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Form 3 - Certification of Out-Of-State Licensure and Examination Grades

This form must be submitted directly by the licensing authority.

If you have credit for any parts of the Uniform CPA Examination from another jurisdiction or are licensed in another jurisdiction, examination grades must be transferred from the jurisdiction in which the examination was taken. Endorsement applicants must have a Form 3 submitted from each state they were licensed in and each state where they sat for the examination. Please photocopy the form as necessary.

Section I: Complete this section of the form before sending it to the jurisdiction.

Section II: The jurisdiction must complete this section and return the form directly to the Office of the Professions at the address on the form.

Note: A Form 3 is not required for licenses/certificates issued by the New York State Education Department. Also, if the certification/verification documentation provided by a U.S. jurisdictions contains the same information requested in the Form 3, completion of a Form 3 for that jurisdiction is not necessary. For certification/verification documentation that does not contain the same information, a Form 3 will need to be completed for that jurisdiction.

Electronic Verification of Licensure, Certification and/or Examination

The Office of the Professions (OP) will accept electronic verifications of licensure, certification and examination completion from other licensing authorities located in the United States provided that:

  • OP can independently authenticate that the verification is received directly from the licensing authority.
  • The applicant had no opportunity to directly access or alter the verification before it is sent or transmitted.
  • Any licensing authority verification submissions should be made electronically to DPLSVerif@nysed.gov.*

*DO NOT use this email to submit a question, as we will be unable to provide a response. Submit a Contact Us Form for questions regarding specific applications or to check the status of a licensure application.