L-17 — Gifts, hospitality and benefits record
Purpose: Document a strict no-inducement approach and any incidental item.

Date and participants:

Item or hospitality:

Value:

Provider and recipient:

Purpose:

Applicable rule checked:

Accepted, declined or returned:

Approver and corrective action:

COMPLETION CHECKS
[ ] Default to no gifts or benefits
[ ] Never use hospitality to create a sense of obligation
[ ] Check the applicable ethics and lobbying rules

Prepared by:
Date:
Version:
Reviewer / approval:

Blank template. Keep completed records in the approved channel. This template does not grant authority.