Petition For Rule Waiver Request Form - Minnesota Board Of Accountancy - 2017 Page 2

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4.
Explain why you are unable to comply with the rule(s) due to a hardship.
5.
Indicate what materials, if any, you have included with this form (check
all
that apply):
I have attached no additional information.
I have attached a letter explaining the hardship or medical need I have experienced and why
it has made me unable to comply with the Rule(s) I have listed above.
I have attached a physician’s letter to explain the medical necessity I have experienced.
I have attached the following other information to explain the hardship or medical necessity that
I have experienced:
1.
2.
3.
4.
5.
6. Affidavit:
I attest to the accuracy and truthfulness of the information contained in this petition.
Signature
Date
Petition for Waiver FORM—Page 2 of 2

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