Client
Information Sheet
DATE
10/05/08
NEW
CLIENT
ONE TIME
WORK
EST ANNUAL FEE: $
OFFICE:
[Office
1]
[Office
2]
CLIENT
CODE:
ENG
CODE(S) DESCRIPTION:
PHONE CODE:
CLIENT
NAME:
SORT NAME:
ATTN
NAME:
CLIENT ADDRESS:
CITY,
STATE, ZIP:
MAILING ADDRESS (IF DIFFERENT):
CITY,
STATE, ZIP:
FIN:
PHONE
NO:
2ND PHONE NO:
FAX NO:
PRIMARY
EMAIL:
FISCAL
YE MONTH:
ENTITY
TYPE:
DEPARTMENT:
NAIC:
IS
THIS CLIENT ASSOCIATED WITH A MAJOR CLIENT?
Yes
PRIMARY
PARTNER:
SECONDARY
PARTNER:
BILL MGR:
TAX
REVR:
TAX PREP:
NEW
NOTEBOOK
MAIN
LITIGATION
VALUATION
OTHER
GIVE NOTEBOOK TO: PIC
OR
NEWSLETTER:
None
Healthcare
Auto
eNewsletter:
email address:
OR
Send paper
copy
(required for e-newsletter)
ORIGINATING
PERSON:
FIRST CO-ORIGINATOR:
ADDITIONAL CO-ORIGINATOR:
REFERRAL
SOURCE
EMPLOYEE
CONTACT
(EC)
CLIENT
REFERRAL (CR)
Name
CLIENT
EXPANSION
(CE)
BANKER
REFERRAL
(BR)
ATTORNEY
REFERRAL
(AR)
OTHER
REFERRAL
(OR)
Name
PROJECTS:
1040
Due 4/15
709
GIFT RTN
Due 4/15
104OES
Due 4/15, 6/15, 9/15, 1/15
1120
Due Date
1120S
Due Date
1065
Due Date
1041
Due Date
990
Due Date
5500
Due Date
706
EST RTN
Due Date
PROP
RTN
Due 10/01
QTRLY
RTNS
Due 1/31, 4/30, 7/31, 10/31
FIN
STMTS
Date Due
VALUATION
LITIGATION
OTHER:
Date Due
RECEPTIONIST:
1.
Assign long distance phone code
2.
E-mail client/phone code/email
address
3.
Enter
client info to time system & make change of
address to
ProSys
4.
Enter
projects in time system
5.
Update
Smart Label Printers Recep TSS KLM
6.
Excel
New Client Tracking
7.
Send
Privacy Act letter to
Individuals
OFFICE
ASSISTANT:
1.
Prepare
notebook
2.
File copy
of CIS in client's notebook in Permanent File
section
3.
File
notebook on shelf in alphabetical order according
to client code
4.
Type
billing label for new client and place on billing
folder.
File billing
folder
on
shelf (except litigation
clients)
5.
File
original CIS in CIS Notebook
Client
Information Sheet (Continued)
This information should be completed for
all potential clients including business tax
engagements, MAS engagements, litigation support
engagements, valuation engagements, compilations,
reviews and audits.
If
you are aware of any reason we should not accept
this engagement, including independence issues,
please notify the partner-in-charge
immediately. In
addition, if you believe you may be of assistance
in obtaining the client, please contact the
partner-in-charge.
Briefly
describe the client's
business.
List
the principal owners, members of management and
key accounting
personnel.
Briefly
describe the services our firm is to
perform.
If
financial statements are to be prepared, to whom
will they be
distributed?
Summarize
our fee arrangement and note if there are
potential collection
problems.
