Audit Confirmation / Authorization

We hereby authorized QSI to enter our premises at ___________________on ________ for the purposes of an external, third party audit. The conditions governing the service and payment of the same are defined in Contract/P.O. _____________.

Furthermore, we agree and understand that certifications will not be issued or maintained until all requested corrective actions resulting from the audit are taken and that all payment obligations are fulfilled.

The contact person for this visit is ____________________ and the person can be reached at the following phone number ______________ and email address _________________.

Client and Payment Information
Payment Being Processed
Client ID
Client Code
RBP Code
Electronic Signature
Invoice Recieved
Lodging Information
Lodging Facility
Lodging Confirmation Code
Driver Information
Driver Name
Driver Telephone Number
Accounts Information
Purchase Order Number
Accounts Payable Contact
Accounts Payable Contact Number
Accounts Payable Contact e-mail
Air Travel Information
Logistics Comments
Audit Information
PPE Requirements
Confirmation Date
Audit Notification Code
10% or More Employee Change
Number of Employees
Scope Change
Scope Change Description