雇员忠诚险险问卷.doc

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1、FIDELITYGUARANTEEINSURANCERISKASSESSMENTFORM雇员忠诚保证保险风险评估表NameofInsuredEntity:被保险人名称:_____________________________________________________________________Address:地址:_____________________________________________________________________1.GENERAL总则1.(a)NatureofApplicant’sbusiness申请人营业范围______________

2、_____________________________________________(b)Dateofbusinessestablished企业成立时间__________________________________________________________2.Audit:审计:(a)Nameofoutsideauditor审计员姓名__________________________________________________________(b)Frequencyofaudits审计频率_______________________________________

3、__________________(c)Whenwassuchanexaminationlastmade?最近一次审计在何时?__________________________________________________________(d)Wasitineveryrespectcorrect?最近一次审计的结果是否为各方面均不存在问题?□Yes□No是否Ifnot,pleasegivethedetails.若否，请告知问题详情__________________________________________________________3.Doyousellexclusiv

4、elytooverseasmarketswithnolocalsaleswhatsoever?是否只在国外市场销售?□Yes□No是否4.Ifyousellmainlytothelocalmarkets,doyouhandlesales如果主要在国内市场销售,销售渠道为：□exclusivelywithorthroughwholesalers?仅通过批发商□exclusivelywithorthroughretailers?仅通过零售商□withorthroughbothwholesalersandretailers?通过零售商及批发商□throughownsaleforce?通过自有销

5、售渠道5.Ifyouhandleretailsales,howmanysalestoresdoyouhave?如果开展零售业务的,有多少零售点?__________________________6.Aredutiesofthecashierentirelyseparatefromtherecordingofnotesandaccountsreceivables?出纳工作是否与票据和应收帐款的记录完全分离?□Yes□No是否7.Statethelargestsumthecashierislikelytohold:出纳经手最高金额:(a)onnon-payrolldays非发薪日_____

6、____________________________________________________(b)onpayrolldays发薪日_________________________________________________________8.Arechequesrequiredtobecountersigned?□Yes□No支票需要连署吗?需要不需要9.Pleasestatethenumberofemployees:请列出雇员人数:(a)thosewhohandlecash经手现金人数__________________________________________

7、_______________(b)thosewhodonothandlecash不经手现金人数__________________________________________________________10.(a)Howoftenwillcashbedepositedinthebank?现金存入银行频率?__________________________________________________________(b