4 Peabody Screening Request

COMPLIANCE SCREENING REQUEST

Please submit your request to screen a potential Peabody Third-Party against political exposure, sanctions, adverse media, and other compliance-related databases. You will receive an email with the screening results as soon as possible and no later than twenty-four hours after you submit your request.

Your name:*

First Name

Last Name

Your Peabody email:*

Your Peabody phone:

Your position at Peabody:

Name of Third-Party to be screened:*

Please enter the name of the Third-Party exactly as it appears or will appear in any agreement between Peabody and the Third-Party.

If known, please include the name of the Third-Party's parent company:

Is the Third-Party an individual or a business entity?*

Individual Business entity

Location of Third-Party:

Please provide any additional information that could help de-conflict or confirm initial positive screens:

For examples, information such as the Third-Party's full address and owners' names could be helpful in the event there are initial positive screens.

If you have any relevant documents, please upload them here:

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