment for services	30
Other	11

Table 6 – Account type
Business	2
Casino	5
Personal	1
Trust	3
Other	4

Table 7 – Identifier type (person)
Birth certificate	1
Certificate of Indian Status	15
Citizenship card	14
Credit file	34
Driver's licence	4
Government issued identification	35
Insurance documents	36
Passport	2
Permanent resident card	32
Provincial health card	5
Provincial or territorial identity card	37
Record of employment	38
Record of landing	33
Travel visa	39
Utility statement	40
Other	3

Table 8 – Identifier type (entity)
Annual report	6
Articles of association	1
Certificate of corporate status	2
Certificate of incorporation	3
Letter/Notice of assessment	4
Partnership agreement	5
Other	7

Table 9 – Relationship type
Accountant	1
Agent	2
Borrower	3
Broker	4
Vendor / Supplier	14
Customer	5
Employee	6
Employer	11
Friend	7
Joint/Secondary owner	12
Legal counsel	10
Power of attorney	13
Relative	8
Other	9

Table 10 – Virtual currency types
Placeholder – VC Types

Table 11a – Starting Action Type (In)
Cash	TBD
Domestic funds transfer	TBD
Email/mobile money transfer	TBD
International funds transfer	TBD
Virtual Currency	TBD
Cheque	TBD
Bank Draft	TBD
Money Order	TBD
Traveller's Cheque	TBD
Jewellery	TBD
Precious Metals	TBD
Precious Stones	TBD
Casino Product	TBD
Investment Product	TBD
Other	TBD

Table 11b – Starting Action Type (Out)
Funds Withdrawal	TBD
Virtual Currency	TBD
Casino product	TBD
Investment product	TBD
Other	TBD

Table 14 – Ownership / Control type
Corporation	TBD
Trust	TBD
Widely held or publicly traded trust	TBD
Entity other than a corporation or trust	TBD

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	TBD
Inactive	TBD
Dormant	TBD
Closed	TBD

Table 19 – Person/Entity
Person	1
Entity	2

Table 21 – Suspicious Type
Money Laundering	TBD
Terrorist Financing	TBD
Both	TBD

Table 24 – PPP Project Name
Project ATHENA	TBD
Project CHAMELEON	TBD
Project GUARDIAN	TBD
Project PROTECT	TBD
Project SHADOW	TBD

Table 30 – Non-Boolean Options
Yes	1
No	2
Unknown	3

Table 31 – In / Out
In	TBD
Out	TBD

Date Modified:: 2022-12-16

Draft form: Suspicious Transaction Report

General Information

Transaction information

Transaction 1 of X

Starting action

Starting action 1 of Y of transaction X

Account holder

Source of funds, assets or virtual currency

Conductor Information

Person 1 of A of starting action Y

Entity 1 of A of starting action Y

On behalf of

Person 1 of B of conductor A

Identification of the person

Identification of the entity

Person authorized to bind the entity or act with respect to the account

Information respecting the structure of Entity 1 of B

Completing action

Completing action 1 of Z of transaction X

Account holder

Involved in the completing action

Beneficiary

Details of Suspicion

Related Report(s)

Report 1 of X

Action taken

Legend

Appendix A – Tables and code values

Table 1 – Activity sector

Table 2 – Transaction status

Table 3 – Method of transaction

Table 4 – Type of device

Table 5 – Completing Action Type - Details of disposition

Table 6 – Account type

Table 7 – Identifier type (person)

Table 8 – Identifier type (entity)

Table 9 – Relationship type

Table 10 – Virtual currency types

Table 11a – Starting Action Type (In)

Table 11b – Starting Action Type (Out)

Table 14 – Ownership / Control type

Table 15 – Ministerial directive

Table 16 – Boolean options

Table 17 – Province/State

Table 18 – Account status

Table 19 – Person/Entity

Table 21 – Suspicious Type

Table 24 – PPP Project Name

Table 30 – Non-Boolean Options

Table 31 – In / Out