Renewal Application For Admission To The Roster Of Accountants Authorized To Conduct Municipal Audits - Oregon Board Of Accountancy

Download a blank fillable Renewal Application For Admission To The Roster Of Accountants Authorized To Conduct Municipal Audits - Oregon Board Of Accountancy in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Renewal Application For Admission To The Roster Of Accountants Authorized To Conduct Municipal Audits - Oregon Board Of Accountancy with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Oregon Board of Accountancy
Renewal Application for Admission to the Roster of Accountants
Authorized to Conduct Municipal Audits
DUE: December 31, 2017
For Licensees from Other Jurisdictions (Mobility)
1. PRINT Full Name Last:
First:
Middle:
Other last names known by:
If you use a PO Box or other mail service you must also provide a physical address. Insert
in one box to indicate
official mailing address.
2. Physical Home Address:
City:
State:
9-Digit Zip Code:
PO Box:
Phone #:
E-Mail Address:
**
3.
Firm or business name registered with the Board under which municipal audits will be issued:
**If self-employed, include name of business, type of business and address. Indicate if unemployed.
Physical Address of Employment:
PO Box:
City:
State:
9-Digit Zip Code:
Phone #:
4. List all state(s) in which you are currently licensed to practice public accounting:
State
License #
Date Issued
Status
State
License #
Date Issued
Status
5. List any state(s) in which you have previously held a valid permit to practice public accounting:
State
License #
Date Issued
Status
State
License #
Date Issued
Status
PEER REVIEW
A) Is your firm currently participating in a peer review program administered by?
YES
NO
Select one:
AICPA PEER REVIEW
NATIONAL PEER
NON-AICPA PEER REVIEW
ADMINISTERED BY:
REVIEW COMMITTEE
ADMINISTERED BY:
YES
NO
B) Are your firm’s peer review results posted on PRIMA (AICPA Facilitated State Board Access)?
C) What was the result of the firm’s most recent peer review?
PASS WITH DEFICIENCIES
FAIL
PASS
BOA USE ONLY:
Clerk: __________________
Date Processed: ________________
Seq #:
Batch #: _________________
Last 4: _________________________

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 3