State Of Connecticut Accountability Directive Number 1 (Revised) Internal Control and Financial Management Integrity for State Government

State Of Connecticut Accountability Directive Number 1 (Revised) Internal Control and Financial Management Integrity for State Government - Disk Request Form

INTERNAL CONTROL QUESTIONNAIRE
CONFIRMATION OF COMPLETION

The Internal Control Questionnaire has been completed and reviewed for accuracy. Print this section, have each person sign it and keep on file as your agency's certification of internal control representations.

_____________________________________________________________________________
Name and address of State Agency

_____________________________________________________________________________

Commissioner/Agency Head
_______________________________	__________________________	_____________
Name (type or print)	Signature	Date

Business Manager/Designee
_______________________________	_________________________	______________
Name (type or print)	Signature	Date

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