Exp Ver

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Thank you for your interest in NASBA's Experience Verification Service. This service will verify your work experience and help facilitate an interview with a Certified Public Accountant to help you meet the experience requirement for licensure.

Please complete the entire four (4) page application.  Once you successfully submit the application, you will be directed to a secure Authorize.Net  payment page where you can enter your credit card information. 

If you have any questions during the application process, please do not hesitate to contact the Experience Verification team at ev@nasba.org for assistance.

Applicant Details









Experience Verification Fee

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Jurisdiction

Please choose a jurisdiction for your Experience Verification

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Employment Details
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Informed Consent and Attestation Statement

DATA PRIVACY INFORMED CONSENT

 

NASBA takes the privacy of individuals very seriously. Our current privacy policy may be viewed on our homepage, www.nasba.org, by clicking on the “privacy policy” link.

 

This consent is a binding contract between you and the National Association of State Boards of Accountancy (“NASBA”). This consent explains how NASBA uses the information collected from you in connection with your application for NASBA’s services and includes important obligations regarding the language of this agreement, applicable law and jurisdiction, data security and confidentiality. Your acceptance of this consent is required for your application. Unless you indicate your agreement to this consent, your application will not be processed. You may revoke your consent at any time, however, if at any time, you attempt to revoke your consent, either directly, or by challenging the enforceability of any part, NASBA will no longer continue to process your application.

 

I agree as follows:

 

(a) Applicable language is only English: This is an English-only legal document containing significant legal duties and requiring a high degree of competency in the English language. It is an essential part of an application. DO NOT indicate your agreement to this Consent unless you have read and understand each part. An applicant is presumed to have a thorough knowledge of the English language. By submitting the application and indicating your agreement to this Consent, you represent that you have a sufficient understanding of the English language and have read this Consent and understand and agree to each provision. The language of this Consent is English and it shall be interpreted exclusively in English. Any translation into another language is unauthorized and shall not be binding nor constitute evidence of the intent or meaning of any part or whole of this Consent or the application.

 

(b) Applicable law: This Consent and my relationship with NASBA shall be governed and construed in accordance with the laws of the United States of America (USA) and the state in which I intend to apply for a license as a CPA.

 

(c) Dispute resolution: Any controversy or claim arising out of or relating to the breach of this Consent shall be determined by arbitration administered by the American Arbitration Association pursuant to its applicable rules. Any order of an arbitrator will be conclusive and binding. The number of arbitrators shall be one. The place of arbitration shall be in the state through which intend to apply for a license as a CPA. The language of arbitration shall be the English language and no other.

 

(d) Effective only upon receipt: This Consent and any application related thereto shall not be binding upon NASBA until such Consent and such application have been completed and accepted by NASBA.

 

(e)  Limitation of Liability:  You agree that all fees paid with an application are non-refundable.  You agree further that, in the event your data is lost or damaged, any claim you may have will not exceed the application fees paid.


Collecting and Using Your Personal Data

 

Such information described below is referred to in this Consent as “Personal Information.”    I understand and consent that the following information may be collected, received, transferred, stored, disclosed and processed in connection with my application:

 

(a) Personal, including name and date of birth

(b) Social Security Number (SSN) or National ID Number

(c) Passport number

(d) Country of residence and country of citizenship

(e) Past and current employment information

(f)  Email

(g) Mailing Address

(h) Phone Number

(i)  Education (Schools attended, Transcripts)

(j)  Credit Card information

(k) Racial or ethnic origin (providing such information is optional)

 

PLEASE NOTE: Social Security Numbers and National ID Numbers may be used only for verifying an individual’s identity and detecting and investigating fraudulent activity.  Access to these numbers shall be restricted to employees, agents, service providers and government entities with a need to access them for these purposes, and reasonable efforts shall be made to protect these numbers from unlawful disclosure and keep them confidential by maintaining physical, electronic and procedural safeguards that comply with applicable regulations.

 

Purposes for Data Collection

 

I understand and agree that my Personal Information may be used for the following purposes:

 

(a)  Determining my eligibility to sit for the Uniform CPA Examination and obtain a

CPA license;

(b)  Administration and operational purposes;

(c)  Verifying compliance with NASBA and State Board policies;

(d)  Backing up records to prepare for events that may make it difficult for NASBA to access original copies of my Personal Information;

(e)  Helping NASBA comply with contractual, legal or regulatory obligations;

(f)   Detecting and investigating fraudulent activity; and

 

Recipients of Personal Information; Transfers

 

I acknowledge and agree that my Personal Information may be disclosed and transferred to each of the following for the purposes of carrying out contractual responsibilities and services applicable to applying for and obtaining a CPA license:

 

(a) NASBA; and

(b) State Boards of Accountancy; and

(c) Third parties that perform services related to the purposes listed above.

 

Further, without limiting the foregoing, I understand and agree that the parties listed above may receive and access Personal Information for purposes of facilitating the application process for certification with State Boards, and for investigating any suspected fraudulent or inappropriate activity.

 

Authorizations

 

In connection with my application, I hereby authorize NASBA to:

(a) Release any information necessary to verify the answers given on my application;

(b) Examine or receive copies of my records maintained by colleges, universities, boards of education, banks or credit agencies; and

(c) Use my Personal Information for identification purposes in record keeping, information exchanges with USA and any other government agencies, and other data sources that may be required to verify my Personal Information.

 

I understand that discovery of false information in my application discovered during my evaluation or of relevant criminal history may result in denial of my application. 

 

I release NASBA and its designees from any and all liability and responsibility, damages and claims of any kind whatsoever arising from an investigation of my background.

 

Data Retention and Storage

 

Personal Information obtained by NASBA may be retained and stored in accordance with NASBA data retention policies in effect and as may be modified from time to time. 

 

Right to Access Personal Information and Update or Change Your Personal Information

 

You may request that NASBA update or change any Personal Information on record about you in order to make such Personal Information accurate.  You also may request that NASBA delete your Personal Information from their records; provided, however, that you understand and agree that if NASBA deletes your Personal Information during the application process, you will be forfeiting your application.

 

If You Withhold Your Consent or Object to Collection

You may withhold your consent for NASBA to collect, process and use your Personal Information as described in this document.  However, if you withhold your consent, your application will no longer be processed.  You are not required to provide NASBA with Personal Information that is optional to provide as indicated above, such as racial or ethnic origin. 

You also retain the right to object to collection of your Personal Information for any legitimate purpose.  However, you understand and agree that if you object to such collection of any non-optional Personal Information, NASBA will be unable to process your application and you will forfeit your application.

 

Consent to Transfer of Personal Information

 

I acknowledge that the levels of data protection and privacy laws in other countries may not be as high as those applicable in my jurisdiction and that NASBA will make commercially reasonable efforts to ensure that my Personal Information is kept secure at all times. I freely consent to the transfer to and storage and processing of my Personal Information in jurisdictions other than my own, including the USA.


GENERAL DISCLAIMER/LIMITED LIABILITY:

NASBA DOES NOT CONTROL AND IS NOT RESPONSIBLE FOR THE RESULTS OF ANY EXPERIENCE VALIDATION PERFORMED BY THIRD PARTIES NOR FOR THE OUTCOME OF ANY INTERVIEW CONDUCTED BY THIRD PARTIES IN CONNECTION WITH YOUR APPLICATION. NEITHER NASBA NOR ANY OF ITS DIRECTORS, OFFICERS, AGENTS, REPRESENTATIVES, EMPLOYEES, OR VOLUNTEERS SHALL BE LIABLE AND MAKE NO WARRANTY, REPRESENTATION OR PROMISE, WHETHER EXPRESS OR IMPLIED, OR ORAL OR WRITTEN, IN REGARDS TO THE RESULTS OR OUTCOMES OF THE SERVICES OFFERED BY THIRD PARTIES.  NASBA DOES NOT WARRANT THAT THE SERVICES OFFERED BY THIRD PARTIES ARE OR WILL BE WITHOUT DEFECT OR ERROR, AND WILL NOT BE LIABLE FOR SUCH DEFECTS OR ERRORS.

TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAWS, NASBA EXCLUDES AND DISCLAIMS LIABILITY FOR ANY LOSSES AND EXPENSES OF WHATEVER NATURE AND HOWSOEVER ARISING, INCLUDING, WITHOUT LIMITATION, ANY DIRECT, INDIRECT, GENERAL, SPECIAL, PUNITIVE, INCIDENTAL OR CONSEQUENTIAL DAMAGES; LOSS OF USE; LOSS OF DATA; LOSS OF INCOME; CLAIMS OF THIRD PARTIES; OR OTHER LOSSES OF ANY KIND OR CHARACTER, EVEN IF NASBA HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES OR LOSSES, ARISING OUT OF OR IN CONNECTION WITH THE SERVICES PROVIDED.  YOU ASSUME TOTAL RESPONSIBILITY.  THIS LIMITATION OF LIABILITY APPLIES WHETHER THE ALLEGED LIABILITY IS BASED ON CONTRACT, TORT (INCLUDING NEGLIGENCE), STRICT LIABILITY OR ANY OTHER BASIS.


Click here to review  Policies before proceeding with Electronic Signature.





Thank you!

Click "Submit" to submit your Experience Verification Form and proceed to the credit card authorization page.  All payments are processed by Authorize.Net. NASBA does not store nor have access to your Credit Card information.