Rap Firm Permit Renewal Application - Minnesota Board Of Accountancy - 2017

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M
B
a
Ph: 651-296-7938
innesota
oard of
ccountancy
Fax: 651-282-2644
85 East 7th Place, Suite 125
boa.state.mn.us
St. Paul, MN 55101-2143
2017 RAP FIRM PERMIT RENEWAL
INSTRUCTIONS
Send this renewal and your check (made payable to MN Board of Accountancy) to the address above
postmarked on or before December 31,
2016.
A $50 delinquency fee is required for renewals postmarked after that deadline.
Please Note: Firm permits cannot be renewed until the individual RAPs who are required by
Minnesota Rule 1105.7100.D to renew have already done so.
Complete and return these REQUIRED items:
1
and 2)
1. Firm Permit Renewal Application (pages
2. Firm Peer Review Statement (page 3)
3. Workers’ Compensation Liability Certificate of Compliance (page 4)
$100.00
firm permit renewal fee
4. Payment of the
Do NOT include individual renewal forms or payments with your firm permit renewal.
Complete and return the following items if applicable:
1. Non-RAP Owner of Firm Statement Form (page 5)
Complete a form and include $45.00 fee for each Non-RAP Owner.
question 3 on page
1)
2. List of firm locations (see
Dissolutions/Mergers: If your RAP firm has dissolved or merged with a firm in the past year,
please notify the Board in writing.
Firm Name Changes:
Firms cannot renew under a new name until the Board has
approved the firm name change.
FIRST submit the
RAP Firm Name Change Request Form
found on the Board website. Once you receive approval from the Board, then you may submit a
renewal under the new name.
If you have questions regarding your application, please call the Board office at 651-296-7938.
Data Practices Act Warning
The data you furnish on this form will be used by the Board to process your application for licensure. You are not
legally required to provide this data; however, if you fail to do so, the Board may be unable to issue your license.
Until licensure is granted all application data, except name and designated address, are private data pursuant to
Minnesota Statutes section 13.41, subdivision 2 (2016). All data, except social security number and email address
become public record when licensure is granted pursuant to Minnesota Statutes section 13.41, subdivision 5 (2016).
RAP Firm Permit Renewal Form—INSTRUCTIONS

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