REGISTRATION RENEWAL ADDENDUM Public Accountancy

Continuing Education: Beginning January 1, 2009 each certified public accountant or public accountant registered to practice in New

York State must complete either: 1) a minimum of 24 contact hours in a concentrated area of study in continuing education for each

calender year period; or 2) a minimum of 40 contact hours of continuing education in any combination of approved subject areas. A

minimum of 4 hours of professional ethics must be completed every 3 calendar years. A continuing education fee of $50 per triennium is

added to the registration fee. Each licensee must maintain continuing education certificates for a period of five (5) years and be subject to

audit by the New York State Education Department. W

1. I do not intend to practice in New York State and am requesting that my registration be placed in an INACTIVE STATUS. I have

reviewed the scope of practice document under the practice guidelines at www.op.nysed.gov/prof/cpa/cpascopediffactinact.htm

As long as your registration remains inactive, you are not responsible for the registration fee or the continuing education requirement. If

you intend to resume practicing in New York State, you must meet certain continuing education requirements prior to reactivating your

registration. Y

ou may not practice public accountancy in New York State if you are not registered.

Name (please print) _____________________________________________________ License number ________________________

Signature ______________________________________________________________________ Date _______ / _______ / _______

Home telephone number _________________________________ Work telephone number _________________________________

E-mail address ______________________________________________________________________________________________

Conditional registrations are not automatic and may be issued at the Department's discretion. A conditional registration, if granted, is valid

for one year and cannot be renewed or extended. You may request a conditional registration for a one-year period if you agree to the

following four items:

1. pay the full registration fee for the one-year conditional registration;

2. complete, by the conclusion of the one-year conditional registration period, the continuing education hours you are lacking from your

previous registration period;

3. complete, as directed by the State Board for Public Accountancy, the regular continuing education requirement during the one-year

conditional registration period; and

4. pay, by the conclusion of the one-year conditional registration period, the full triennial registration fee for the remaining 2 years of the

registration period

Signature ______________________________________________________________________ Date _______ / _______ / _______

Home telephone number _________________________________ Work telephone number _________________________________

E-mail address ______________________________________________________________________________________________

3. I request an ADJUSTMENT to the continuing education requirements for registration.

Adjustments to the continuing education requirement may be granted by the Department for reasons of personal illness documented by

an appropriate health care professional, extended active duty with the armed forces of the United States, or extreme hardship. A written

explanation

Employer name and address ___________________________________________________________________________________

Job Title ___________________________________________________________________________________________________

Job description ______________________________________________________________________________________________

______________________________________________________________________________________________

Principal place of business _____________________________________________________________________________________

4. I was previously granted an exemption or adjustment from CPE by the State Board for Public Accountancy, but wish to be fully

registered. I am enclosing CPE completion certificates documenting 24 hours of acceptable continuing education completed

within the 12 months prior to the date of this application. See www.op.nysed.gov/prof/cpa/cpace.htm for continuing education

FAQs. If you choose to complete 24 CPE in a single subject area in the current calendar year, this will lift the exemption and

meet the current calendar year CPE requirement.

Name (please print) _____________________________________________________ License number ________________________

submit the Registration Renewal Application, the appropriate fees, and this form to the

address below.

• Licensees who were previously granted exemption from CPE by the State Board for Public

Accountancy may submit their CPE certificates via E-mail, fax, or postal mail.

Please make a copy of this form and retain it for your records.

If you need additional information, please contact:

Albany, New York 12234-1000