Submit a Meal or Beverage Request

Complete the questions below to request approval to provide a meal or beverages to an HCP, Government Official, or an employee of a current or potential customer. As a reminder, approval is only required when meals or beverages exceed applicable Country Limits for the country where the meal or beverages will be provided.

Purpose

Are the meal or beverages being provided in connection with an informational presentation or discussion of the company’s products or business?
Yes
No
Are the meal or beverages required under a written agreement?
Yes
No
Are the meal or beverages being provided in order to offer anyone an incentive or reward for granting the company business, favorable treatment, or any other commercial benefits?
Yes
No
Has any formal or informal "return on investment" or "ROI" analysis been conducted with respect to providing the meal or beverages and any resulting commercial benefit for the company?
Yes
No
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Nature and Appearance

Please select the country where the meal or beverages will be provided.
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Uploaded Files

Meeting-agenda-05-05-2017
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Did any proposed recipient select the location of the meal or beverages?
Yes
No
Are the meal or beverages in the form of, or offered to provide or support, any of the following:
  • Attendance at a sporting or entertainment events?
  • Providing recipients with the meal or beverages where no Company representative is in attendance, including “take-out” meals or “dine & dash” programs?
  • Any activities that could be considered inappropriate, such as gambling or adult entertainment?
  • Any other expenses that violate company policies?
Yes
No
Would you hesitate or refrain from providing the meal or beverages if the media, competitors, or the public became aware of it, or criticize a competitor for providing the same or something similar?
Yes
No
Does your offering or providing the meal or beverages comply with all applicable laws or regulations, including any regulations imposed by the employer of the recipient, such as site rules or notification requirements?
Yes
No
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The Recipient(s)

What is the recipient's home country?
Is he or she a government official?
Yes
No
Is he or she an HCP?
Yes
No
Is he or she an employee of a current or potential customer?
Yes
No
Does he or she have any influence over the company’s business over the next 12 months besides prescribing the company's product (e.g., awarding a tender, contract or sale, securing regulatory or other governmental action, etc.)?
Yes
No
Who identified him or her as a recipient?
Will the recipient receive anything that is additional to, or different from, what is provided to any other recipients?
Yes
No
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Recipient(s) Added

John Doe, CEO, Acme Inc.
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Will the meal or beverages be provided to, or for the benefit of, a spouse or relative of an HCP, government official, or employee of a current or potential customer, who would not otherwise independently qualify to receive the meal or beverages (e.g., as an HCP for whom the meal or beverages is appropriate)?
Yes
No
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Structure

Have communications or financial transactions around the transaction been conducted, or are they planned to be conducted, in a manner that is secretive or not transparent? (Click the information icon for specific examples.)
Yes
No
Have communications around the transaction used any suspicious or vague code words that that do not sufficiently or accurately describe the nature of the expense or suggest that the transaction may not be appropriate? (Click the information icon for specific examples)
Yes
No
Will the meal or beverages be provided or reimbursed in any of the following ways:
  • Using money from off-the-books accounts, third-party accounts, or personal accounts of employees, or “cash desks” or “cash safes”?
  • By reimbursing employees outside of the ordinary reimbursement process for such expenses?
  • By reimbursing expenses without invoices or receipts?
  • By paying expenses directly to a government official or employee of a current or potential customer, or to a travel agency or other third party selected by those individuals?
  • In any manner different than the company's ordinary financial or approval processes or in any other way that differs from how similar expenses would be paid or reimbursed (click the information icon for specific examples)?
Yes
No
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Additional Information

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Uploaded Files

Request Letter
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