Receiving Gifts and Hospitality Authorisation Form 3

							           Receiving Gifts and Hospitality Authorisation Form

The Group is committed to ensuring that hospitality of all types is managed and controlled
effectively. This is to reduce the risk of compromising both individuals and the Group’s
businesses and to ensure that no procurement advantage is offered to, or inferred from,
external suppliers and contractors.

Authorisation must be sought by employees accepting a gift or offer of hospitality over the
value of £30 and/or any employee who accepts gifts or hospitality on more than one occasion
per week, regardless of value. Any offer of a gift or hospitality over the value of £30 must be
registered via completing this form, regardless of intention of acceptance or refusal.

          To be completed by recipient requesting approval of gift or hospitality


                         Name:

              Department and Job Title:

                    Line Manager:

                                                    I am requesting authorisation
                   Accept or Refuse:
                                                    I am registering my refusal


          Has the gift/hospitality already been     Yes
                 received/taken place:              No

              Date of event or date of gift
              received/due to be received:

                                                    Gift
                                                    Business Trip
                                                    Conference/Seminar
                                                    Hospitality/Charity Dinner
                                                    Other, please state below
                     Request is for:
      Event or Gift Description:




                                            Name:

                                            Company:

                                            Address:
        Invitation/Gift is from:
 (Please state Individual, Company and
                 Address)




                                               Supplier
                                               Prospective Supplier
                                               Charity
                                               Other, please state below
  Relationship to the Co-operative:




Justification of acceptance or decline:
 (Any conflicts of interest, such as the
event holder is a supplier who’s contract
 is due for renewal, must be disclosed)
                                            Gift Value:


                                            Transport:
If possible estimate the cost of gift or
event and detail who will incur these
                                            Accommodation:
                 costs:
 (In the event of the gift or hospitality
   offer being refused please ignore)
                                            Food & Drink:


                                            Other (such as football or theatre tickets):


                                            Total & paid by:

                 Date:

         Employee Signature:


                      To be completed by Line Manager


                Name:

               Job Title:

                                               Authorisation Granted
                                               Authorisation Refused
                                               Employee is declining
                                            Justification:
 Do you grant employee authorisation
to accept and a brief justification why:




                 Date:

       Management Signature:


     Management: To comply with the Bribery Act you must keep a
        hospitality register and keep the above form within it.