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Collects disclosures on certificates, permits, name changes, prior license relinquishment or denial, and criminal or fraud-related history, plus disability accommodations. Includes required affidavit notarization, a head-and-shoulders photo requirement, and board-only sections for exam scores and licensure status.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/grade-transfer-application-cpa-exam-sections-request/180029/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/grade-transfer-application-cpa-exam-sections-request/180029.png","ImageObject",300,407,{"name":92,"@type":93},"Anda","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-21","2026-09-02",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",15,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What information must be provided to request writing the remaining CPA exam sections?","Question",{"text":113,"@type":114},"The form requests identity and contact details, prior exam dates and locations, and education history, including the highest level of education and accounting education details.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What disclosures are required about professional licenses or CPA-related certificates?",{"text":118,"@type":114},"Applicants must disclose name changes, any relinquishment of a CPA certificate or other professional license, and whether a CPA certificate or license was denied, suspended, or revoked.",{"name":120,"@type":111,"acceptedAnswer":121},"Which parts of the form are completed by a notary or by the Board of Accountancy?",{"text":122,"@type":114},"The affidavit must be signed in the presence of a notary, and the Board of Accountancy completes the exam scores and licensure/permit status sections.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},180029,1788339113,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":144},962075006959,"https://ap-avatar.wpscdn.com/avatar/e0002397efbe92a78e?_k=1776741047341049297","| Name; Last, First, Middle | SSN \\# | Date of Birth |  |\n| --- | --- | --- | --- |\n| Residence Address |  | Phone |  |\n| City | State | Zip Code |  |\n| Business Name & Address |  | Phone |  |\n| City State | Zip Code Email | Country of Citizenship |  |\n| Please list all states and jurisdictions in which you hold (or have applied for) a certificate, permit or other recognized accounting designation.\u003Cbr>Note: Each holder of [or applicant for] a certificate is to notify the Board in writing of any revocation, suspension, issuance or denial of a certificate, permit or other recognized accounting designation by another state or jurisdiction – within 30 days after occurrence. |  |  |  |\n| Have you ever changed your name? | If so, please explain and list former name: |  |  |\n| Have you ever relinquished a CPA certificate or other professional license? |  |  | If so, please attach an explanation. |\n| Have you ever had a CPA certificate or other professional license denied, suspended, revoked? |  |  | If so, please attach an explanation. |\n| Have you ever been denied permission to write the CPA exam? |  |  | If so, please attach an explanation. |\n| Have you ever been convicted of or any crime involving theft, dishonesty or fraud (beyond age 17)? |  |  | If so, please attach an explanation. |\n| Do you have any disability that would require special provision at the exam site? |  |  | If so, please attach an explanation. |\n\n\n| This application is to write the remaining Exam sections to be given (date): |\n| --- |\n| Please list date and location for all previously exams written: |\n| Experience |\n\n\n| Dates attended from: To: | Graduation Date: |  |  |  |\n| --- | --- | --- | --- | --- |\n| College/University | Degree earned or expected: |  |  |  |\n| Dates attended from: To: | Graduation Date: |  |  |  |\n| College/University where the majority of accounting education was completed: |  |  |  |  |\n| What is the highest level of education you have attained (or to be attained)?\u003Cbr>□ Graduate degree Date received/expected: Degree type (e.g.\u003Cbr>  MBA):\u003Cbr>□ Bachelor degree Date received/expected:   Undergraduate major: |  | | GPA:\u003Cbr>GPA: | |\n| As of 1-1-2000, the educational requirement to become a CPA is: at least 150 semester hours of college education with a baccalaureate or higher degree or their equivalent, from a college acceptable to the Board; the total educational program must include an accounting concentration or equivalent (i.e. 24 credits of accounting plus 24 of other business; see brochure \"Becoming a North Dakota CPA\", for more details) .\u003Cbr>AFFIDAVIT (to be signed in presence of notary) |  |  |  |  |\n\n\n| Attach photo here\u003Cbr>Attach one recent 2” X 2” head and shoulders photograph of yourself. Attach photo to application at the time of notarization. |  | For notary use:\u003Cbr>Before me, a Notary Public in and for the State of   and County of   , personally appeared   , known by me (or proved by   ) to be the person named and signed this document in my presence.\u003Cbr>IN WITNESS WHEREOF, I have hereunto set my hand and affixed my seal, this   day of   , 20   .\u003Cbr>  Notary Signature (SEAL)\u003Cbr>  Notary Title |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n| FOR INTERNAL USE\u003Cbr>Pre 2000 requirements Paid fee of $140\u003Cbr>SSN / Affidavit Background Check\u003Cbr>All 6 questions above-No Transcript enclosed Final transcript received | Y N\u003Cbr>□ □\u003Cbr>□ □\u003Cbr>□ □\u003Cbr>□ □\u003Cbr>□ □\u003Cbr>□ □\u003Cbr>□ □ | Ethics exam passed Certificate of Experience 24/24 concentration met 150 hours, w/ BS + Education within 6 months Photo Enclosed\u003Cbr>Form V authorization form Notarized & Signed Entered in Database | Y\u003Cbr>□\u003Cbr>□\u003Cbr>□\u003Cbr>□\u003Cbr>□\u003Cbr>□\u003Cbr>□\u003Cbr>□\u003Cbr>□ | N\u003Cbr>□\u003Cbr>□\u003Cbr>□\u003Cbr>□\u003Cbr>□\u003Cbr>□\u003Cbr>□\u003Cbr>□\u003Cbr>□ | Staff review / date:\u003Cbr>Staff review / date: |\n\n\n| This section to be completed by Board of Accountancy only\u003Cbr>Exam Scores (Please list all grades, including failing grades, recorded for the applicant) |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | ","cbCaileVHNGi4kFB","https://ap.wps.com/l/cbCaileVHNGi4kFB","pdf",693891,"English","# Applicant Information\n## Identification and Contact\n## Professional History Disclosures\n## Disability Accommodation\n# Exam and Education Details\n## Remaining Exam Sections Request\n## Prior Exam Dates and Locations\n## Education History and CPA Requirements\n# Notarization and Photo\n## Affidavit and Notary Section\n## Internal Use Tracking\n# Board of Accountancy Section\n## Exam Scores and Licensure Status","[{\"question\":\"What information must be provided to request writing the remaining CPA exam sections?\",\"answer\":\"The form requests identity and contact details, prior exam dates and locations, and education history, including the highest level of education and accounting education details.\"},{\"question\":\"What disclosures are required about professional licenses or CPA-related certificates?\",\"answer\":\"Applicants must disclose name changes, any relinquishment of a CPA certificate or other professional license, and whether a CPA certificate or license was denied, suspended, or revoked.\"},{\"question\":\"Which parts of the form are completed by a notary or by the Board of Accountancy?\",\"answer\":\"The affidavit must be signed in the presence of a notary, and the Board of Accountancy completes the exam scores and licensure/permit status sections.\"}]","Grade Transfer Application - CPA Exam Sections Request | PDF",13]