CPE Approval Request Form – Alabama State Board of Public Accountancy

Please review the Complete CPE Rules here.

1. Please Enter Your Name and Contact Information:

First Name:

Firm/Company Name:

Middle Name:

Preferred Phone:

334-555-5555

Last Name:

Email:

Suffix:

Are you..?A Sponsor RepresentativeAn Attendee

2. CPE Course Information:

Course/Conference Title:

Sponsoring Organization:

Course Date(s):

Course Location:

City:

State:

If multiple dates / locations, please list or explain. (1500 character maximum)

3. I have attached an agenda or outline for this course that includes both topics and times of instruction and breaks.YesNo

4. I have attached a bio for each instructor.YesNo

5. I understand that for a course to be an approved CPE course, there must be CPAs in attendance.YesNo

NOTE: PowerPoint presentations and other course materials may also be submitted in addition to an agenda.

Attachments: