TEXAS STATE BOARD OF PUBLIC ACCOUNTANCY
Email forms to: licensing@tsbpa.texas.gov
505 E. Huntland Drive, Suite 380
Austin, TX 78752-3757
www.tsbpa.texas.gov
FAX (512) 305-7875
(512) 305-7800
William Treacy, Executive Director
Claiming Continuing Professional Education Credits
From A Non-Registered Sponsor
Last Name First Name Middle Name
CERTIFICATE #
Name of Non-Registered Sponsor
Address of Sponsor
Date(s) Attended
Subject and Title of Material for Which Credit Is Requested
How does this information increase your professional competency as a CPA?
Why did you take this course from a non-registered sponsor?
Hours Spent in Participation Hours Claimed for CPE
(50 minutes contact time equals
one hour of credit as a participant.)
If you are claiming credit from a non-registered sponsor, a completed copy of this form MUST be submitted for
each course.
Submission of this form does not guarantee acceptance of the course by the Board.
TSBPA FORM L0002
Rev. 9/2021
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