Order Form for a Review of the Uniform CPA

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Order Form for a Review of the Uniform CPA Examination Candidates who wish to have the American Institute of Certified Public Accountants (AICPA) re-score one or more sections of their Uniform CPA Examination must complete this form and send it along with the appropriate fee to the National Association of State Boards of Accountancy (NASBA) at the address indicated. All forms must be received no later than 60 days from the close of a testing window. You must include with this order form a certified check or money order payable to “NASBA” for the required fees per examination section: Auditing and Attestation (AUD) Financial Accounting and Reporting (FAR) Regulation (REG) Business Environment and Concepts (BEC) $200 $200 $200 $150 Note: All fees must be paid in U.S. dollars. Certified checks and money orders must be drawn on a U.S. bank. Mail this form and the required fee to: NASBA Review Service P.O. Box 440555 Nashville, TN 37244 Incomplete requests will not be processed. Please allow four to six weeks for processing. Results will be mailed or emailed directly by NASBA to the candidate and his or her state board of accountancy. You should be aware that because scores are carefully checked before they are reported, re-scoring very seldom results in score changes. First Name: ____________________________________________ Date: _____________________ Last Name: _______________________________________ Telephone No.: __________________ Street Address: _____________________________________________________________________ City/State/Zip code: _________________________________________ Country: _______________ Email Address: _____________________________________________________________________ Would you like to receive results by email? Examination sections to be re-scored: AUD Section ID #: ___________________ REG Section ID #: ___________________ Revised July 21, 2004 Yes No FAR Section ID #: ______________________ BEC Section ID #: ______________________

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