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Management utilisation statement

Management statement only. Obtain a separate CA certificate or prescribed form if required.

Adapted preparation format, not a prescribed form or professional certificate. Type in the yellow fields, then use Save completed copy. Entries are not uploaded or automatically saved. Calculations are manual. Keep completed confidential records securely on your own device.

Editable wording and instructions

MANAGEMENT STATEMENT — NOT AN INDEPENDENT AUDIT CERTIFICATE. Based on the books and evidence listed in the attached schedules, management reports receipts of [ ], attributable interest of [ ], eligible utilisation of [ ] and closing funds of [ ] on the [cash/accrual] basis for [period]. Deviations and outstanding conditions are [ ]. No professional assurance is expressed by this worksheet. Signed by authorised management: [ ].

Record / entry

Company / project / period
Agreement / sanction / approved budget
Receipts and interest
Eligible expenditure by category
Assets / advances / payables
Closing funds and bank reconciliation
Deviations / ineligible costs
Other assistance / allocation
Supporting schedules
Management signatory / authority
Date / Board review
Independent certification requirement
All preparation formats