7. REMARKS (See Attached)
a. METHOD OF TESTING KEY CONTROLS (Check all that apply)
b. EVALUATION RESULTS (Include specific items tested):
Use this block to describe the method used to test key controls, the internal control weakness(es) detected by the evaluation (if any) and
the corrective action(s) taken. (THIS IS MANDATORY)
(2) Signature
a. CHECKLIST
1. REGULATION NUMBER
2. DATE OF REGULATION
APPENDIX (Enter appropriate letter)
(1) Typed Name and Title
b. DATE CERTIFIED
3. ASSESSABLE UNIT
b. DATE OF EVALUATION
4. FUNCTION
a. NAME (Last, First, MI)
Direct Observation
Analysis
Other (Explain)
Sampling Simulation
Review of Files or
Other Documentation
b. ALTERNATIVE METHOD (Indicate method)
INTERNAL CONTROL EVALUATION CERTIFICATION
I certify that the key internal controls in this function have been evaluated in accordance with provisions of AR 11-2, Army Managers'
Internal Control Program. I also certify that corrective action has been initiated to resolve any deficiencies detected. These deficiencies
and corrective actions (if any) are described above or on attached documentation. This certification statement and any supporting
documentation will be retained on file subject to audit/inspection until superseded by a subsequent internal control evaluation.
5. METHOD OF EVALUATION (Check all that apply)
6. EVALUATION CONDUCTED BY
a. ASSESSABLE UNIT MANAGER
8.
CERTIFICATION
DA FORM 11-2, SEP 2012
For use of this form, see AR 11-2; the proponent agency is ASA(FM&C).
PREVIOUS EDITIONS ARE OBSOLETE.
d. DESCRIBE CORRECTIVE ACTIONS TAKEN, IF APPLICABLE.
Interviews
c. INTERNAL CONTROL DEFICIENCIES DETECTED, IF ANY. (Include potential material weaknesses):
APD LC v1.01ES
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