Where to Submit the CPA/CPA Firm Registration Form

Where to Submit the CPA/CPA Firm Registration Form. All requests must be mailed, delivered or transmitted via facsimile to the OSA. They may also be submitted electronically via e-mail. Source: Miss. Code Ann. § 7-7-211. MISSISSIPPI OFFICE of THE STATE AUDITOR CPA/CPA Firm Registration Form – Attachment 1 NOTES: 1. CPAs/CPA firms must register annually with the Office of the State Auditor. 2. If a CPA firm has multiple offices, each office wishing to be included on the list must register. 3. To be included on the list of registered CPAs/CPA firms, all prior contract audits under the purview of the Office of the State Auditor must have been submitted within the contract requirements. 4. Registration forms will not be processed by the Office of the State Auditor prior to November 1 preceding the calendar year of registration. 5. Registration forms received by the Office of the State Auditor during a calendar year will be processed within 15 days of receipt and the CPA/CPA firm will be placed on the list of registered CPAs/CPA firms if warranted. 6. Being placed on the Office of the State Auditor’s list of registered CPAs/CPA firms in no way assures a CPA/CPA firm of being awarded a contract by a state agency or local government. 7. The maintenance of a list of registered CPAs/CPA firms by the Office of the State Auditor in no way affects the method used by a state agency or local government to select an auditor. I (We) desire to be included on the Office of the State Auditor’s calendar year _________ list of CPAs/CPA firms offering audit services to state agencies and local governments of the State of Mississippi: CPA/CPA Firm: Contact Person: Mailing Address: Phone Number: Fax Number: E-mail Address: OFFICE OF THE STATE AUDITOR USE ONLY Date Received: Processed By: Approved: Denied: Date of Approval Director of Financial & or Denial Compliance Audit: ATTACHMENT 1: PAGE 1 MISSISSIPPI OFFICE of THE STATE AUDITOR CPA/CPA Firm Registration Form - Attachment 1 1. If a CPA firm, does the firm have a CPA firm permit from the Mississippi State Board of Public Accountancy to practice in the State of Mississippi? (Miss. Code Ann. Section 73-33-1 (1972)). Yes No N/A If yes, CPA Firm Permit Number: 2. Provide a list of employees who may be working on governmental audits during the year. TOTAL YEARS OF YEARS OF GOVERNMENTAL NAME POSITION EXPERIENCE AUDIT EXPERIENCE (Attach Additional Sheet if Necessary) 3. If applicable, are employees listed above in good standing with the Mississippi State Board of Public Accountancy and the American Institute of Certified Public Accountants? Yes No If No, please identify the employee and explain reason: ATTACHMENT 1: PAGE 2 MISSISSIPPI OFFICE of THE STATE AUDITOR CPA/CPA Firm Registration Form – Attachment 1 4. Have all employees listed above met the CPE requirements as required by Government Auditing Standards? Yes No If No, please identify the employee and explain reason why not met: 5. If a CPA firm, is the firm in good standing with the Mississippi State Board of Public Accountancy? Yes No If No, please explain reason: 6. Have you or the CPA firm, if applicable, been disciplined by any regulatory, federal or state Jurisdiction? Yes No If Yes, please provide name of jurisdiction, date, reason and resolution: ATTACHMENT 1: PAGE 3 MISSISSIPPI OFFICE of THE STATE AUDITOR CPA/CPA Firm Registration Form – Attachment 1 7. Have you had an external quality control review (peer review) conducted as required by Government Auditing Standards and the Mississippi State Board of Public Accountancy? Yes No If Yes, date of most recent review: If No, when is the next review planned: (NOTE: A copy of your most recent external quality control review (peer review), including the letter of comments and letter of response, must accompany this form.) THE ABOVE INFORMATION IS ACCURATE, TO THE BEST OF MY KNOWLEDGE: (Submission of incomplete or inaccurate information could result in the individual or firm being removed from the listing.) Signature of CPA/CPA Firm’s Representative: Printed Name: Date: Please Submit: 1. Completed application 2. Copy of your most recent external quality control review (peer review), including the letter of comments and letter of response (if applicable) To: Office of the State Auditor Financial and Compliance Audit Division P.O. Box 956 Jackson, MS 39205 ATTACHMENT 1: PAGE 4