85 East 7th Place, Suite 125, St. Paul, MN 55101-2143
Ph: 651-296-7938 • Fax: 651-282-2644 • boa.state.mn.us
APPLICATION FOR MINNESOTA SOLE PROPRIETOR FIRM PERMIT
INSTRUCTIONS
Please refer to the following statutes and rules regarding Sole Proprietor Firm licensure:
•
Initial firm permit requirements: MN Statute 326A.05 and MN Rules 1105.4000-4200
•
Peer review: MN Rules 1105.4300 to 1105.5400
•
Firm name: MN 1105.6300 to 1105.6400
Complete and return these REQUIRED items:
1. Firm Permit Application (pages
1
and 2).
2. Firm Peer Review Statement (page 3)
3. Workers’ Compensation Liability Certificate of Compliance (page 4)
4. Firm permit application fee:
•
Firms with offices only in Minnesota:
$35.00
•
Firms with one or more offices in another state:
$68.00
Complete and return the following items if applicable:
1. Minnesota Non-CPA Owner of Firm Statement Form (page 5)
Complete a form and include $45.00 fee for each Minnesota non-CPA owner.
2. List of firm locations (see
question 2 on page
1)
3. A copy of any peer review completed within the last year (see Firm Peer Review Statement, page 3). If
existing, include Final Acceptance Letter, Reviewer’s Report, Letter of Comment, Letter of Response, and
Corrective Action.
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
become public record when licensure is granted pursuant to Minnesota Statutes section 13.41, subdivision 5 (2016).
Application for Sole Proprietor Firm Permit—INSTRUCTIONS