CPE Reporting Form

CPE Reporting Form

First Name:
Middle Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Forensic CPA Society Member Number:
Membership Renewal date:
I have completed a minimum of 20 hours of fraud related CPE in the 12 months immediately preceding my renewal date. (You do not have to provide documentation for the CPE courses you have taken in the last year. However, The Forensic CPA Society will audit 10% of these forms each year. If you are a member picked for an audit, you will then be required to mail us the proper documentation for each course listed.)
CPE provider name:
Course title:
Number of hours:
Date: