Application Packet for a Colorado CPA Certificate
For International Applicant
APPLICATION CHECKLIST
FORM A - Application Form
E-Mail address provided
Explanation of "yes" answers of questions 6-18 (if applicable)
FORM B - Affidavit of Eligibility
FORM C - Certificate of Experience
FORM D - Verifier's Licensure Verification Form (Only if verifier is licensed outside of Colorado)
FORM E - Authorization for Interstate Exchange
Letter of Good Standing from an IQAB MRA Chartered Accountant Institute or an official copy of
Academic Evaluation from the National Association of Credential Evaluation Services. (NACES)
Official verification of IQEX score. (if applicable)
AICPA ETHICS EXAM CERTIFICATE OF COMPLETION (Must be within two years of application)
CR&R CERTIFICATE OF COMPLETION (Must be within two years of application)
RESUME
BUSINESS CARD AND LETTERHEAD (Disregard if you do not have access to this information)
U.S. SOCIAL SECURITY NUMBER AFFIDAVIT FORM (Only if you do not have a U.S. SS# and are
not physically present in the U.S.) Form is located on www.nasbatools.com.
Notice for Foreign Applicants Regarding a Social Security Number
All applicants who reside in the United States must provide their social security number when applying for licensure. The
Division will accept a sworn SSN Affidavit in lieu of a social security number from foreign nationals not physically in the U.S.
FEE - Certified check, money order or credit card made payable to NASBA Licensing Services.
International Applicant Fee = $185 (Credit card form included in application)
** ALL FEES ARE NON-REFUNDABLE AND NON-TRANSFERABLE**
Please see our website www.nasbatools.com for additional instructions and forms.
Mail application to:
P.O. Box 198589
Nashville, TN 37219
Toll Free : 866.350.0017
615.880.4200
www.nasbatools.com
Revised 11/2010
Instructions
GENERAL DIRECTIONS
* Any dates given within the application must be in
the mm/dd/yyyy format.
* Make sure to provide an e-mail address, for e-mail
is the main source of correspondence. Your Online
Application Status Inquiry System (OASIS) ID and
password will be forwarded to you through
e-mail.
FORM A - Application Form
* Complete form in its entirety.
* If you answer "yes" to any of the questions 6-18,
provide an explanation on a separate sheet of paper.
Misdemeanor/Felony Questions: Please give detailed
explanations including date and type of offense and
the details of the resolution. Include any
documentation pertaining to the offense.
* If you are applying under Rule 2.7 Education in
Lieu of Work Experience, please omit Forms C
and D.
FORM B - Affidavit of Eligibility
* See "Helpful Hints for Completing the Affidavit
of Eligibility", located on the Colorado State
Board's website. (Link is located on our website
NASBAtools.com)
FORM C - Certificate of Experience
* Complete the first page in its entirety. Make sure
all boxes are checked appropriately.
* Provide detailed company job description.
* Each additional page with job description must be
signed by the verifier.
* Forward the form to the verifying CPA for
completion of form.
* Upon receipt of form, include with the application
packet.
FORM D - Verifier's Licensure Verification
FORM E - Authorization for Interstate Exchange
* Complete the first two boxes.
* Complete the form in its entirety.
* Forward the form to the verifying CPA's
licensing board, if outside of Colorado.
* Forward to the board from which the CPA exam
was passed.
* Upon receipt, include with application packet.
* Upon receipt, include with application packet.
* If verifier is a Chartered Accountant with a permit
to practice, please include a letter of good standing
from the CA Institute approved by the International
Qualifications Appraisal Board. (IQAB)
Revised 11/2010
FORM A
P.O. Box 198589
Nashville, TN 37219
COLORADO
Application for CPA Certificate
International Applicant
First Name
Middle Name
Date of Birth (mm/dd/yyyy)
Last Name
Maiden/Other
U.S. Social Security Number
E-Mail
Both addresses are required to be listed. Please check preferred mailing address.
Residence Address:
Preferred
Business Address:
Preferred
Street
City
State
Zip Code
Telephone
Employer
Street
City
Zip Code
State
Fax Number
Telephone
Screening Questions
Yes
No
Yes
No
4. I have attached details of my work history while residing in Colorado providing details of all
accounting related duties.
Yes
No
5. Did you pass the Uniform CPA Exam? (If more than 10 years ago, please see Form F)
Yes
No
6. Do you hold an active CPA license to practice?
Yes
No
7. Have you worked as a CPA or held out since residing in Colorado?
Yes
No
8. Have you used any other title, designation, words, letters, abbreviation, sign, card, or device in Colorado
tending to indicate that you are a certified public accountant?
Yes
No
1. Are you a resident of Colorado?
2. When did you become a resident of Colorado?
3. Have you been employed in Colorado?
If yes, provide dates.
to
to
List Jurisdiction
List Jurisdiction(s):
Expiration Date:
I have attached an explanation for performing work as a CPA and/or
using the CPA designation prior to licensure. Yes or No (circle one)
** All final decisions regarding applications are made by the Colorado State Board of Accountancy.**
Revised 11/2010
9. Have you provided public accounting services in the public for a fee in Colorado as a Colorado
certified public accountant?
Yes
No
10. Have you performed audits or attestation services while residing in Colorado?
Yes
No
11. Have you acted as a partner, shareholder, or member of a registered partnership, professional
corporation, or limited liability company composed of certified public accountants in Colorado?
Yes
No
Yes
No
13. Have you attested to or expressed an opinion, as an independent auditor, as to the financial position,
changes in financial position, or financial results of the operation of any person, organization, or corporation,
or as to the accuracy or reliability of any financial information contained in any such accounting or financial
statement in Colorado?
Yes
No
14. Have you supervised the work of any person who is attempting to gain experience for a Colorado CPA
certificate?
Yes
No
15. Have you ever had a professional or vocational license suspended or revoked by this or any state or
foreign country?
Yes
No
16. Have you ever had the right to practice before any state or federal agency suspended or revoked for
improper conduct or willful violation of the rules or regulations of the rules or regulations of such state
or federal agency?
Yes
No
17. Have you ever been convicted of a felony under the laws of any state or of the United States?
Yes
No
18. Have you entered a plea of guilty or plea of nolo contendere accepted by the court?
Yes
No
19. Do you now abuse or excessively use, or have you in the last five years abused or excessively used, any
habit forming drug, including alcohol,or any controlled substance that has a) resulted in any accusation or
discipline for misconduct, unreliability, neglect of work, or failure to meet professional responsibilities; or
b) affected your ability to practice as a CPA safely and competently?
Yes
No
20. Have you completed the required AICPA Ethics Course?
Yes
No
21. Have you completed a two hour Colorado Rules and Regulation Course?
Yes
No
22. Have you read and fully understand the Colorado Accountancy Laws and the Board's Rules?
Yes
No
23. Do you agree to appear in person, if requested, at a time and place fixed by the board or furnish
additional information requested of you for the purpose of aiding the board in determining qualifications?
Yes
No
If yes, cite the name and address of the entity:
12. Have you issued, authored, or published any opinion or certificate relating to any accounting or
financial statement using the title or designation "certified public accountant" or the abbreviation
"CPA" in Colorado?
If yes, cite the full name of the person;
If yes, please provide an explanation on a separate sheet of paper.
If yes, please provide an explanation on a separate sheet of paper.
Section 24-34-107(1) of the Colorado Revised Statutes requires that every application by an individual for a license issued pursuant to the authority
set forth in title 12, C.R.S., by the Department of Regulatory Agencies, shall require the applicant's social security number. Disclosure of your
social security number is mandatory for purposes of establishing, modifying, or enforcing child support under § 14-14-113 and §26-13-126, C.R.S.;
and locating an individual who is under an obligation to pay child support as required by § 26-13-107(3)(a)(I)(A), C.R.S. Failure to provide your
social security number for these mandatory purposes will result in an incomplete application. Disclosure of your social security number is
voluntary for disclosure to other state regulatory agencies, testing and examination vendors, law enforcement agencies, and other private
federations and associations involved in professional regulation for identification purposes only. Your social security number will not be released
for any other purpose not provided for by law.
In accordance with sections 18-8-503 and 18-8-501(2)(a)(I), C.R.S., false statements made herein are punishable by law. I state, under penalty of
perjury in the second degree, as defined in 18-8-503, C.R.S., that the information contained in this application, to the best of my knowledge, is
true and correct. I understand that under the Colorado Accountancy Law, providing false information to the Board is grounds for denial,
suspension, or revocation of a CPA certificate. I further state that I have read all disclosures contained in the application packet including the one
related to social security numbers.
Signature of Applicant
Date
Revised 11/2010
Colorado Department of Regulatory Agencies
Division of Registrations
1560 Broadway, Suite 1350
Denver, CO 80202
Licensee/Applicant Full Legal Name
Last
First
Middle
Colorado Professional or Occupational License/Certification/Registration Number:
(if already licensed)
Professional or Occupational License/Certification/Registration type applying for: _________________________
AFFIDAVIT OF ELIGIBILITY
Pursuant to H.B. 06S-1009, C.R.S. 24-34-107, ALL applicants for original licensure* or licensees renewing or reinstating a
current Colorado license after January 1, 2007 are required to complete and sign this Affidavit of Eligibility.
*The word "licensure" is used as a general term. While most of the professions and occupations are licensed, others may be certified, registered, or
listed. For precise terminology and requirements related to a profession or occupation, please consult the website of the appropriate board or program.
Section A: LAWFUL PRESENCE in the United States
1.
I am a U.S. citizen. Check one of the acceptable secure and verifiable documents in Section B that applies and
fully complete the information requested. Complete documentation must be provided upon request.
2.
I am not a U.S. citizen, but I am lawfully present in the U.S. and authorized by the Department of Homeland Security
to be employed in the U.S. Check one of the acceptable secure and verifiable documents in Section B that
applies and fully complete the information requested. Complete documentation must be provided upon request.
3.
I am not physically present in the U.S. under 8 U.S.C. sec. 1621 (c)(2)(c) or employed in the U.S. pursuant to 8 U.S.C.
sec. 1621 (c)(2)(a). Check one option, a or b below, then skip to Section C. (Do not complete Section B.)
a.
I am a U.S. citizen, not physically present or employed in the United States.
b.
I am a Foreign National, not physically present or employed in the United States.
Section B: SECURE AND VERIFIABLE DOCUMENTS
Select ONE document in this section if you checked 1 or 2 in Section A.
Government Issued
Identification
Driver’s license or
permit
Government issued
ID card
Valid U.S. military
ID/common access
card
Colorado
Department of
Corrections inmate
ID
Tribal ID card
Name of state agency
or federal agency that
issued the document
Full name as shown on driver’s
license or state/federal issued ID
License/ID
Number
Expiration
Date
(mm/dd/yyyy)
U.S. passport
Certificate of
Naturalization
Affidavit of Eligibility
Page 1 of 2
Revised 5/2011
FORM B cont.
Section B: SECURE AND VERIFIABLE DOCUMENTS (continued)
Government Issued
Identification
Certificate of (U.S.)
Citizenship
Valid Temporary
Resident card
Valid I-94 issued by
Canadian
government
Valid I-94 with
refugee/asylum
stamp
Name of state agency
or federal agency that
issued the document
Full name as shown on driver’s
license or state/federal issued ID
Valid I-766 (Employment Authorization Card)
Name on card
Expiration
Date
(mm/dd/yyyy)
Issuing federal agency:
Alien Number (A#)
Valid I-551 (Resident Alien or Permanent Resident Card)
Name on card
License/ID
Number
Alien Number (A#)
Card Number
Valid from
(mm/dd/yyyy)
Expires
(mm/dd/yyyy)
Issuing federal agency:
Country of
birth
Card expires
(mm/dd/yyyy)
Resident since
(mm/dd/yyyy)
Valid foreign passport with an unexpired visa with proper classification for work authorization, and an unexpired I-94
Visa Class
(ex.: J-1, P-1,
Issuing foreign
Date of entry
Until date
H-1B, etc.)
(mm/dd/yyyy)
(mm/dd/yyyy)
country
Passport Number
Visa Number
Valid foreign passport bearing an unexpired “Processed for I-551” stamp or with an attached unexpired “Temporary I-551”
visa
Issuing foreign country:
Passport Number:
Section C: ATTESTATION
•
I understand that this sworn statement is required by law because I have applied for or hold a professional or
commercial license regulated by 8 U.S.C. sec. 1621. I understand that state law requires me to provide proof that I
am lawfully present in the United States when asked as well as submission of a secure and verifiable document. I may
also be required to provide proof of lawful presence.
•
I understand that in accordance with sections 18-8-503 and 18-8-501(2)(a)(I), C.R.S., false statements made herein
are punishable by law. I state under penalty of perjury in the second degree, as defined in 18-8-503, C.R.S. that the
above statements are true and correct.
•
I am the person identified above and the information contained herein is true and correct to the best of my knowledge. I
understand that under Colorado law, providing false information is grounds for denial, suspension or revocation of a
license, certificate, registration or permit.
•
I understand that the above information must be disclosed to the Department of Regulatory Agencies upon request
and is subject to verification.
Print Full Legal Name
Signature (Full Name)
Affidavit of Eligibility
Date
Page 2 of 2
Revised 5/2011
FORM C
P.O. Box 198589
Nashville, TN 37219
Certificate of Experience
First
Middle
Last
City
Address
State
Zip Code
Applicant Section
Employer:
Address
City
State
Zip Code
Telephone
Firm Registration Number:
Position of Applicant:
In accordance with C.R.S. 18-8-503 and 18-8-501(2)(a)(I), false statements made herein are punishable by law. I state, under penalty of
perjury as defined in C.R.S. 18-8-503, that the information contained in this application, to the best of my knowledge, is true and correct. I
understand that under the Colorado Accountancy Law, providing false information to the Board is grounds for denial, suspension or
revocation of a CPA certificate.
Signature
Date
PLEASE ONLY VERIFY EXPERIENCE WITHIN 5 YEARS PRECEDING THE DATE OF APPLICATION
Exact Dates of Employment: (mm/dd/yyyy) From:
To:
Full Time
Part Time
(If part time, refer to 4.1.F of the Rules.)
Please provide the number of qualifying work hours for each individual year for the time period stated above:
Year 1
Year 2
Year 3
Year 4
Year 5
Total Hours
I, as a verifier,
Have reviewed, agreed and signed the attached job description(s); and
Attest to having direct knowledge of work performed, as required by Colorado Rule 4.1.B, by the applicant during the entire dates
of employment stated above. I performed periodic review and evaluation of the applicant's work, while holding an active status
CPA license to practice public accountancy during the entire period of employment being verified.
Select one that applies.
Attest the applicant, as required by Colorado Rule 4.1.B, has the work experience that involves the application of appropriate
technical and behavioral standards, such as the standards contained in the AICPA Code of Professional Conduct, U.S. Generally
Accepted Accounting Principles (GAAP), U.S. Generally Accepted Auditing Standards (GAAS), Statements on Standards for
Attestation Engagements (SSAE), Statements on Standards for Accounting and Review Services (SSARS), the Statements on
Standards for Tax Services (SSTS), or the Statements on Standards for Management Consulting Services.
Attest the applicant has experience using the International Financial Reporting Standards (IFRS) in accordance with the
International Accounting Standards Board (IASB).
Attest the applicant has experience using alternative standards; specify
Am unable to attest to the standards used.
Revised 11/2010
FORM C cont.
Rule 4.2 - Experience in Public Accounting
YES
In your opinion, did the applicant obtain sufficient experience to satisfy the requirement below:
NO
Qualifying public accounting experience shall consist of performing services for a client or potential client, including but not limited to any
combination of services involving the use of accounting or attestation skills, the issuance of reports on financial statements, management advisory
or consulting services, preparation of tax returns, or furnishing of advice on tax matters. Such work shall consist of employment by a CPA or Firm
performing services primarily involving the application of the standards described in Rule 4.1.B.
Rule 4.3 - Experience in Industry
YES
In your opinion, did the applicant obtain sufficient experience to satisfy the requirement below:
NO
Qualifying industry experience shall consist of performing services, including for an employer, primarily involving the application of the standards
described in Rule 4.1.B. Such services may include, but are not limited to, internal audit, installation of internal control systems, preparation of
financial statements, management advisory or consulting services, preparation of tax returns, or the furnishing of advice on tax matters.
Rule 4.4 - Experience in Government
YES
In your opinion, did the applicant obtain sufficient experience to satisfy the requirement below:
NO
Qualifying government experience shall consist of employment by a federal, state, or local government entity. Such work shall consist of
employment performing services primarily involving the application of the standards described in Rule 4.1.B. Such services may include, but are not
limited to, internal or external audit, installation of internal control systems, preparation of financial statements, management advisory or consulting
services, preparation of tax returns, or the furnishing of advice on tax matters.
Rule 4.5 - Experience in Academia
YES
In your opinion, did the applicant obtain sufficient experience to satisfy the requirement below:
NO
Qualifying academic experience consists of teaching in the accounting discipline for academic credit at a regionally accredited college or university.
The teaching must include at least two different upper-division courses involving the standards described in Rule 4.1.B. One year of experience
shall consist of no less than 12 semester hours or the equivalent in quarter hours. Courses outside the field of accounting shall not count toward the
experience requirement. A letter from each institution where the qualifying hours were taught, signed by the dean or department head at that
institution must accompany this application. The letter must state: (a) the number of credit hours which the Applicant taught for the relevant years;
(b) the names and academic level of the courses taught; and (c) a course description. The Verifier shall be the department chair or a faculty member
who also shall be a CPA.
In accordance with sections 18-8-503 and 18-8-501(2)(a)(I), C.R.S., false statements made herein are punishable by law. I state, under penalty of
perjury in the second degree, as defined in 18-8-503, C.R.S., that the information contained in this application, to the best of my knowledge, is true
and correct. I understand that under the Colorado Accountancy Law, providing false information to the Board is grounds for denial, suspension, or
revocation of a CPA certificate.
Signature
Print Name
Date
Position of Verifier
State of Licensure/License Number
Revised 11/2010
FORM D
P.O. Box 198589
Nashville, TN 37219
Verifier's Licensure Verification
State Boards: NASBA Licensing Services, a division of the National Association of State Boards of Accountancy, and the certificate
processing agent for the Colorado State Board of Accountancy, requests that you verify the information presented below by answering all
questions. This form serves the purpose of verifying that the person and firm noted was certified/licensed by your jurisdiction during the
dates of employment listed. Upon completion of this form, return it to the applicant in a sealed envelope.
Please do not send directly to NASBA Licensing Services. Return to applicant.
Applicant's Name
Dates of Employment with Firm/Company Named Below:
(mm/dd/yyyy)
to
(mm/dd/yyyy)
Verifying CPA's Name
Firm/Company Name
Street
City
State
Zip Code
Telephone
For Board Use
Did the verifying CPA named above hold an active certificate/license to practice public accounting
during the period of applicant's employment stated above?
YES
NO
Certificate/License Number
Did the firm/company named above hold an active certificate/license registration to practice as a
certified public accounting firm during the period of employment stated above?
YES
NO
N/A
Please provide any further information you may have regarding the CPA/licensee/firm, including
whether the CPA/licensee/firm has been subject to discipline.
I solemnly affirm, to the best of my knowledge, that the above information is true and correct.
(Board Seal)
Official Signature /Board Representative
Title
Date
Revised 11/2010
FORM E
150 Fourth Avenue North
Suite 700
Nashville, TN 37219
Authorization for Interstate Exchange
of Examination and Licensure Information
State Boards: The applicant below has authorized you to provide any and all pertinent information listed in this form
to NASBA Licensing Services, a division of the National Association of State Boards of Accountancy and an agent for
the Colorado State Board of Accountancy. Please return the form in a sealed envelope directly to the applicant.
Do not send to NASBA Licensing Services.
First Name
Last Name
Middle Name
Maiden/Other Name
Street or P.O. Box
City
State
Date of Birth
Daytime Telephone
Zip Code
U.S. Social Security Number
Certificate Number (if applicable)
I hereby request and authorize the
Board of Accountancy to provide any
and all pertinent information requested in this form to CPA Examination Services, as an agent for the
Colorado State Board of Accountancy. I agree that CPA Examination Services may confirm the grades
issued to me by the Advisory Grading Service of the American Institute of Certified Public Accountants.
Date
Signature
For Board Use:
CPA Exam Information
Date of
Examination
Candidate ID #
Audit
LPR
(Business Law)
1. Was the applicant ever denied admission to the Exam?
2. If the applicant has not completed the CPA Exam, are
there any restrictions preventing him/her from sitting in
your state?
FARE
(Theory)
Yes
Yes
ARE
(Practice)
No (If yes, please explain on following page.)
No (If yes, please explain on following page.)
3. If the applicant has not passed all parts of the CPA Exam,
indicate above the expiration date of those parts that have
been passed and for which credit has been given.
Revised 11/2010
License Information
1. The applicant was granted an original/reciprocal (circle one) CPA Certificate number
issued
which is in good standing unless noted below.
2. The applicant has completed an Ethics Examination
The exam was prepared and graded by
Board
Yes
No
AICPA
Score:
License/Permit to Practice Public Accounting
3.
4.
5.
6.
Yes
Yes
Yes
Yes
No
No
No
No
This state is a two-tier state.
The license/permit from this board is in good standing and expires
The applicant is currently licensed to engage in the practice of public accounting.
Has there ever been any disciplinary action instituted against the applicant?
(If yes, explain below.)
7. If the applicant does not hold a license/permit from your board, please indicate the requirements to be met
for issuance or reinstatement:
License/Permit not required:
Pay appropriate fees/or post bond:
Complete acceptable accounting/auditing experience:
Complete continuing professional education requirements:
Other:
Additional Information:
Exceptions noted/explanations:
Board Seal
Board/Agency
Official Signature
Title
Date
FORM F
Rule 3.9
If you are applying for licensure with examination scores obtained more than 10 years prior to
the application receipt date, you shall:
A. Obtain and supply proof of completing 80 hours of CPE taken within two years of the
application receipt date. (CPE Worksheet Attached) No education in Personal Development,
as defined by the Fields of Study, may be counted toward the 80 hours. In addition you must
complete and pass the AICPA Ethics Examination and obtain two hours of CR&R;
OR
B. Supply the Board with proof of three years of experience as defined in Chapter 4 of the
Colorado Rules and Regulations within the five years of application receipt date. Verification
of experience should be submitted on Form C - Certificate of Experience.
CPE CHART
Report only hours that have been taken within two(2) years preceding the date of application.
Course Title
Course Date
Course Provider
CE Hours Earned
TOTAL CPE HOURS REPORTED:
I certify under penalty of perjury to the truth and accuracy of all statements, answers, and representations made in
this report of continuing professional education.
Signature
Date
Credit Card Payment Form
Applicant Name:
Fees are non-refundable and non-transferable
Authorized Payment Amount:
Please Check One:
Application fee for International Applications ($185)
Visa
MasterCard
Card Number:
Expiration Date:
Print Name as it appears on account:
Authorized Signature:
Return this payment form with Application Package.
Note: This document will be shredded after it has been processed
Revised 11/2010
IMPORTANT NOTICE
TO:
All Applicants
FROM:
Rosemary McCool, Director, Division of Registrations
SUBJECT:
Licensure and Criminal History
Thank you for your interest in becoming a licensed* professional within the Division of Registrations.
Before you submit your application, please be aware of a few facts regarding criminal conduct,
convictions, and disciplinary actions in other states.
The mission of the Division of Registrations is “public protection through effective licensure and
enforcement.” One way the Division safeguards consumers is by issuing licenses to fully qualified,
competent, and ethical applicants.
During the licensing process – and depending on the specific application – the Division will ask whether
you have ever been disciplined in any state, arrested, charged, convicted, or pled guilty to a crime. An
arrest, subsequent criminal conviction, or disciplinary action is not an automatic disqualification from
licensure. Instead, the appropriate board or program will look at the facts surrounding the criminal
conduct and disciplinary action to determine whether you are fit for licensure. You should know that
licensure is a privilege, not a right. One thing you must do to obtain the privilege is to be completely
honest on your application.
Be sure to list all relevant complaints, disciplinary actions, arrests, charges, or convictions in response
to the licensure questions. Failure to fully disclose could constitute grounds alone for denial of your
application or revocation of your license. More important, avoid some of the common excuses we have
heard from people who failed to disclose, such as:
•
My attorney told me I didn’t have to disclose the criminal conduct or disciplinary actions.
•
I didn’t think the prior conduct had anything to do with the profession.
•
I didn’t think the disciplinary action, arrest, charges, or conviction was still on my record.
•
I didn’t think it was subject to disclosure because I received a deferred sentence/judgment.
Remember, there is no excuse not to disclose disciplinary actions and criminal conduct. Even after
licensure, you are still required to notify your professional licensing board or program about subsequent
convictions and disciplinary actions in other states.
The Division conducts audits of its licensing database against several criminal and national disciplinary
databases. This allows the Division to verify the truthfulness of your application and track subsequent
criminal and disciplinary conduct after initial licensure. Keep in mind, you will not necessarily be
revoked or denied a license if you have been disciplined, arrested, charged or convicted, but you will
most likely be denied or revoked if you fail to disclose it.
*The word "license" is used as a general term. While most of the professions and occupations are licensed, others may be registered,
certified, or listed. For precise terminology and requirements related to a profession or occupation, please consult the website of the
appropriate board or program.
1560 Broadway, Suite 1350 Denver, Colorado 80202 Phone 303.894.7800
V/TDD
711
Fax 303.894.7693
www.dora.state.co.us