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Identity Verification · Popular

Streamline KYC & Customer Identity Verification

Securely collect personal details and government-issued ID documents from customers to meet KYC compliance requirements with ease.

Use This Template Free Preview

Matcha theme

formbuilder.ai/f/customer-identity-verification-kyc-document-submission-form

Customer Identity Verification & KYC Document Submission Form

Full Legal Name

· · ·

Email Address

· · ·

Phone Number

· · ·

Submit

The Customer Identity Verification & KYC Document Submission Form is designed to help businesses collect, verify, and manage the personal information and identity documents required for Know Your Customer (KYC) compliance. It captures full legal names, contact details, date of birth, nationality, and residential address alongside primary ID document uploads — all in one streamlined form.

This template is ideal for financial institutions, fintech companies, crypto exchanges, insurance providers, legal firms, and any regulated business that must verify customer identities before onboarding. It guides submitters through each step clearly, reducing errors and ensuring all required documentation is gathered upfront.

By digitizing the KYC process, you eliminate paperwork, speed up verification workflows, and maintain a secure, auditable record of submissions. Customize the form to match your compliance requirements, brand guidelines, and accepted document types — then start collecting verified customer data instantly.

4 Pages

22 Questions

~7min To complete

Free No credit card needed

Field types Short Text ×3 File Upload ×3 Dropdown ×2 Yes / No ×2 Full Name Email Phone Date Single Choice Address Website URL sociallinks daterange Long Text termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Personal Information 6 questions

Personal Information

Please provide your legal name and personal details exactly as they appear on your government-issued identification document.

1 Full Legal Name * Full Name

2 Email Address * Email

3 Phone Number * Phone

4 Date of Birth * Date

5 Gender Single Choice

6 Nationality / Citizenship * Short Text

Page 2 Residential Address & Contact Details 3 questions

Residential Address

Enter your current residential address. This must match the address on your proof of address document.

1 Current Residential Address * Address

Additional Contact Details

2 Personal or Business Website Website URL

3 LinkedIn Profile or Other Social Media sociallinks

Page 3 Identity Document Submission 8 questions

Identity Verification Documents

Upload clear, legible copies of the required documents. Accepted formats: PDF, JPG, PNG (max 10MB each). All documents must be valid and unexpired.

1 Primary ID Document Type * Dropdown

2 Document ID / Number * Short Text

3 Document Issue Date & Expiry Date * daterange

4 Issuing Country / Authority * Short Text

5 Upload Front of Primary ID Document * File Upload

6 Upload Back of Primary ID Document (if applicable) File Upload

7 Proof of Address Document Type * Dropdown

8 Upload Proof of Address Document (issued within last 3 months) * File Upload

Page 4 Declaration & Consent 5 questions

Declaration & Consent

Please review the following declarations carefully before submitting your verification form.

1 Are you a Politically Exposed Person (PEP) or a close associate of a PEP? * Yes / No

2 Are you submitting this verification on behalf of another individual or entity? * Yes / No

3 Additional Comments or Clarifications Long Text

4 I certify that all information and documents provided are true, accurate, and complete. I consent to the processing and verification of my personal data and identity documents in accordance with applicable data protection regulations and the organization's privacy policy. * termsandconditions

5 Digital Signature * Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.