Section Ac 301.09 - Authorization for Interstate Exchange of Information Form(a) If the applicant is required to submit an Authorization for Interstate Exchange of Information Form, the applicant shall provide the following on or with the form: (1) The applicant's current name and any other names by which the applicant was known, if applicable;(2) The applicant's date of birth;(3) The applicant's current mailing address;(4) An authorization signed and dated by the applicant for the release of the following information, verifications, or statements from each other state's board of accountancy to the New Hampshire board: a.A complete list of each grade the applicant earned on any part of the applicable CPA examination taken in that state;b.A statement as to whether the applicant was ever denied admission to the applicable CPA examination;c.If applicant has not completed the applicable CPA examination, a statement describing any restrictions preventing the applicant from sitting for the applicable CPA examination in that state;d.If applicant is licensed as a certified public accountant, the following: 1.A statement as to whether the applicant's license is in good standing;2.A statement as to whether the applicant is authorized to practice public accounting in that state;3.If applicant holds a current license, a statement as to when the current license will expire; and4.If applicant does not hold a current license to practice public accountancy, a brief description of what requirements the applicant must meet for reinstatement of the license; and(5) The board seal, signature, title and date from the state board of accountancy in which the applicant passed the exam.N.H. Admin. Code § Ac 301.09
Amended by Volume XXXV Number 01, Filed January 8, 2015, Proposed by #10746, Effective 1/1/2015, Expires1/1/2025.