REPUBLIC OF THE PHILIPPINES

COMMISSION ON AUDIT
Commonwealth Avenue, Quezon City, Philippines

AUDITOR’S DECLARATION OF INDEPENDENCE AND COMPLIANCE

WITH OTHER ETHICAL STANDARDS

As (state designation; e.g. team member, team leader, supervising auditor/regional supervising
auditor), I acknowledge my assignment which requires me to be part of the audit team to conduct a
financial audit of the ____(Name of Agency)____ for the financial year ended _______.

I declare that to the best of my knowledge, I know of nothing that might impair my independence
and impartiality on the Audit that will contravene the independence requirements and other ethical
standards of any applicable code of professional conduct in relation to the audit.

Responsibility to Update This Declaration

I understand that I am also responsible to make timely written notification in the event any other
circumstance arises during the course of this audit that might impair or appear to impair my
independence with respect to this audit.

__ (Signature over printed name) __ Date:

Designation (SA/RSA/ATL/ATM)

Cluster/Regional Director’s Certification:

I have assigned the above staff to work on the stated audit and I am not aware of anything that
might impair his/her independence and impartiality and the competence of the Audit Team.

__ (Signature over printed name)__ Date:

Cluster/Regional Director