When self-hosting it - it's up for the company that is using the tool hosted on-premises to ensure that all their specific requirements are met - i think DocuSeal provides enough features to make this happen.
AWS S3 to store documents can be integrated with DocuSeal to ensure the documents integrity - AWS services have their own logs that can't be altered and so can be used as a source of trust.
And to ensure that the document was signed by a real person companies can include photo attachments into the documents signing process (this could be a photo of an ID card or a selfie)
How secure is it? How confidential are the records? How does it guarantee integrity?