Form 3
Application for New Public Practice Licence
Form 3 is to be used by members who are applying for a public practice licence under Part 7 of the Bylaws of the
Organization of Chartered Professional Accountants of British Columbia (CPABC) or a member, who is an employee
that has overall engagement responsibility where your activities are included in the definition of public practice, and
as such, are subject to practice review.
Part A: To be completed by all applicants
Applicant name: _____________________________________________________________________
CPABC Membership number or CPA Canada Membership Number_____________________________
Business address: ____________________________________________________________________
___________________________________________________________________________________
Mailing address (if different): ____________________________________________________________
____________________________________________________________________________________
Firm’s Business Telephone: _____________________________________________________________
Firm’s Business Fax: __________________________________________________________________
E-mail (required): _____________________________________________________________________
Website:____________________________________________________________________________
Firm name under which practice is to be conducted: ___________________________________
1.
_____________________________________________________________________________
Please indicate the type of licence you are applying for (select one):
2.
□ Audit (public companies)
□ Audit (private or not for profit)
□ Review
□ Compilation
□ Other Regulated Services – Reviewable (Tax)
□ Other Regulated Services– Non-Reviewable
Please note that each public practice licence category includes the services of the licence(s)
listed below it.
I have previously been registered/licensed in public practice in British Columbia:
3.
Yes, year deregistered/licence cancelled __________
No, this is my first registration/licence
Has a finding or determination been previously made by a committee of CPABC, a legacy body, a
4.
provincial CPA body or a provincial legacy body that the applicant was incompetent or unfit to
practise, committed professional misconduct, engaged in conduct unbecoming a member, or