Forms and Applications
The following forms are available for downloading. These forms may also be available on other pages of this website. If you do not find a form here that you need, contact the Board office to have it sent to you.
**Not all forms are available on the website.**
Please allow 4 to 6 weeks for applications to be processed
Address Change Form
- Change of Address Form - Firms
- Change of Address Form - Individuals
- To change your last name due to marriage, please email the Board office a copy of your marriage certificate.
CPA Examination Application/Forms
- For more information about the CPA Exam, please go to the NASBA website at www.nasba.org/exams/cpaexam or the AICPA website at www.aicpa.org/becomeacpa/cpaexam.
Certificate Issuance Applications/Forms
For more information about the Certificate Requirements and for additional forms, please go to the Apply for Certificate page. For information about the requirements for certificates, please look at the 
Statutes Page, sections 1-114, 1-117, 1-122, 1-124 and 1-136.
For NE Exam Candidates - Submit your Certificate by Exam Application - This link will take you to the Certemy website to create an account and submit the Certificate by Exam application.
For Reciprocal Certificates - Submit your Reciprocal Certificate Application - This link will take you to the Certemy website to create an account and submit the Reciprocal Certificate application.
For Reciprocal Certificates "4 in 10" - Submit your Reciprocal Certificate "4 in 10" Application - This link will take you to the Certemy website to create an account and submit the Reciprocal Certificate "4 in 10" application.
Supplemental Forms
- Authorization for Interstate Exchange of Examination and Licensure Information
- "4 in 10" Authorization for Interstate Exchange of Examination and Licensure Information
- Certificate of Public Accounting Experience Under PAA 1-124b Four in Ten
- Registration of CPA Certificate Form
Licensure Applications/Forms
For more information about Licensure and Certificate Requirements and for additional forms, please go to the Licensing page. For information about the requirements for individual licensing, please look at the Rules & Regulations Page, Chapters 5, 7 & 12 or the Statutes Page, sections 1-117, 1-122, 1-136, 1-136.01, 1-136.02 and 1-136.03.
- Public Accounting Experience Form
- Business, Government, Academia Experience Form
- Nebraska Auditor of Public Accounts & Nebraska Department of Revenue Experience Form
- Inactive Registration Application
- Reinstatement of Active Permit Application
- Inactive-Retired Affidavit
- Surrender Affidavit
Continuing Education Forms
For more information about the CPE Requirements and for additional forms, please go to the CPE Guidelines Page. For information about the requirements for Continuing Education, please look at the Rules & Regulations Page, Chapter 8 or the Statutes Page, section 1-136.01.
- CPE Reporting Form
- Program Qualification Form
- Program Qualification Form (Interactive)
- CPE Guidelines
- Sponsor Application
Firms Applications/Forms
For more information about the Firm Licensing Requirements, please go to the Apply for Firm Permit page. For information about the requirements for firms, please look at the Rules & Regulations Page, Chapters 10 & 11 or the Statutes Page, sections 1-126, 1-134, 1-135, 1-136, 1-138, 1-139, 1-152, 1-156, 1-158, 1-159, 1-161 and 1-162.01.
Initial Set-up Applications
The following links will take you to the Certemy website to create an account and submit the Application for CPA Firm.
- In-state Sole Proprietorship Application
- Out-of-state Sole Proprietorship Application
- In-state Professional Corporation (PC) Application
- Out-of-state Professional Corporation (PC) Application
- In-state Limited Liability Company (LLC) Application
- Out-of-state Limited Liability Company (LLC) Application
- In-state Limited Liability Partnership (LLP) Application
- Out-of-state Limited Liability Partnership (LLP) Application
- In-state General Partnership Application
- Out-of-state General Partnership Application
Annual Certificate of Registration Applications
- Annual Certificate of Registration for a Professional Corporation
- Annual Certificate of Registration for a Limited Liability Company