Organizations can use the questions included in this template to address their executive certification requirements.

Sample questions include: Have you discussed the company’s disclosure controls and procedures with management? Has management taken a process view to address these requirements? Are you satisfied that the disclosure controls and procedures are designed effectively? Based on your discussions with management, are you satisfied that the company’s disclosure controls and procedures are operating effectively? Based on your knowledge of the company and the information received from management, would you sign the certification? Is there a checklist of steps that must be completed before the executive signs the certification?