CAS Provider Questionnaire

Executive Director

Contractor:
Contract Period: / July 1, 2011 to December 31, 2013
Contact Name:
Contact Phone:
Questionnaire due date:

Once complete, upload this document to your company’s Core Team folder on the SSTGB FTP site and send an email to the Audit Core Team indicating the questionnaire is available.

  1. [B.4] Within five (5) business days after the CAS Provider made any modification (or made any decision that a modification was not necessary), did the CAS provider send written confirmation of the modification (or written explanation of why a modification was not necessary) through the Testing Central program to the Governing Board?

Yes No Explanation:

  1. [D.3] If the Governing Board has required additional disclosures in the Contractor’s agreements with Sellers, has the CAS provider provided a schedule documenting the date, time and Seller representative to whom notice was provided?

Yes No Explanation:

  1. [E.6] Were there any instances during the audit period up through the date of this inquiry where the CAS provider assigned the contract or delegated any of its obligations under this Contract? If so, did the CAS provider notify the Governing Board of the proposed assignment?

Yes No Explanation:

  1. [E.7] Were there any instances during the audit period up through the date of this inquiry where the CAS provider was the subject of a merger, consolidation, reorganization or other combination or is the subject of an acquisition?

Yes No

If so, did the CAS provider notify the Governing Board of the proposed merger, consolidation, reorganization or other combination, or acquisition?

Yes No

  1. [E.12] Has the Governing Board or Office of the Executive Director been notified of or become aware of this Contractor not being in “Compliance with Laws”? If so, please provide details of each instance

Yes No Explanation:

  1. [E.21] Did the CAS provider provide a sample of its advertising, marketing, or other communications, whether public or private, for services provided to Sellers?

Yes No

  1. [E.29] Please provide a listing of all interpretations, if any, that the Governing Board provided to the CAS provider from the beginning of the contract period.
  1. [E.34] Were there any instances during the audit period up through the date of this inquiry where the contract with the CAS provider was modified by the parties? If so, was the modification approved by the Governing Board?

Yes No Explanation:

  1. Please add any other information not specifically asked for in this questionnaire that you feel would be of help during this audit

January 2014 Page 1 of 2 AD 10006