Is an integrity statement legally binding?

Yes if the signer demonstrates intent to sign, consents to an electronic transaction when required, attribution is established, and the record can be retained and reproduced. See ESIGN (15 U.S.C. §7001) and state UETA rules for interstate vs. intrastate distinctions.

Can I sign electronically?

Most integrity attestations can be signed electronically under ESIGN/UETA. For consumer-facing records, provide the required consumer disclosure and consent before relying on an electronic record.

When is notarization or witnesses required?

Notarization or witnesses depend on jurisdiction and the document's legal effect. Some states or specific instruments require witnesses or notarization; confirm state rules and contract language before assuming none are needed.

Who should sign on behalf of an organization?

A person with signing authority as reflected in corporate records should sign. When in doubt, attach a corporate resolution or provide evidence of authority from the legal or procurement team.

How can I revoke or correct an attestation?

Corrections typically require a signed amendment or re-execution; revocation procedures depend on contract terms and timing. Document amendments clearly and store both versions for audit purposes.

How long must signed attestations be retained?

Retention depends on record type and industry: IRS records generally three years (IRC §6501(a)), HIPAA six years (45 CFR §164.530(j)), and many organizations retain attestations for seven years or more for contractual and audit reasons.

Electronic Signature
Templates
Miscellaneous
Integrity Statement Template

Integrity Statement Template

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

INTEGRITY STATEMENT AND SERVICE AGREEMENT

Parties

Client Name: Client Address: Contractor Name: Contractor Address:

Effective Date: .

Recitals

WHEREAS, Client desires to procure certain services from Contractor and requires assurances that Contractor and its personnel will conduct performance with honesty, transparency, and full compliance with applicable laws and ethical standards; and

WHEREAS, Contractor represents that it maintains policies and practices to prevent fraud, bribery, corruption, conflicts of interest, and other conduct that would undermine the integrity of the engagement, and agrees to provide the services described below under the terms set forth in this Agreement;

WHEREAS, the parties desire to set forth in writing their mutual commitments to integrity, confidentiality, lawful conduct, and the commercial terms governing remuneration and termination.

Scope of Work

Describe services and deliverables:

Payment Terms

Total Contract Amount: $

Payment Schedule (milestones, percentages, due dates):

Payment Method:

Late Payment Fee: % per month, minimum $ .

Term and Termination

Term Commencement: . Term Expiration:

Either party may terminate this Agreement for convenience upon written notice delivered at least days prior to the effective termination date. Termination for cause shall be effective upon written notice if the breaching party fails to cure a material breach within thirty (30) days after receipt of notice specifying the breach.

Confidentiality and Integrity Obligations

Contractor shall treat as Confidential Information all non-public information disclosed by Client or generated in the performance of services. Confidential Information shall not be disclosed except as required by law, and shall be protected using safeguards at least as protective as those applied to Contractor's own confidential materials. The obligation of confidentiality shall continue for years following termination of this Agreement.

Contractor warrants that it and its personnel will: (a) not offer, pay, solicit or accept any bribe, kickback, or other improper payment in connection with this Agreement; (b) avoid conflicts of interest and promptly disclose any actual or potential conflict to Client in writing; and (c) comply with all applicable anti-corruption, anti-fraud and employment laws. Contractor shall maintain records sufficient to demonstrate compliance and shall permit reasonable inspection by Client to verify compliance.

Certifications (check all that apply):

Contractor certifies that no undisclosed conflict of interest exists that would materially affect performance.
Contractor certifies compliance with anti-bribery and anti-corruption laws.
Contractor certifies that neither it nor any principal has been convicted of fraud, corruption, or similar offenses that would impair performance.

Governing Law; Remedies

This Agreement shall be governed by and construed in accordance with the laws of without regard to conflict of law principles. Each party acknowledges that monetary damages may be inadequate to remedy breach of confidentiality or integrity obligations and that injunctive relief may be sought in addition to other remedies.

Entire Agreement

This Agreement, including the Scope of Work and Payment Schedule set forth herein, constitutes the entire agreement between the parties with respect to its subject matter and supersedes all prior agreements, representations, and understandings, whether written or oral. Any amendment or waiver must be in a written instrument signed by authorized representatives of both parties.

Representations and Certifications

Each party represents and warrants that it has full power and authority to enter into this Agreement, that the signatory below is authorized to bind the party, and that execution and performance will not violate any other agreement or legal obligation. The undersigned certify under penalty of perjury that the information provided in this form is true, accurate, and complete to the best of their knowledge.

Client

Print Name:

By:

Date:

Title:

Contractor

Print Name:

By:

Date:

Title:

What an Integrity Statement Template Is and Where It Fits

An Integrity Statement Template is a standardized attestation used to confirm that a person or organization will act honestly, disclose conflicts of interest, and provide accurate information for a specified engagement. Commonly used in procurement, contracting, grant administration, and internal compliance programs, the template sets out factual declarations, the scope of the attestation, and a signature block for the signer. When completed it documents intent, authorship, and the effective date of the attestation; electronic execution is generally acceptable under U.S. e-signature law (ESIGN and UETA) when intent, consent, attribution, and retention requirements are met.

Why Use an Integrity Statement Template

Using a template standardizes attestations, reduces ambiguity in vendor and employee statements, and helps organizations document compliance and due diligence. A clear template supports consistent review, auditability, and faster processing while reducing the chance of incomplete or noncompliant submissions.

Who Typically Completes an Integrity Statement

Several internal and external roles commonly complete integrity statements depending on process and industry.

Procurement officers and contracting managers requesting vendor attestations during bid or award processes.
Vendors, subcontractors, and consultants certifying no conflicts of interest and accurate disclosures.
Compliance, legal, and HR teams requiring attestations for internal investigations, training, or onboarding.

Use the template to assign responsibility clearly and ensure every attestation is tied to a named signer, date, and record location for audit purposes.

Core Components to Include in a Professional Template

A complete Integrity Statement Template groups the attestation into clear sections so reviewers can confirm identity, scope, and signature authenticity quickly.

Heading

A concise title and version date so reviewers know which form they are reviewing; include a short description of the attestation's purpose and scope for clarity.

Parties

Full legal name of the signing individual and their organization, plus role or title; mismatched names complicate verification and may trigger additional identity checks.

Statement of Facts

Bullet or numbered statements describing the specific declarations being made (conflict disclosures, accuracy of submissions, no bribery or improper inducements).

Certifications

Formal attestations such as 'I certify under penalty of perjury' where appropriate, or a plain-language certification depending on legal requirements and risk tolerance.

Signature Block

Signature line, printed name, title, date, and contact information; include witness or notary lines when required by jurisdiction or internal policy.

Attachments

List of supporting documents (conflict disclosure forms, financial attachments, certificates) and instructions for how to append or reference them.

Step-by-Step: Completing and Submitting an Integrity Statement

Follow these sequential steps to prepare, sign, and file an integrity attestation correctly.

01

Prepare the Form: Select the correct template version and gather supporting documents.
02

Fill Required Fields: Enter names, dates, titles, and complete each attestation item.
03

Authenticate Signer: Confirm signer identity using agreed authentication level.
04

Submit and Record: Send to the designated repository and capture audit metadata.

Typical Digital Workflow Settings for Online Completion

Configure these workflow settings to match your internal approval and retention policies when moving the template online.

Field	Configuration
Sender Role	Compliance officer or contracting manager
Authentication	Email plus optional SMS code
Attachments Allowed	PDF and DOCX support
Notifications	Email confirmation and audit trail logging

Where to File and Who Receives the Final Record

Routes vary by organization; capture the signed record and its audit metadata in a secure central location for future review.

Internal Repository: Store signed PDF in document management system.
Procurement Portal: Upload to the contracting or bid management portal.
Vendor File: Attach final attestation to the vendor record.
Regulatory Filing: Submit copies to regulator if required.

Technical Considerations for Digital Completion

Confirm platform and file-format compatibility before enabling online completion; consider authentication and audit-trail requirements.

File Types: PDF, DOCX, or HTML
Authentication: Email, SMS code, or stronger
Integrations: CRM and DMS connectors

Many platforms integrate with systems such as Salesforce, Microsoft 365, NetSuite, and cloud storage providers; ensure the chosen workflow preserves a tamper-evident audit trail and retention metadata.

Typical Timelines and Processing Expectations

Set clear timing expectations so attestations arrive when needed for procurement, audits, or contract execution.

Submission Timing:

Provide the attestation by the date requested in the solicitation or contract.

Acknowledgement:

Expect an automated receipt within 24–48 hours.

Audit Response:

Be prepared to produce originals within 30 days if audited.

Annual Renewal:

Some programs require yearly re-attestation.

Amendments:

Update attestations promptly when material facts change.

Common Mistakes to Avoid

Leaving name or title fields incomplete so the signer cannot be matched to corporate authority.
Using informal or ambiguous language in attestations that creates interpretive risk during review or audit.
Failing to capture required authentication or witness/notary steps where the jurisdiction or contract requires them.
Submitting unsigned or undated forms, which often leads to rejection and rework in procurement workflows.

Risks and Consequences of Incorrect or Missing Attestations

Contract Voidance: Award or contract may be voided

Payment Withholding: Payments can be withheld

Audit Findings: Negative audit outcomes

Tax Exposure: Possible tax or reporting impacts

Criminal Risk: False statements may trigger prosecution

Reputational Harm: Loss of trust and business

eSignature Vendor Comparison for Integrity Statements

Compare core pricing and compliance features relevant to signing and retaining Integrity Statement Templates; signNow is listed first per vendor ordering rules.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by vendor	Varies by vendor	Varies by vendor	Varies by vendor
Bulk Send	Yes (Business Premium)	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No

Real-World Examples of Integrity Attestation Use

These examples show how organizations have implemented attestations in practice to streamline compliance and contracting.

Optica Ventures (COO)

The interface is simple and easy-to-use for our team; more importantly, it is just as easy for our customers.

Process change reduced signature turnaround time significantly.
By standardizing attestations and storing signed records centrally, Optica improved audit readiness and reduced manual follow-ups across procurement and vendor onboarding.

Martin Properties (Founder)

I can process and execute all of these documents online with 100% compliance and built-in security.

Mobile and offline signing supported.
The company moved to electronic attestations for leasing and vendor compliance, decreasing cycle time for approvals and simplifying record retrieval during audits and property transfers.

Frequently Asked Questions and Troubleshooting

Answers to common questions about enforceability, e-signature use, notarization, signatory authority, revocation, and record retention.

Need help? Contact support

Is an integrity statement legally binding?
Yes if the signer demonstrates intent to sign, consents to an electronic transaction when required, attribution is established, and the record can be retained and reproduced. See ESIGN (15 U.S.C. §7001) and state UETA rules for interstate vs. intrastate distinctions.
Can I sign electronically?
Most integrity attestations can be signed electronically under ESIGN/UETA. For consumer-facing records, provide the required consumer disclosure and consent before relying on an electronic record.
When is notarization or witnesses required?
Notarization or witnesses depend on jurisdiction and the document's legal effect. Some states or specific instruments require witnesses or notarization; confirm state rules and contract language before assuming none are needed.
Who should sign on behalf of an organization?
A person with signing authority as reflected in corporate records should sign. When in doubt, attach a corporate resolution or provide evidence of authority from the legal or procurement team.
How can I revoke or correct an attestation?
Corrections typically require a signed amendment or re-execution; revocation procedures depend on contract terms and timing. Document amendments clearly and store both versions for audit purposes.
How long must signed attestations be retained?
Retention depends on record type and industry: IRS records generally three years (IRC §6501(a)), HIPAA six years (45 CFR §164.530(j)), and many organizations retain attestations for seven years or more for contractual and audit reasons.

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