Name Change and/or Certificate Replacement Form
List Request Form
If you would like to purchase a list of CPAs, PAs, Exam Candidates, Firms or Municipal Auditors, you must use this form and send to the Board office.
You must complete this form if you have ever been charged, convicted, pleaded nolo contendere, or found guilty of any criminal offense (excluding non-criminal traffic violations).
You must also complete a disposition form if you are currently or have previously been under investigation by any governing or licensing board or have ever had a professional or vocational license denied, suspended, or revoked by this or any state, jurisdiction or foreign country.