AUDITOR ASSIGNMENT & INDEPENDENCE STATEMENT Government Auditing Standard 3.02 states: " In all matters relating to the audit work, the audit organization and the individual auditor, whether government or puli!, must e "ree "rom personal, e#ternal, and organizational impairments to independen!e, and must avoid the appearan!e o" su!h impairments o" independen!e." International Standards "or the $ro"essional $ra!ti!e o" Internal Auditing Standard %%20 Individual &'e!tivit( states: Internal auditors must have an impartial, uniased attitude and avoid an( !on"li!t o" interest. )( m( signature elow, I a!knowledge m( assignment to the aove pro'e!t and pro"ess I know o" nothing that might impair m( independen!e and impartialit( on the pro'e!t. InC!"r#e Auditor$ D"te$ St"%% Auditor$ D"te$ Su&er'i(or$ D"te$ A((i#n)ent Source$ Audit T*&e$ Audit O+jecti'e($ Audit Sco&e$ S&eci"l In(truction($ St"rt D"te$ E(ti)"ted Audit Co)&letion D"te$ Audit Director,( -eri%ic"tion o% Auditor,( A((i#n)ent & Inde&endence$ I have assigned the aove sta"" and have determined the( are ade*uatel( skilled to work on the stated pro'e!t. I am not aware o" an(thing that might impair their independen!e and impartialit( on the pro'e!t. 201-Assignment.doc INTERNAL AUDIT (Audit Project Title & No.) AUDITOR ASSIGNMENT & INDEPENDENCE STATEMENT Audit +ire!tor Signature ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, +ate: ,,,,,,,, 201-Assignment.doc