Fillable RECORD OF CONTINUING PROFESSIONAL EDUCATION (South Dakota DLR)

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RECORD OF CONTINUING PROFESSIONAL EDUCATION (South Dakota DLR)

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South Dakota Department of Labor & Regulation (DLRA) aim to promote economic opportunity and financial security in the South Dakota. They support individuals and businesses through expert services, employment solutions and business practices.

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BOA Continuing Ed REV 03/2020
SOUTH DAKOTA DEPARTMENT OF LABOR AND REGULATION
SOUTH DAKOTA BOARD OF ACCOUNTANCY
301 E. 14
th
St. Suite 200, Sioux Falls, SD, 57104 Tel: 605.367.5770 sdbdacct.sdbd@midconetwork.com
RECORD OF CONTINUING PROFESSIONAL EDUCATION
Full Name:______________________________________________________________________________
List all CPE completed in the past 12 months: _______________________ to ________________________
ARSD Chapter 20:75:04 requires certificate holders to maintain records substantiating continuing education credits claimed as
prerequisites for certificate renewal.
Credit
Hours
CPE Type* Course Title
Sponsor
Completion
Date
Claimed
______________ _____________________________________________ ________________________ _____________ _______
______________ _____________________________________________ ________________________ _____________ _______
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______________ _____________________________________________ ________________________ _____________ _______
______________ _____________________________________________ ________________________ _____________ _______
______________ _____________________________________________ ________________________ _____________ _______
______________ _____________________________________________ ________________________ _____________ _______
______________ _____________________________________________ ________________________ _____________ _______
______________ _____________________________________________ ________________________ _____________ _______
______________ _____________________________________________ ________________________ _____________ _______
______________ _____________________________________________ ________________________ _____________ _______
______________ _____________________________________________ ________________________ _____________ _______
______________ _____________________________________________ ________________________ _____________ _______
*CPE Type = Group (G), Self-Study (SS), University or College Instructor (UCI), Nano (N), University or College Course (UCC), Published
article/Book/CPE Program (P) or Independent Study (IS).
Yearly
Total
Credit Hours Claimed (_________ to _________)
_______
(Use additional sheets in SAME FORMAT if necessary)
0.00
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RECORD OF CONTINUING PROFESSIONAL EDUCATION (South Dakota DLR)

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Completed 21 August 2020

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