6WDWHPHQWRIUHOHYDQWH[SHULHQFH IRU%$6DJHQW This form must be downloaded & &RPSOHWLQJWKLVIRUP completed. It is a smart 7KLVIRUPPXVWDFFRPSDQ\DQDSSOLFDWLRQIRUUHJLVWUDWLRQRUUHQHZDODVDQLQGLYLGXDO%$6DJHQW 7\SH\RXUDQVZHUVLQWKHVSDFHSURYLGHG 7LFN$//DSSOLFDEOHER[HV PDF so it can be filled ,IWKHUHOHYDQWH[SHULHQFHLQFOXGHVZRUNXQGHUWKHVXSHUYLVLRQDQGFRQWURORIDUHJLVWHUHGDJHQWRUHPSOR\HU WKLVIRUPVKRXOGEHFRPSOHWHGE\WKHVXSHUYLVLQJDJHQWRUHPSOR\HU in online, saved on ,IWKHUHOHYDQWH[SHULHQFHLQFOXGHVZRUNDVDWD[DJHQWZRUNDVD%$6DJHQWRUZRUNRIDQRWKHUNLQGWKLVIRUP VKRXOGEHFRPSOHWHGE\WKHDSSOLFDQW your computer & uploaded directly to the TPB portal. ! ! ! ! 6XSHUYLVLQJDJHQWRUHPSOR\HUPDNLQJWKLVVWDWHPHQW 1DPHRIVXSHUYLVLQJDJHQWRUHPSOR\HU 7D[DJHQWQXPEHURU%$6DJHQWQXPEHU ICB does not believe that many renewing BAS Agents will have a 'supervising agent' i.e. a Tax Agent that has been supervising their work. BAS Agents completing the form themselves can put their own BAS Agent number in section 1. )XOOQDPHRIDSSOLFDQW New BAS Agent applicants who have not been registered before must have either a Tax Agent, BAS Agent or employer complete this form - i.e. their details in #1. )LUVWJLYHQQDPH2WKHUJLYHQQDPHV 7LWOH)DPLO\QDPH 'HWDLOVRIUHOHYDQWH[SHULHQFH 7\SHVRIUHOHYDQWH[SHULHQFH 3OHDVHWLFNRQHRUPRUHRIWKHIROORZLQJWKDWDSSOLHVWRWKHDSSOLFDQW¶VUHOHYDQWH[SHULHQFH • :RUNE\DQLQGLYLGXDODVDregistered WD[DJHQWRU%$6DJHQW • :RUNE\DQLQGLYLGXDOXQGHUWKHVXSHUYLVLRQDQGFRQWURORIDregistered WD[DJHQWRU%$6DJHQW ,IWKHDSSOLFDQW¶VH[SHULHQFHLQYROYHGZRUNDVDWD[DJHQWRU%$6DJHQWSURYLGHGHWDLOVRIWKHLUWD[DJHQW QXPEHURU%$6DJHQWQXPEHU ,1&21),'(1&(±ZKHQFRPSOHWHG 3DJH • :RUNRIDQRWKHUNLQGVXEMHFWWRDSSURYDOE\WKH%RDUG3URYLGHGHWDLOVEHORZ If you were legally working under section 251L, then say so here. Experience prior to March 1, 2010 is relevant so long as you were legal. 'LGWKHDSSOLFDQW¶VUHOHYDQWH[SHULHQFHLQFOXGHVXEVWDQWLDOLQYROYHPHQWLQRQHRUPRUH W\SHVRI%$6VHUYLFHVGHVFULEHGLQVHFWLRQRIWKH7D[$JHQW6HUYLFHV$FW" A BAS service is any service that relates to ascertaining or advising about the liabilities, obligations or entitlements of an entity under a BAS provision or representing an ICB entity in their dealings with the Commissioner relating to a example answer: As a registered agent BAS provision. since (d/m/y) I have provided the range of of 6HHWKHLQIRUPDWLRQVKHHWRQµ:KDWLVD%$6VHUYLFH¶IRUPRUHLQIRUPDWLRQ BAS services as defined in TASA 2009 & Regulations: GST/BAS/PAYGW/PAYGI/WET/ 1R <HV 3URYLGHGHWDLOV FTX/LCT. these services have been provided to the range of clients indicated and extent in question 6. 7KH%RDUGPD\LPSRVHRQHRUPRUHFRQGLWLRQVRQDQHQWLW\¶VUHJLVWUDWLRQWROLPLWWKHVFRSHRIVHUYLFHVWKDWWKHHQWLW\ PD\SURYLGHWRDSDUWLFXODUW\SHRIWD[DJHQWVHUYLFHRUDSDUWLFXODUDUHDRIWKHWD[DWLRQODZV 'XULQJZKDWSHULRGZDVWKHDSSOLFDQWSURYLGLQJWKHVHUYLFHVLQTXHVWLRQDERYH" 'D\0RQWK<HDU'D\0RQWK<HDU Start Start Start The requirement is 1400/1000 hours over 3 years. We End suggest your last date is "today's" date then go back 3 years. Do not include any time that you may have End taken an extended break. End 6XPPDU\RI%$6VHUYLFHVSURYLGHG in the last THREE years ,QUHODWLRQWRWKHDSSOLFDQW¶VUHOHYDQWH[SHULHQFHSOHDVHFRPSOHWHWKHWDEOHVEHORZRXWOLQLQJWKHVHUYLFHVSURYLGHG GXULQJWKHODVWthree\HDUV YEAR Total number of clients Total number of DFWLYLW\ VWDWHPHQts prepared I.e. 2009, 2010, 2011 - list the number of clients and statements worked on in those 12 month periods. For 4 clients in 2009, who all lodged quarterly, that is a total of 16 statements in 2009. Calculate the hours worked per year. Put the total in the space provided (red circle). Don't get too hung up - it is easier than the previous form so number of clients vs number of statements should be ok to find. Total number of hours undertaking BAS services in the last three years ,1&21),'(1&(±ZKHQFRPSOHWHG HOURS 3DJH 3OHDVHVSHFLI\WKe types of BAS services provided: *67 3$<*LQVWDOPHQWV :LWKKROGLQJ FBT (collection and recovery) :LQH(TXDOLVDWLRQ7D[ )XHO7D[/DZ /X[XU\FDUWD[ODZ Other BAS Services provided Easier than the old percentage question simply tick the box if you have provided that service to the clients included in the previous part of the question. Please provide details below: 3OHDVHSURYLGHFRPPHQWVUHJDUGLQJWKHDSSOLFDQW¶VFRPSHWHQFHLQWKHSURYLVLRQRI%$6 VHUYLFHV If you have completed the ICB Practical assessments or the BAS knowledge based assessments these could be mentioned here. You could describe activities you undertake to ensure that the services you provide are competent i.e. seek Tax Agent advice/confirmation/ feedback. Mention any CPE activity (ICB Network Meetings, conferences etc) to ensure you remain up to date. ,1&21),'(1&(±ZKHQFRPSOHWHG 3DJH 3URYLGHDQ\RWKHULQIRUPDWLRQRUFRPPHQWVUHJDUGLQJ\RXUUHOHYDQWH[SHULHQFH 7REHFRPSOHWHGE\WKHDSSOLFDQWZKHUHWKHDSSOLFDQW¶VH[SHULHQFHGRHVQRWUHODWHWRSHULRGVRIHPSOR\PHQWRUSHULRGVXQGHU VXSHUYLVLRQ ,I\RXXQDEOHWRVXSSO\VXSSRUWLQJUHIHUHQFHVIURPDWD[DJHQWRUFOLHQWDWWHVWLQJWR\RXUH[SHULHQFHDQGFRPSHWHQF\ SURYLGHGHWDLOVEHORZ Example answer: I have been a registered agent under the transitional provisions and in accordance with TASA 2009 sn 20-25. As a registered agent I am engaged by clients for services including those of BAS Services. All the work I perform for clients is related to their GST/BAS compliance and their Payroll obligations. All the work I perform has 'substantial involvement' in BAS Services and BAS provisions. &KHFNOLVW 8QOHVVWKHDSSOLFDQW¶VH[SHULHQFHKDVEHHQJDLQHGZKLOHVHOIHPSOR\HGWKLVIRUPVKRXOGEH FRPSOHWHGE\WKHDSSOLFDQW¶VHPSOR\HURUVXSHUYLVLQJWD[DJHQWRUVXSHUYLVLQJ%$6DJHQW $OOTXHVWLRQVRQWKHVWDWHPHQWKDYHEHHQDQVZHUHGWUXWKIXOO\DQGFRUUHFWO\ 3ULYDF\ 7KH7D[3UDFWLWLRQHUV%RDUGLVDXWKRULVHGE\WKHTax Agent Services Act 2009WRFROOHFWDOOWKHLQIRUPDWLRQUHTXHVWHG LQWKLVIRUPIRUWKHSXUSRVHRIDGPLQLVWHULQJWKHTax Agent Services Act 2009. 6RPHRIWKHLQIRUPDWLRQUHTXHVWHGPD\EHSURYLGHGWRRWKHUJRYHUQPHQWDJHQFLHVLQFOXGLQJWKH$XVWUDOLDQ7D[DWLRQ 2IILFHZKHUHWKH7D[3UDFWLWLRQHUV%RDUGLVDXWKRULVHGE\ODZWRGRVR 'HFODUDWLRQ ,GHFODUHWKDWDOOLQIRUPDWLRQJLYHQLQWKLVVWDWHPHQWLVWRWKHEHVWRIP\NQRZOHGJHLQIRUPDWLRQDQGEHOLHI WUXHDQGFRUUHFWLQHYHU\SDUWLFXODU This section confirms that everything you have said above is true and correct. Save this form so )XOOQDPHRIWKHSHUVRQSURYLGLQJWKLVVWDWHPHQW you can upload it to your renewal/application form via the TPB portal. Additional information will also need to be uploaded i.e. two client 1DPHRIDSSOLFDQW¶VVXSHUYLVLQJDJHQW references, two character reference contacts, certificate IV proof. 'DWHGGPP\\\\ )XUWKHULQIRUPDWLRQ 9LVLWRXUZHEVLWHZZZWSEJRYDXRUSKRQHWKH7D[3UDFWLWLRQHUV%RDUGRQ ,1&21),'(1&(±ZKHQFRPSOHWHG 3DJH
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