Form DBPR CPA2 "CPA Licensure Application" - Florida

What Is Form DBPR CPA2?

This is a legal form that was released by the Florida Department of Children and Families - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2017;
  • The latest edition provided by the Florida Department of Children and Families;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DBPR CPA2 by clicking the link below or browse more documents and templates provided by the Florida Department of Children and Families.

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Download Form DBPR CPA2 "CPA Licensure Application" - Florida

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State of Florida
Department of Business and Professional Regulation
Board of Accountancy
CPA Licensure Application
Form # DBPR CPA 2
APPLICATION CHECKLIST – IMPORTANT – Submit all items on the checklist below with your
application to ensure faster processing.
APPLICATION REQUIREMENTS
ALL License Applicants must submit:
Fees:
• $50
• Make check payable to the Florida Department of Business and Professional Regulation.
Official school transcripts to verify education requirement. Do not submit copies of transcripts.
Completed Certification of Work Experience Form # DBPR CPA 32 (included in this application
packet).
Note: Applicants who have passed the CPA examination in another state should apply using
Application for Licensure by Endorsement/Transfer of Examination Grades Form # DBPR CPA 3.
Please mail your completed application, documentation and required fee(s) to:
Department of Business and Professional Regulation
2601 Blair Stone Rd
Tallahassee, FL 32399
Requirements for Licensure
NOTE: The educational requirements for licensure are greater (30 additional semester hours or 45
additional quarter hours of college education) than those required to sit for the CPA examination.
An applicant for licensure must have completed at least 150 semester hours or 225 quarter hours of
college education, including a baccalaureate degree or higher conferred by an accredited college or
university with a major in accounting, or its equivalent.
Your examination approval letter from the Board of Accountancy will indicate if you need
additional hours of education to be eligible for licensure.
Applicants for licensure must also pass all four parts of the CPA examination with at least a 75% within an
18 month rolling period, and have one year of work experience under the supervision of a licensed CPA
documented on Certification of Work Experience Form # DBPR CPA 32 (included in this application
packet).
For more detailed information see Section 61H1- 27.002(2), Florida Administrative Code at:
https://www.flrules.org/gateway/ChapterHome.asp?Chapter=61H1-27.
DBPR CPA 2 CPA
Eff. Date: August 2017
Incorporated by Rule: 61H1-27.0041 F.A.C.
1 of 5
State of Florida
Department of Business and Professional Regulation
Board of Accountancy
CPA Licensure Application
Form # DBPR CPA 2
APPLICATION CHECKLIST – IMPORTANT – Submit all items on the checklist below with your
application to ensure faster processing.
APPLICATION REQUIREMENTS
ALL License Applicants must submit:
Fees:
• $50
• Make check payable to the Florida Department of Business and Professional Regulation.
Official school transcripts to verify education requirement. Do not submit copies of transcripts.
Completed Certification of Work Experience Form # DBPR CPA 32 (included in this application
packet).
Note: Applicants who have passed the CPA examination in another state should apply using
Application for Licensure by Endorsement/Transfer of Examination Grades Form # DBPR CPA 3.
Please mail your completed application, documentation and required fee(s) to:
Department of Business and Professional Regulation
2601 Blair Stone Rd
Tallahassee, FL 32399
Requirements for Licensure
NOTE: The educational requirements for licensure are greater (30 additional semester hours or 45
additional quarter hours of college education) than those required to sit for the CPA examination.
An applicant for licensure must have completed at least 150 semester hours or 225 quarter hours of
college education, including a baccalaureate degree or higher conferred by an accredited college or
university with a major in accounting, or its equivalent.
Your examination approval letter from the Board of Accountancy will indicate if you need
additional hours of education to be eligible for licensure.
Applicants for licensure must also pass all four parts of the CPA examination with at least a 75% within an
18 month rolling period, and have one year of work experience under the supervision of a licensed CPA
documented on Certification of Work Experience Form # DBPR CPA 32 (included in this application
packet).
For more detailed information see Section 61H1- 27.002(2), Florida Administrative Code at:
https://www.flrules.org/gateway/ChapterHome.asp?Chapter=61H1-27.
DBPR CPA 2 CPA
Eff. Date: August 2017
Incorporated by Rule: 61H1-27.0041 F.A.C.
2 of 5
State of Florida
Department of Business and Professional Regulation
Board of Accountancy
CPA Licensure Application
Form # DBPR CPA 2
If you have any questions or need assistance in completing this application, please contact the
Department of Business and Professional Regulation, Customer Contact Center, at 850.487.1395.
For additional information see the Instructions at the end of this application.
Section I – Applicant Information
APPLICANT INFORMATION
Social Security Number*
FULL LEGAL NAME
Last Name
First
Middle
MAILING ADDRESS
Street Address or P.O. Box
City
State
Zip Code (+4 optional)
CONTACT INFORMATION
Residence Phone Number
Business Phone Number
Email Address
BACKGROUND QUESTION
Have you been convicted of a felony or misdemeanor, regardless of adjudication, or declared by court of
competent jurisdiction to have committed any fraud since the filing of original application for CPA
examination:
YES
NO
* The disclosure of your social security number is mandatory on all professional and occupational license
applications, is solicited by the authority granted by 42 U.S.C. §§ 653 and 654, and will be used by the Department of
Business and Professional Regulation pursuant to §§ 409.2577, 409.2598, 455.203(9), and 559.79(3), Florida
Statutes, for the efficient screening of applicants and licensees by a Title IV-D child support agency to assure
compliance with child support obligations. It is also required by § 559.79(1), Florida Statutes, for determining eligibility
for licensure and mandated by the authority granted by 42 U.S.C. § 405(c)(2)(C)(i), to be used by the Department of
Business and Professional Regulation to identify licensees for tax administration purposes.
DBPR CPA 2 CPA
Eff. Date: August 2017
Incorporated by Rule: 61H1-27.0041 F.A.C.
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Section II - Explanation(s) for Background Question
EXPLANATION
Offense
County
State
Penalty/Disposition
Date of Offense (MM/DD/YYYY)
Have all sanctions been satisfied?
/
/
 Yes  No
Description
EXPLANATION
Offense
County
State
Penalty/Disposition
Date of Offense (MM/DD/YYYY)
Have all sanctions been satisfied?
/
/
 Yes  No
Description
EXPLANATION
Offense
County
State
Penalty/Disposition
Date of Offense (MM/DD/YYYY)
Have all sanctions been satisfied?
/
/
 Yes  No
Description
DBPR CPA 2 CPA
Eff. Date: August 2017
Incorporated by Rule: 61H1-27.0041 F.A.C.
4 of 5
Section III – Affirmation by Written Declaration
AFFIRMATION BY WRITTEN DECLARATION
I have read the questions in this application and have answered them completely and truthfully to the best
of my knowledge.
I certified that I have the amount of experience required, if any, and have submitted the appropriate work
experience form.
I have read the laws and rules that govern the practice of public accountancy in Florida and pledge to
comply with applicable standards of practice upon licensure. (Chapters 455 and 473 Florida Statutes and
Chapter 61H1 of the Florida Administrative Code)
I understand the types of misconduct for which disciplinary proceedings may be initiated.
I certify that I am empowered to execute this application as required by Section 559.79, Florida Statutes. I
understand that my signature on this written declaration has the same legal effect as an oath or
affirmation. Under penalties of perjury, I declare that I have read the foregoing application and the facts
stated in it are true. I understand that falsification of any material information on this application
may result in criminal penalty or administrative action, including a fine, suspension or revocation
of the license.
Signature:
Date:
Print Name:
DBPR CPA 2 CPA
Eff. Date: August 2017
Incorporated by Rule: 61H1-27.0041 F.A.C.
5 of 5
Instructions
If you have any questions or need assistance in completing this application, please contact the
Department of Business and Professional Regulation, Customer Contact Center, at 850.487.1395.
1) Requirements for Licensure as a CPA
a) NOTE: The educational requirements for licensure are greater (30 additional semester
hours or 45 additional quarter hours of college education) than those required to sit for the
CPA examination.
b) An applicant for licensure must have completed at least 150 semester hours or 225 quarter
hours of college education, including a baccalaureate degree or higher conferred by an
accredited college or university with a major in accounting, or its equivalent.
c) Your examination approval letter from the Board of Accountancy will indicate if you need
additional hours of education to be eligible for licensure.
d) Applicants for licensure must also pass all four parts of the CPA examination with at least a 75%
within an 18 month rolling period, and have one year of work experience verified by a licensed
CPA documented on Certification of Work Experience Form # DBPR CPA 32 (included in this
application packet).
e) For more detailed information see Section 61H1- 27.002(2), Florida Administrative Code at
https://www.flrules.org/gateway/ChapterHome.asp?Chapter=61H1-27.
2) Application Instructions by section
a) Section I- Applicant Information
i)
Fill out each section completely. A Social Security number is required in order to apply for
any individual license within the Department of Business and Professional Regulation.
ii) In the Name section, applicants must use the name as it appears on his or her Social
Security card. Do not use any nicknames, aliases, or initials.
iii) Provide your mailing address. This will be used for sending correspondence regarding your
application and license.
iv) Provide a valid phone number and email address. Contact information is often used to quickly
resolve questions with applications by telephone call or email. If contact information is not
provided, questions regarding applications will be mailed to the applicant’s mailing address
and may take longer to resolve.
v) Background Question
b) Section II – Explanation of Background Question
i)
If you answer “yes” to the background question, you must complete Section II [make additional
copies as necessary] of the application and provide a copy of the arrest report, copies of the
disposition or final order(s), and documentation proving all sanctions have been served and
satisfied. You must supply this documentation for each occurrence. If you are unable to
supply this documentation, a certified statement from the clerk of court for the relevant
jurisdiction stating the status of records is required.
ii) If you are still on probation, you must supply a letter from your probation officer, on official
letterhead, stating the status of your probation.
c) Section III - Affirmation by Written Declaration
i)
The applicant must sign and date the affirmation by written declaration.
DBPR CPA 2 CPA
Eff. Date: August 2017
Incorporated by Rule: 61H1-27.0041 F.A.C.
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