PDF Part Continuing Education Reporting Worksheet (Ce Information ...

SUBJECT CODE CLAIMED AS GOV'T CE HOURS CLAIMED METHOD OF PRESENTATION

PART

C

CONTINUING EDUCATION REPORTING WORKSHEET

CPA

(CE INFORMATION MANDATORY FOR ACTIVE LICENSE RENEWAL)

1

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COURSE TITLE

(For clarity, please avoid abbreviations)

()

DATE(S) COMPLETED

(Course must be completed to list)

NAME OF PROVIDER

Board-approved Regulatory Review course:

COURSE TITLE: ____________________________

R

APPROVAL NUMBER: _______________________

FIRST YEAR

SECOND YEAR

HOURS CLAIMED FOR EACH SUBJECT AREA

REGULATORY REVIEW (technical)

GOVERNMENT CE (technical)

A&A CE (technical)

FRAUD CE (technical)

ETHICS (technical)

OTHER TECHNICAL CE

NON-TECHNICAL CE

PREPARATION ENGAGEMENT CE

TOTAL HOURS CLAIMED:

RESET

If additional space is needed, this form may be reproduced. Subject & Method of Presentation Codes are located on the accompanying instruction sheet.

DO NOT WRITE IN THE AREA BELOW

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