The person completing the form should be a member of the governing body, a partner in the firm, or a person designated by the governing body or partners to act on their behalf.
Organization Type Select the designation which most closely identifies the organization. A Board of Education should be identified as a 'municipal department/fund' even if the cafeteria operations are accounted for at that level. Certain nonprofit organizations have charter provisions that identify them as a body corporate and politic. Those organizations should select the 'other government' designation.
Line 1
Each organization, fund, division, or department that executes a separate contract to audit accounts with this office should complete this form. A form was sent to all organizations, funds, divisions, and departments that contracted for a separate audit for the 2001 fiscal year. If the organization contemplates that a fund, division, or department that was audited as a part of the primary organization in 2001 will be executing a separate contract to audit accounts for any period subsequent to 2001, a separate form should be completed for that fund, division or department in the first year that a separate contract is executed. If the organization has multiple EINs, and any of those numbers are not related to a fund, division, or department that is being audited separately, a sheet should be attached listing all applicable EIN's and the fund, division, or department that the EIN is associated with.
Line 2
The name of the organization as it appears in the organization's charter or in the resolution that established the fund, division, or department, or in the partnership agreement, limited liability corporation papers, etc. should be identified here.
Line 3
DBA (Does Business As) The name for business that is held out to the public. If this name is the same as the one listed in question 3, write 'SAME AS ABOVE' here.
Line 4
If an organization has multiple locations, the address of the principal business office should be identified here. If the form is being completed for a fund, division, or department of a primary organization, the address of the principal business office of the fund, division, or department should be identified here. For accounting firms that maintain multiple locations, each location should complete this form and identify the address of that location in this question. If correspondence is to be mailed to only one of the locations, identify that location as the 'main office' in Section III of this form.
Line 5
Identify the person who should be contacted for questions and comments regarding the audit process.
Line 6
The telephone number of the person identified in question 5 above should be listed here.
Line 7
Please note that the e-mail address listed in the question will be used for all correspondence. It is the responsibility of the organization to notify this office of any address changes. This office is not responsible for misdirected correspondence due to an address change we were not notified of.
Line 8
If you do not know this information and cannot obtain it from your provider's web site, please call your provider's technical hotline to obtain the information.
Click below to fill-in and submit the form to the Division of Muncipal Audit. You will receive a confirmation immediately after submitting the form to the e-mail address you supply on the form for question 7 of Section I.
