Fillable Page 1 of 2 FLORIDA BOARD OF ACCOUNTANCY (MyFloridaLicense)

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Page 1 of 2 FLORIDA BOARD OF ACCOUNTANCY (MyFloridaLicense)

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Page 1 of 2
DBPR CPA 41 CPA: CPE REPORTING FORM
EFFECTIVE DATE: NOVEMBER 2019
INCORPORATED BY RULE 61H1-33.003,F.A.C.
FLORIDA BOARD OF ACCOUNTANCY
CONTINUING PROFESSIONAL EDUCATION
REPORTING FORM
NAME:
LICENSE NUMBER: Credit Hours Claimed
(Half-hour increments allowed)
Name of Provider
(Check box is Self-Study)
Completion Date
(MM/DD/YYYY)
Name of Course or
Program
I certify that the above information is true and correct and that the reported courses directly
relate to enhancing my professional knowledge and competence. I have properly identified all
sponsored courses with the correct provider name. I understand that any or all credit is
subject to review.
TOTAL OF ALL HOURS:
SIGNATURE DATE
FLORIDA ETHICS COURSE
COURSE NAME
DATE OF COMPLETION
COURSE NAME
DATE OF COMPLETION
Participant
AA TB Beh.
Instructor
AA TB Beh.
Total
AA TB Beh.
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Page 2 of 2
DBPR CPA 41 CPA: CPE REPORTING FORM
EFFECTIVE DATE: NOVEMBER 2019
INCORPORATED BY RULE 61H1-33.003,F.A.C.
INSTRUCTIONS FOR COMPLETING THIS FORM
1. Courses must be listed in chronological order directly on the form to make it complete. An original signature and date is required. Licensees should
retain documentation evidencing course completion for at least two years in the event they are selected for the CPE audit. NOTE: IF COMPLETING
THIS FORM IN RESPONSE TO THE CPE AUDIT PLEASE INCLUDE THE ETHICS COURSE NAME AND DATE COMPLETED IN THE BOX AT
THE BOTTOM OF THE FORM.
2. List the hours claimed in the appropriate column. Half-hour increments are allowed. Fractional hours must be rounded down to the nearest half-hour.
All fractional hours reported that are less than one half-hour will be removed. Total each column and indicate the total of all hours combined from
each category in the Total of All Hours box.
3. Please indicate self-study or correspondence course(s) by writing the provider's name and marking the box beside the provider's name. Please also
note all self-study continuing professional education courses qualifying for accounting and/or auditing and technical business credit
must be taken from providers approved by NASBA's Quality Assurance Service (QAS) program. QAS approved providers and courses can
be verified on NASBA's National Registry of CPE Sponsors website at https://www.nasbaregistry.org/
or by telephone at 615.880.4200.
4. Credit can be claimed for two types of activity: (1) hours earned as a participant and (2) hours earned as an instructor or lecturer. If you are reporting
hours of instruction, you may claim double credit for the first presentation of the course, single credit for the second presentation of the same course
and no credit thereafter except for new content (See Rule 61H1- 33.003(4)(b)3, F.A.C.
5. Continuing Professional Education Hours required for:
a.
Renewals: In any given reestablishment period, each current/active Florida certified public accountant must have completed at any time or
times during the two-year period, at least 80 hours of educational instruction or training in public accounting subjects or courses of study, as
defined hereinafter, of which at least 8 hours must have been in accounting-related and/or auditing-related subjects and of which no more
than 20 hours may be in behavioral subjects and at least four hours shall be in Florida Board-approved ethics.
b.
Endorsement Applicants: Pursuant to Rule 61H1-29.003(2), F.A.C., any applicant seeking licensure by endorsement under s. 473.308(7)
(b), F.S., and having been licensed in another state, shall have completed whatever continuing professional education is required by that
state to maintain an active license to practice public accounting in that state, so long as such requirements are equivalent to those required
by Rule 61H1-33.003, FAC., for the two (2) years immediately preceding the filing of the application.
c.
Reactivation Applicants: Pursuant to Section 473.313(2), F.S., licensees who are inactive or delinquent shall satisfy the requirements in
the following manner: 120 total hours of CPE to include at least 30 hours in accounting/auditing subjects, eight (8) hours in board approved
ethics, and no more than 30 hours in behavioral subjects. All continuing professional education courses must be completed no more than
twenty-four (24) months immediately preceding the date of the application for reactivation
6. CPE Guidelines: The accounting and auditing category include courses on financial reporting, financial auditing, the related pronouncements, and
accounting for specialized industries. The technical business category includes courses on taxation, practice administration, management, and
marketing, MAS, and general business subjects. The behavioral category includes courses on oral and written communication, and social
environment of business. The ethics courses are approved by the Florida Board of Accountancy. For a list of approved ethics courses go to
http://www.myfloridalicense.com/dbpr/cpa/documents/FloridaBoardofAccountancyEthicsApprovalList.pdf
. Contact 850.921.8582 with questions
regarding approved courses.
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Completed 11 February 2021

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