Petition For Rule Waiver Request Form - Minnesota Board Of Accountancy - 2017
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285 East 7th Place, Suite 125, St. Paul, MN 55101-2143
Ph: 651-296-7938 • Fax: 651-282-2644 • boa.state.mn.us
B O A R D O F A C C O U N T A N C Y
CLEAR
CLEAR
FORM
FORM
PETITION FOR RULE WAIVER REQUEST FORM
INSTRUCTIONS
Minnesota Rules 1105.0200 subpart 4 (2015) states:
Exceptions. In the application of this chapter [1105], the board may make exceptions for reasons of
individual hardship including health, military service, foreign residency, or other good cause. The
applicant, licensee, firm, or registered accounting practitioner has the burden of proving such hardship.
This form may be used to make your exception request. Please sign and date.
1.
Provide your name and contact information.
Name
Certificate #
(First)
(M.I.) (Last)
(Suffix)
Address*
Home Phone
City
Work Phone
State
Zip
Cell Phone
*If providing a business address, include the company name.
2.
Cite the specific Minnesota Rule(s) you are asking to be waived (section, part, etc):
(Refer to the Officer of Revisor of Statutes website for this information:
https:// )
3.
When did your hardship occur? Provide a timeline if useful in presenting your situation.
Petition for Waiver FORM—Page 1 of 2
Rev 09/17
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