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CLIENT REFERRAL DISCLOSURE NOTICE AND ACKNOWLEDGEMENT (Referral Disclosure Form) This Referral Form provides you with notification of the Referral Arrangement between: Robbins Futures, Inc. (\”
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How to fill out client referral disclosure notice

01
Obtain a copy of the client referral disclosure notice form from your organization or regulatory body.
02
Fill out the client's name and contact information in the designated fields.
03
Include details about the referral arrangement, such as the reason for the referral and any compensation involved.
04
Sign and date the form, acknowledging that you have disclosed the referral to the client.
05
Provide a copy of the completed form to the client for their records.

Who needs client referral disclosure notice?

01
Any professional or organization engaging in referral arrangements with clients should provide a client referral disclosure notice to ensure transparency and compliance with regulations.
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A client referral disclosure notice is a document that informs clients about the nature and terms of any referral arrangements, including potential compensation for referrals.
Individuals or entities involved in making client referrals and receiving compensation for those referrals are required to file the client referral disclosure notice.
To fill out the client referral disclosure notice, you need to provide the names of the parties involved, details of the referral agreement, any compensation expected, and the nature of the services rendered.
The purpose of the client referral disclosure notice is to ensure transparency in referral relationships, protecting clients by informing them about any potential conflicts of interest.
The information that must be reported includes the identities of the referee and the referer, details of the referral arrangement, any compensation terms, and descriptions of the services involved.
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