MONTANA BOARD OF PUBLIC ACCOUNTANTS - Montana DLI

GENERAL INFORMATIONMONTANA BOARD OF PUBLIC ACCOUNTANTS301 South Park – 4 th FloorPO Box 200513Helena Mt 59620-0513Phone: 406-841-2203 Fax: 406-841-2309/2323E-mail: dlibsdpac@mt.gov Website: www.publicaccountant.mt.govINTERNATIONAL RECIPROCITY APPLICATION• The International Reciprocity Application is for individuals applying for licensure in Montana that hold a licensewith a professional credentialing institute which have a Mutual Recognition Agreement with NASBA/AICPA. As ofOctober 24, 2011, the following professional credential institutes have Mutual Recognition Agreements withNASBA/AICPA: Australia-CA, Canada, Hong Kong, Ireland, Mexico and New Zealand. If your professionalcredential institute is not listed and you want to be licensed as a CPA in the U.S., you will need to take theUniform CPA Examination as a candidate of one of the 55 jurisdictions.• The National Association of State Boards of Accountancy (NASBA) offers the International QualificationExamination (IQEX) to qualifying candidates each year. Internationally trained accountants seeking a reciprocalCPA designation in the United States may be interested in writing the IQEX.• The International Qualification Examination (IQEX) is used to examine the professional competence, from aUnited States perspective, of accountants from foreign bodies, determined by the U.S. InternationalQualifications Appraisal Board to have education, examination, and experience requirements substantiallyequivalent to United States CPAs. The IQEX tests reciprocity applicants on their knowledge of U.S. professionalstandards, U.S. taxation and business law. You can obtain information about sitting for the IQEX on the NASBAwebsite (www.nasba.org).• Montana is a two-tiered licensing state. To obtain a certificate (inactive status), you must pass the IQEX examand pass the AICPA’s ethics exam. There is no residency requirement and a social security number is notnecessary to obtain a certificate.• To obtain a certificate/permit to practice (active status), you must pass the IQEX exam, pass the AICPA’s ethicsexam, meet the experience requirements and meet the continuing education requirements. An individual maynot hold out as a CPA to the public without a permit to practice. There is no residency requirement and a socialsecurity number is not necessary to obtain a permit to practice. If you do not have a social security number, youwill need to complete the affidavit stating such and submit a notarized copy with your application.• Individuals must have a permit to practice (active status) to practice public accounting in Montana. See belowfor the definition of the practice of public accounting according to 37-50-101(10)."Practice of public accounting" means performing or offering to perform, by a person certified under 37-50-302, licensed under 37-50-303, or holding a practice privilege under 37-50-325, for a client or potential clientone or more types of services involving the use of accounting or auditing skills, including:(a) the issuance of reports or financial statements on which the public may rely;(b) one or more types of management advisory or consulting services;(c) the preparation of tax returns; or(d) furnishing advice on tax matters.• The Board reviews applications on a quarterly basis. Please refer to our website for Board meeting dates.• Applications not completed within 12 months of applying are considered invalid and void. A new application andfee will be required in order to reapply.

LICENSE REQUIREMENTS1. International Reciprocity Application: Submit application and fee.2. Financial Statement Disclosure Form: Submit the form regarding your intended association with financialstatements for Montana clients.3. Moral Character References: Provide three Moral Character Reference Forms from individuals that have knownyou for at least three years.4. Ethics Examination: Complete the AICPA’s ethics exam. To order the self study course, go to www.cpa2biz.com.The course is titled ‘Professional Ethics: AICPA’s Comprehensive Course’.5. Verifications: An applicant must request a verification of passing the IQEX examination from NASBA as well as averification from the professional credentialing institution wherein the qualifying examination and/or licensurehas been taken/obtained.6. Continuing Professional Education (CPE) – Required For a Permit to Practice: In order to receive a permit topractice, an applicant must satisfy Montana's CPE requirements. The basic requirement is completion of 120hours with of subset of at least 2 hours of ethics within the last three years.7. Experience – Required For a Permit to Practice : An applicant applying for a permit to practice public accountingin Montana must submit the form entitled, "Evidence of Satisfaction of Experience Requirements.”

LICENSE REQUIREMENTS1. International Reciprocity Application: Submit application and fee.2. Financial Statement Disclosure Form: Submit the form regarding your intended association with financialstatements for Montana clients.3. Moral Character References: Provide three Moral Character Reference Forms from individuals that have knownyou for at least three years.4. Ethics Examination: Complete the AICPA’s ethics exam. To order the self study course, go to www.cpa2biz.com.The course is titled ‘Professional Ethics: AICPA’s Comprehensive Course’.5. Verifications: An applicant must request a verification of passing the IQEX examination from NASBA as well as averification from the professional credentialing institution wherein the qualifying examination and/or licensurehas been taken/obtained.6. Continuing Professional Education (CPE) – Required For a Permit to Practice: In order to receive a permit topractice, an applicant must satisfy Montana's CPE requirements. The basic requirement is completion of 120hours with of subset of at least 2 hours of ethics within the last three years.7. Experience – Required For a Permit to Practice : An applicant applying for a permit to practice public accountingin Montana must submit the form entitled, "Evidence of Satisfaction of Experience Requirements.”

MONTANA BOARD OF PUBLIC ACCOUNTANTS301 South Park – 4 th FloorPO Box 200513Helena Mt 59620-0513Phone: 406-841-2203 Fax: 406-841-2309/2323E-mail: dlibsdpac@mt.gov Website: www.publicaccountant.mt.govINTERNATIONAL RECIPROCITY APPLICATIONApplication for Licensure as (select one):Certificate Only (Inactive Status) – Fee: $225.00Certificate/Permit to Practice (Active Status) – Fee: $300.00FULL NAME: _______________________________________________________________________________________Last First MiddleOTHER NAME(S) KNOWN BY: __________________________________________________________________________BUSINESS NAME: ___________________________________________________________________________________BUSINESS ADDRESS: ________________________________________________________________________________Street or PO Box # City and State Zip CountryHOME ADDRESS: ___________________________________________________________________________________Street or PO Box # City and State Zip CountryPREFERRED MAILING ADDRESS: Business Home CHECK ONE: MALE FEMALEE-MAIL: ___________________________________________________________TELEPHONE: ___________________________ ___________________________ ____________________________Business Home FaxU.S. SOCIAL SECURITY NUMBER: _______________________FOREIGN ID NUMBER _________________________DATE OF BIRTH: ________________________________PLACE OF BIRTH ___________________________________City / State/CountryLICENSE NAME: ____________________________________________________________________________________(State your name as it should appear on the license if granted)EDUCATION:Name of University or College City, State, Country Dates Attended Degree EarnedRev. 08/17/11

PROFESSIONAL LICENSES:List all professional licenses you hold or have ever held. License verifications must be sent directly to Montana from eachjurisdiction. Attach additional sheets if necessary.Jurisdiction License # Date Issued Expiration Date License StatusRequestedState VerificationYESYESYESNONONOMORAL CHARACTER REFERENCES:Please type or print names and addresses of three references, who have known you or associated with you for aminimum of three years.Name: ____________________________________________________________________________________________Address: __________________________________________________________________________________________Phone Number: ____________________________________E-mail: _______________________________________Name: ____________________________________________________________________________________________Address: __________________________________________________________________________________________Phone Number: ____________________________________E-mail: _______________________________________Name: ____________________________________________________________________________________________Address: __________________________________________________________________________________________Phone Number: ____________________________________E-mail: _______________________________________DISCIPLINARY QUESTIONS:Please read carefully & answer questions completely and truthfully, it may affect your licensure.1. Have you ever had an application for a professional or occupational license refused or denied? Ifyes, please attach a detailed explanation and provide supporting documentation from the source.2. Have you ever withdrawn an application for licensure prior to the licensing agency’s decisionregarding your application? If yes, please attach a detailed explanation and provide supportingdocumentation from the source.3. Has a licensing agency initiated or completed disciplinary action against any professional oroccupational license you have held? If yes, please provide agency documents including thecomplaint, initiating documents, orders, final orders, stipulations and consent and/or settlementagreements directly from the source.4. Have you ever voluntarily surrendered, cancelled, forfeited, failed to renew a professional oroccupation license in anticipation of or during an investigation or disciplinary proceedings oraction? If yes, please attach a detailed explanation and provide supporting documentation fromthe source.YESYESYESYESNONONONORev. 08/17/11

5. Has a complaint ever been made against you with a professional or occupational licensingagency? If yes, please attach a detailed explanation and provide supporting documentation fromthe source.6. Have any civil legal proceedings been filed against you by a client, former client oremployer/employee? If yes, attach a detailed explanation and documentation from the sourceincluding initiating document(s) and documentation of final disposition.7. Do you have any criminal charges pending or have you ever pled guilty, forfeited bond, or beenconvicted of a crime (whether or not sentence was suspended or deferred), or have you pled nocontest or had prosecution deferred whether or not an appeal is pending? If yes, attach adetailed explanation and documentation from the source. You must report but may omitdocumentation for: (1) misdemeanor traffic violations resulting in fines of less than $100; and (2)charges or convictions prior to your 18 th birthday unless you were tried as an adult.8. Have you ever been diagnosed with chemical dependency or another addiction, or have youparticipated in a chemical dependency or other addiction treatment program? If yes, pleaseattach a detailed explanation and provide documentation regarding evaluations, diagnosis,treatment recommendations and monitoring from the source.9. Have you ever been diagnosed with a physical condition or mental health disorder involvingpotential health risk to the public? If yes, please provide a detailed explanation.10. Have you ever been courts martial or discharged other than honorably from any branch of thearmed service? If yes, attach a detailed explanation and documentation for the source.YESYESYESYESYESYESNONONONONONOAFFIDAVITI authorize the release of information concerning my education, training, record, character, license history andcompetence to practice, by anyone who might possess such information, to the Montana Board of Public Accountants.I hereby declare under penalty of perjury the information included in my application to be true and complete to the bestof my knowledge. In signing this application, I am aware that a false statement or evasive answer to any question maylead to denial of my application or subsequent revocation of licensure on ethical grounds. I have read and will abide bythe current licensure statutes and rules of the State of Montana governing the profession. I will abide by the currentlaws and rules that govern my practice._____________________________________________________________Legal Signature of Applicant__________________________DateRev. 08/17/11

FINANCIAL STATEMENT DISCLOSURE FORMName of Applicant: ____________________________________________________________________Employer: ____________________________________________________________________________City/State of Employer: _________________________________________________________________Are you self-employed?YESNOType of Industry (i.e. public accounting, government, private industry):_____________________________________________________________________________________Do you issue reports or financial statements for Montana clients?YESNO (If no, you are finished – click the print button)If yes, please check all that apply:CompilationsReviewsAuditsSSARS No. 8 Management Use Only StatementsOther Special Reports (Please List Below)__________________________________________________________________________________________________________________________________________________________If yes, do you sign the reports/financial statements using your CPA/LPA designation?YESNOIf yes, do you have the authority to sign your employer’s name on the reports/financial statements?YESNORev. 08/17/11

STATE OF MONTANA BOARD OF PUBLIC ACCOUNTANTSREQUEST FOR EXEMPTION FROM SOCIAL SECURITY NUMBER REQUIREMENTMontana Code Annotated 37-1-307 requires applicants for a Montana professional oroccupational practice license to provide a United States Social Security Number (SSN).However, pursuant to Policy Interpretation Question (PIQ) number 99-05 issued by the U.S.Dept. of Health and Human Services in 1999, the State of Montana, Department of Labor &Industry, Business Standards Division (BSD) may issue a license to an applicant who does nothave a SSN if the applicant submits this form truthfully attesting that he or she has not beenassigned a SSN. If a person (who has been issued a Montana practice license without a SSN)is later assigned a SSN, the person must report the SSN to the licensing board or programwithin BSD as a prior condition for renewal of licensure. If a person has already been issued aMontana practice license without having submitted a SSN or this affidavit at the time of originalapplication, the person will be required to provide a SSN or this affidavit as a prior condition ofrenewal. All persons who do not have a SSN and who are applying for a new practice licensefrom BSD or renewing an existing practice license must have filed a copy of this form with theBSD licensing board or program. The form need only be filed once for each license.THIS FORM MAY ONLY BE USED FOR PERSONS/APPLICANTS/LICENSEES WHO DO NOTHAVE A SOCIAL SECURITY NUMBER. If such a person has ever been issued a SSN, theperson MUST provide it as a condition of licensing. A practice license will not be renewed orissued to a person who refuses to provide their SSN.1. Name: _______________________ _____________________ ___________________Last /Family First Middle2. Mailing Address: ____________________________________________________________Street______________________ ____________________________ _______________________City State/Province Zip/Postal Code3. Check one:I am applying for Montana license as a __Public Accountant_____________________.I currently hold a Montana license as a __Public Accountant____. License #: _______.4. I certify that I have not been assigned a U.S. Social Security Number. Yes No Ananswer of ‘No’ to this question # 4 will result in a denial of your license application or renewal unless you provide theSSN. If you already have a SSN, you do not need to use this form. Instead, you must provide the SSN.5. If a SSN is assigned to you after the date of this affidavit, do you agree to immediately reportthe SSN to the State of Montana, Department of Labor & Industry, Business StandardsDivision? Yes No An answer of ‘No’ to this question # 5 will result in a denial of your licenseapplication or renewal.

AFFIDAVITI ________________________________, being first sworn, depose and affirm or state underpenalty of perjury/falsification under the laws of Montana that that the information containedherein is true and correct to the best of my knowledge. I understand that under Montana law,providing false information is grounds for denial, suspension, or revocation of a professional oroccupational license, certificate or permit and is also grounds for criminal prosecution.Signature: ________________________________________ Date: __________________This form must be notarized below.SUBSCRIBED AND SWORN TO before me before this _____ day of ______________, 20___.________________________________________Notary Public for the State of _________________SEALMy commission Expires: _____________________

APPLICANT SECTION:Name of Applicant:Address:This verification sent to:CHARACTER REFERENCE SECTION:MONTANA BOARD OF PUBLIC ACCOUNTANTS301 South Park – 4 th FloorPO Box 200513Helena Mt 59620-0513Phone: 406-841-2203 Fax: 406-841-2309/2323E-mail: dlibsdpac@mt.gov Website: www.publicaccountant.mt.govVERIFICATION OF MORAL/PROFESSIONAL CHARACTER(Reference must have known you at least 3 years)Please answer the following questions concerning the applicant’s moral and professional character. This document isyour authorization to release any and all information and opinions you have, favorable or otherwise, directly to theMontana Board of Public Accountants. Your response will be kept confidential.Name of reference:Daytime phone:Address:Title/profession/position:How long have you known the applicant?In what capacity?To your knowledge, does this applicant have any habits or practices that would adversely affect his/her professionalactivities? If your answer is “yes,” please explain:Do you consider this applicant worthy of approval to practice as a Certified Public Accountant in Montana?Please comment on the applicant’s professional character, morals and ethics (attach additional sheet as needed):Signature of ReferenceDateRev. 08/17/11

APPLICANT SECTION:Name of Applicant:Address:This verification sent to:CHARACTER REFERENCE SECTION:MONTANA BOARD OF PUBLIC ACCOUNTANTS301 South Park – 4 th FloorPO Box 200513Helena Mt 59620-0513Phone: 406-841-2203 Fax: 406-841-2309/2323E-mail: dlibsdpac@mt.gov Website: www.publicaccountant.mt.govVERIFICATION OF MORAL/PROFESSIONAL CHARACTER(Reference must have known you at least 3 years)Please answer the following questions concerning the applicant’s moral and professional character. This document isyour authorization to release any and all information and opinions you have, favorable or otherwise, directly to theMontana Board of Public Accountants. Your response will be kept confidential.Name of reference:Daytime phone:Address:Title/profession/position:How long have you known the applicant?In what capacity?To your knowledge, does this applicant have any habits or practices that would adversely affect his/her professionalactivities? If your answer is “yes,” please explain:Do you consider this applicant worthy of approval to practice as a Certified Public Accountant in Montana?Please comment on the applicant’s professional character, morals and ethics (attach additional sheet as needed):Signature of ReferenceDateRev. 08/17/11

APPLICANT SECTION:Name of Applicant:Address:This verification sent to:CHARACTER REFERENCE SECTION:MONTANA BOARD OF PUBLIC ACCOUNTANTS301 South Park – 4 th FloorPO Box 200513Helena Mt 59620-0513Phone: 406-841-2203 Fax: 406-841-2309/2323E-mail: dlibsdpac@mt.gov Website: www.publicaccountant.mt.govVERIFICATION OF MORAL/PROFESSIONAL CHARACTER(Reference must have known you at least 3 years)Please answer the following questions concerning the applicant’s moral and professional character. This document isyour authorization to release any and all information and opinions you have, favorable or otherwise, directly to theMontana Board of Public Accountants. Your response will be kept confidential.Name of reference:Daytime phone:Address:Title/profession/position:How long have you known the applicant?In what capacity?To your knowledge, does this applicant have any habits or practices that would adversely affect his/her professionalactivities? If your answer is “yes,” please explain:Do you consider this applicant worthy of approval to practice as a Certified Public Accountant in Montana?Please comment on the applicant’s professional character, morals and ethics (attach additional sheet as needed):Signature of ReferenceDateRev. 08/17/11

INSTRUCTIONSIf you have already been issued a certificate by the Board and are applying for an initial permit to practice, pleaseinclude your certificate number on the front of the form.ARM 24.201.502 provides that to be issued an initial permit to practice, an applicant must provide evidence of‘adequate’ accounting and auditing experience. Experience will be considered adequate by the Board ifsatisfactory evidence is presented of having performed accounting and auditing functions ordinarily required in thepractice of public accounting. One year of actual work experience (2000 hours) is required.In accordance with ARM 24.201.529(e), an applicant for international reciprocity must provide evidence ofhaving met an equivalent experience requirement obtained under the supervision or direction of a charteredaccountant, Mexicano de Contradores Publicos, certified public accountant, or licensed public accountantpermitted to practice in the original jurisdiction in order to be issued an initial permit to practice.Experience must take place within three (3) years prior to the date of this application. However, individualsapplying for licensure transfer according to ARM 24.201.528 must report five (5) years of experience in the practiceof public accounting within the ten (10) years immediately preceding this application in order for the educationrequirement to be waived.Rev. 08/17/11

MONTANA BOARD OF PUBLIC ACCOUNTANTS301 South ParkPO Box 200513Helena Mt 59620-0513Phone: 406-841-2203 Fax: 406-841-2309/2323E-mail: dlibsdpac@mt.gov Website: www.publicaccountant.mt.govEVIDENCE OF SATISFACTION OF EXPERIENCE REQUIREMENTS FORMFULL NAME: _______________________________________________________________________________________Last First MiddleMONTANA CERTIFICATE # (IF PREVIOUSLY HELD): ______________OTHER NAME(S) KNOWN BY: __________________________________________________________________________EMPLOYER NAME: __________________________________________________________________________________EMPLOYER ADDRESS: ________________________________________________________________________________Street or PO Box # City and State Zip CountryPOSITION TITLE OF APPLICANT: _______________________________________________________________________TYPE OF ACCOUNTING EMPLOYMENT: PUBLIC GOVERNMENTAL PRIVATE INDUSTRY ACADEMICPERIOD OF EMPLOYMENT:FULL-TIME:FROM _____________________ TO _____________________ TOTAL HOURS: _____________________MONTH/DAY/YEARMONTH/DAY/YEARPART-TIME: FROM _____________________ TO _____________________ TOTAL HOURS: _____________________MONTH/DAY/YEARMONTH/DAY/YEAR__________________________________________________________________________________________ATTESTATIONNAME ____________________________________________ POSITION _____________________________________PHONE NO ________________________________ EMAIL _________________________________________________RELATIONSHIP TO APPLICANT _________________________________________________________________________NATURE AND LEVEL OF WORK PERFORMED BY APPLICANT (ATTACH ADDITIONAL – SIGNED – SHEETS AS NECESSARY):_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________I hold an active license (# ___________) to practice public accounting in the Country/State of _________________,which expires on ______________.I certify under penalty of perjury that I have reviewed the applicant’s work, this completed form and anyattachments, and that the information is correct.__________________________________________________SIGNATURE__________________________DATERev. 08/17/11

MONTANA BOARD OF PUBLIC ACCOUNTANTS301 South Park – 4 th FloorPO Box 200513Helena Mt 59620-0513Phone: 406-841-2203 Fax: 406-841-2309/2323E-mail: dlibsdpac@mt.gov Website: www.publicaccountant.mt.govAUTHORIZATION FOR EXCHANGE OF INFORMATIONFOR INTERNATIONAL RECIPROCITYThis form is essential to the application you are filing with this Board. Before your application will be considered forapproval, certain information must be provided by the province or country to verify you have taken and passed theirqualifying exam and/or by NASBA to verify you have taken and passed the International Qualification Examination(IQEX).Please complete the initial portion of this form and forward to the National Association of State Boards of Accountancy(NASBA) to complete Section A as well as a copy to the professional credentialing institute to complete Section B. (Youare advised to check with NASBA or the professional credentialing institution before forwarding this form to determine ifthere are additional requirements and/or fees charged before such information will be released.)TO BE COMPLETED BY THE APPLICANT (Please type or print legibly):__________________________________________________________________________________________________Last Name First Name Middle Name Maiden Name_______________________________________________________________________________________________Current Mailing Address_______________________________Certificate Number (If Applicable)_______________________________________________________________________________________________________________________________________City State/Province Zip Country___________________________________ _____________________________________________ ___________________ __________________________Phone Number E-mail Address Date of Birth Social Security NumberI hereby request and authorize ________________________________________ to provide any and all pertinentinformation requested in this form to the Board of Public Accountants in the State of Montana to complete anapplication filed with that agency.__________________________________________________________________Applicant Signature__________________Date SignedSECTIONS A - TO BE COMPLETED BY NASBA ONLYSECTION A:VERIFICATION OF EXAMINATION CREDITSThe following are grades awarded on the IQEX Examination for the applicant named above. Please attach a list of anyreason(s) the grades should not be accepted by the Montana Board of Public Accountants.(Please list all grades, including failing grades, recorded for applicant)Date of Examination ID Number Grade_____________________________________ _______________________________ _______________________NASBA Representative Signature Title Date

SECTIONS B - TO BE COMPLETED BY PROFESSIONAL CREDENTIALING INSTITUTE ONLYSECTION B:CERTIFICATE/LICENSURE STATUS1) The applicant holds an original/reciprocal (mark out one) license number _____________________ dated________________ which is in good standing unless otherwise noted below.2) Applicant has taken and passed the qualifying examination of licensing country/province. Yes No(Please list all grades, including failing grades, recorded for applicant)Date of Examination ID Number Grade3) If applicant does not hold a license/permit from your province/country, please attach a list of requirements tobe met for issuance or reinstatement.4) Has any disciplinary action been instituted against the applicant? Yes No(If yes, please attach an explanation.)_____________________________________ _______________________________ _______________________Representative Signature Title Date

BOARD OF PUBLIC ACCOUNTANTS301 SOUTH PARK AVEHELENA MT 59620 (406) 841-2383/2038/2389E-MAIL: dlibsdpac@mt.govWEB: www.publicaccountant.mt.govName:Address:Employer:E-mail Address: _____________________________CPE REPORTING FORMREPORTING YEAR: _________________MONTANA LPA/CPA #: _______________PROFESSIONAL CATEGORY:PublicGovernmentPrivate IndustryEducationOther: _____________________Please note the following:~FORMS DUE IN BOARD OFFICE BY JULY 31~$50.00 LATE FEE FOR REPORT FORMSPOSTMARKED AFTER JULY 31~DO NOT SEND DOCUMENTATION~SEE REVERSE FOR ADDITIONALINSTRUCTIONS AND INFORMATIONTypeCodesComplete Name of School, Firm orOrganization Conducting ProgramIncluding Chapter, Location ofBranch Office, Etc.Location ofProgram(City)Name ofInstructorTitle of ProgramorDescription of ContentDatesAttendedorCompletedHours-AccountingandAuditingHoursEthicsHours-OtherTopicsCarry-over hours reported last year →TOTALTHE FOLLOWING HOURS SHOULD BE CARRIED TO FY: (Do not include carry over/hours in above table)TYPE CODES C - Correspondence or Formal IndividualSelf-Study L - Lectur er, Discussion Leader, SpeakerF - Formal Programs (In-house & Outside) P - Published Books & Article TOTAL HOURS FORI - Interactive Self Study U - University or College Courses REPORTING PERIOD _________________I certify under penalty of perjury to the truth and accuracy of all statements, answers and representations made in this report.Signature Date Revised 10/29/10

TypeCodesComplete Name of School, Firm orOrganization Conducting ProgramIncluding Chapter, Location ofBranch Office, Etc.Location ofProgram(City)Name ofInstructorTitle of ProgramorDescription of ContentDatesAttendedorCompletedHours-AccountingandAuditingHoursEthicsHours-OtherTopicsTOTAL OF PAGE TWOTHE FOLLOWING HOURS SHOULD BE CARRIED TO FY: (Do not include carry over/hours in above table)TYPE CODESC - Correspondence or Formal Individual Self-Study L - Lecturer, Discussion Leader, SpeakerF - Formal Programs (In-house & Outside) P - Published Books & ArticleI - Interactive Self Study U - University or College Courses

BASIC REQUIREMENT: During the three-year period, ending the June 30th prior to the permit year of January 1 through December 31, applicants for apermit to practice must complete 120 hours of acceptable Continuing Professional Education (CPE), except as otherwise provided. At least 2 hours of the 120hours of acceptable CPE must consist of ethics. The 24 hours of CPE relating to reporting on financial statements has been eliminated with the three-yearreporting period ending June 30, 2006. (ARM 24.201.2106) This category will remain on the reporting form, and the credit will be recorded and reflected on theCPE Acknowledgment.CREDIT FOR SELF-STUDY PROGRAMS: Self-study programs shall receive credit based on a 50-minute hour if the provider is recognized andapproved by the NASBA CPE Quality Assurance Service (QAS). Effective January 16, 2009, this will also include providers on the NASBA NationalRegistry of CPE Sponsors. All other self-study programs will be eligible for credit based on a 100-minute hour. (ARM 24.201.2137)CREDIT FOR LECTURER, DISCUSSION LEADER, SPEAKER: Credit may be claimed for both preparation time and presentation time the firsttime a class is presented. Credit for preparation would equal two times the presentation time. For example, a 50 minute class would be eligible for 3 credithours. A maximum of 60 instructional credit hours will be allowed in a three-year reporting period. (ARM 24.201.2138)CARRY-OVER PROVISION: If you have met the full basic requirement by the end of any June 30th reporting period, you may elect to carry over any excessCPE hours taken during the preceding months of May and June and apply them to the following reporting period. (ARM 24.201.2106) It is always to yourbenefit to carry over excess CPE hours whenever possible.CARRY-BACK PROVISION: If you have not completed the full basic requirement by the end of any June 30th reporting period, you may elect to carry backthe CPE hours needed to meet the 120 hour requirement. The CPE hours taken during the months of July and August following the reporting period can becarried back to the previous reporting period only if necessary to meet the requirement. (ARM 24.201.2106)PROGRAMS WHICH QUALIFY: A specific program qualifies as acceptable CPE if it is a formal program of learning which contributes directly to theprofessional competence of an individual permitted to practice public accounting and such program meets the minimum standards of quality of development andpresentation and of measurement and reporting of credits. (ARM 24.201.2130)REPORTING REQUIREMENTS: Reporting forms must be submitted to the Board office on or before July 31st for the reporting period ending June 30.Persons who use the two-month carry-back provision shall file their reporting forms by July 31, listing the course(s) they are planning to attend or complete. Ifthe course(s) listed are not completed, they must notify the Board office in writing immediately, but not later than August 31. Such notification(s) shall explainwhy the course(s) were not completed and provide a plan to meet the requirements. (ARM 24.201.2145)LATE FEE FOR FILING REPORTS: Late fee of $50.00 for failure to submit a CPE reporting form by July 31 of each year. (ARM 24.201.410)EVIDENCE OF COMPLETION: Primary responsibility for documenting the requirements rests with the individual and evidence to support fulfillment ofthose requirements should be retained for a period of five years after the completion of educational courses. (ARM 24.201.2147) Supporting documentation is tobe retained by the applicant and submitted only if requested. Random audits are conducted for verification of course attendance.A complete copy of the rules governing continuing education can be obtained from the Board website. Please mail, e-mail or fax the completed report form withsignature to the Board office.Revised 10/29/10