LSC Agreed Upon Procedures Inquiry Checklist

LSC Name: *

Completed By:

Name: *

Date Completed (MM/DD/YYYY): * +

Email (Copy of completed form will be sent to this address): *

For Period Ending (MM/DD/YYYY): * +

General Company Information

EIN: *

Accrual or Cash Method of Accounting: *

Accural

Cash

Name of General Chair: *

Name of Treasurer: *

Others involved in Accounting Functions:

+-

Person who maintains books and records:

Name: *

Email: *

Instructions: The purpose of this checklist is to supplement the agreed upon procedures
engagement performed by an independent accountant. This form should be completed by an
LSC representative and provided to the independent accountant to be submitted with the final
agreed upon procedures deliverable.

As you complete this document, you will be asked to choose answers from drop down menus,
check boxes, select dates and type text answers.

Policies & Procedures Manuals

An accounting manual should provide answers to questions, instruction to accounting personnel,
and provide the means to apply consistent reporting of business transactions. The document
must be useful and, more importantly, used. Therefore, it should be organized, complete, and
consistent.

It should be available to all who need or think they need it. Certainly, the accounting staff needs
the manual. Also, managers, and others who submit accounting data should have the manual
available to them.

It should always be current. A plan or method for updating policies with changes, additions, or
deletions to the document is a must.

Does the LSC have written accounting policies and procedures established to describe the accounting system and ensure transactions are accounted for consistently (as described above)? *

Yes

No

Work in Progress

Bank Accounts

Yes

No

All accounts are on the books and financials. *

Yes

No

Are funds deposited in a bank with FDIC protection? *

Name of person who verified this: *

Date Verified (MM/DD/YYYY): * +

Yes

No

Has the balance in any account exceeded the protection limits at any time during the period being reviewed? *

Document any issues below:

List all bank account numbers and corresponding general ledger account numbers: *

	Account Number	General Ledger Number
Account:	Account Number	General Ledger Number

Additional account number and corresponding general ledger account number:

	Account Number	General Ledger Number
Account:	Account Number	General Ledger Number

Additional account number and corresponding general ledger account number:

	Account Number	General Ledger Number
Account:	Account Number	General Ledger Number

Yes

No

All Accounts are held in the name of the LSC (not an individual). *

Yes

No

Do volunteers or employees of the LSC possess debit cards for any bank accounts? *

If Yes, list names:

+-

Yes

No

Are all account signers authorized by the Board of Directors? *

Yes

No

The LSC is in compliance with stipulations regarding who can sign checks and/or authorize payments and there is a process for ensuring the bank is notified immediately of all changes to signers. *

Please list the names and titles of the current account signers: *

	Name	Title
Account Signer	Name	Title

Additional account signer:

	Name	Title
Account Signer	Name	Title

Additional account signer:

	Name	Title
Account Signer	Name	Title

Additional account signer:

	Name	Title
Account Signer	Name	Title

Additional account signer:

	Name	Title
Account Signer	Name	Title

Describe the LSC’s written cash control policies to include approval policies in place (authorization and documentation requirements before payment is made), check signers signing checks made payable to themselves or family members, signing of blank checks, the use of pre-numbered checks and their use in sequence, and the use of “Cash” as the payee on a check. *

Yes

No

Are these policies stated above strictly adhered to? *

Describe a time, when you might deviate from these cash control policies.

Yes

No

Does the LSC use bill pay or other online payment methods? *

If yes, describe the approval polices for these transactions.

Explain the process for voiding and cancelling of checks. *

Yes

No

Blank checks are never signed. *

Yes

No

Payments are processed by someone other than the authorizing individual. *