Homepage Free Ny 4B Certification Of Employer Form
Jump Links

The NY 4B Certification of Employer form is a crucial document for aspiring certified public accountants (CPAs) in New York. This form serves to verify the professional experience of applicants, ensuring that they meet the state's licensure requirements. To complete the form, a licensed CPA who has supervised the applicant must provide detailed information about the applicant's work experience. This includes specifying the type of services performed, such as independent audits, tax preparation, or management advisory services. The experience must be relevant and obtained under the supervision of a CPA who is properly licensed in their jurisdiction. Furthermore, the form outlines the acceptable types of experience, which can be gained in various settings, including public accounting firms, government agencies, and educational institutions. Both full-time and part-time experiences are considered, but part-time work requires thorough documentation. Applicants must document a minimum of one year of full-time experience if they have completed 150 semester hours of education, or two years if they have completed 120 semester hours. The form also includes sections for the supervisor to affirm the applicant's character and competence, making it an essential part of the licensure process.

Similar forms

  • Verification of Employment Form: Similar to the NY 4B Certification of Employer form, this document is used to confirm an individual's employment history. It requires verification from a supervisor or employer about the applicant's job title, duration of employment, and responsibilities.

  • Professional Reference Form: This form collects feedback from a professional reference regarding an applicant's skills and qualifications. Like the NY 4B form, it requires a signature from the reference to validate the information provided.

  • Experience Verification Form: This document serves to certify an applicant's work experience in a specific field. It is similar to the NY 4B form in that it requires details about the applicant's role and the supervisor's confirmation of the experience.

  • Licensure Application Form: This form is used by individuals applying for professional licensure. It often includes sections for documenting work experience, much like the NY 4B form, and requires verification from a licensed supervisor.

  • Internship Verification Form: This document is used to confirm the completion of an internship. Similar to the NY 4B form, it requires a supervisor's endorsement to validate the experience gained during the internship.

Form Preview

The University of the State of New York

The State Education Department

Office of the Professions

Division of Professional Licensing Services

www.op.nysed.gov

Instructions for Completing Verification of Experience by Supervisor Form 4B

NOTE: Send these instructions with the Form 4B to each supervisor.

Who can complete this form? A certified public accountant licensed in one of the U.S. jurisdictions who is properly licensed and registered or authorized to practice in the jurisdiction of their principal place of business. If a CPA supervisor was not properly licensed or registered or authorized to practice in the state where they practiced, the experience cannot be accepted. The CPA must have acted in a supervisory capacity to the applicant in the same employing organization.

What is acceptable experience? An applicant must present evidence, satisfactory to the State Board for Public Accountancy, of full-time experience providing accounting services or advice involving the use of accounting, attest, compilation, management advisory, financial advisory, tax or consulting skills under the supervision of a certified public accountant as indicated above. Acceptable experience may be earned in a public accounting firm, government, not-for-profit, private industry or an educational institution. Internships may not be accepted toward the experience requirement if it is used to meet the degree requirements or listed for academic credit on the transcript.

Full and part time experience. Full-time employment is considered to be a 5-day work week with 35-40 hours per week, excluding overtime. Acceptable part-time (no fewer than 20 hours per week) experience will be considered on the basis of one week of experience for every two weeks worked. Part-time experience requires supporting documentation that indicates the number of hours worked for each week during the duration. Supporting documentation may include time cards, billing reports, excel spreadsheets, etc. An average of part time work will not be accepted.

How much experience must be certified on Form(s) 4B?

Initial license: 150 semester hour education requirements - must document at least 1 year of acceptable full-time experience (or the part-time equivalent as described above).

Initial license: 120 semester hour education requirements - must document at least 2 years of acceptable full-time experience (or the part-time equivalent as described above) unless the applicant submits acceptable transcripts and is approved as meeting the 150 semester hour education requirements. See 150 semester hour requirement above.

Endorsement of a CPA license issued in another state - must document 4 years of full time experience (or the part-time equivalent as described above) since the out-of-state license was issued and within the last 10 years. Applicants who hold a license issued by another state who cannot document 4 years of post-license acceptable experience are not eligible for licensure by endorsement and may be processed as an initial applicant for licensure. Do not list experience prior to the applicant's date of licensure listed in Section 1.

Foreign Endorsement - must document 4 years of full time experience (or part-time equivalent as described above) since the foreign license was issued and within the last 10 years. The experience must be certified by a U.S. CPA as described above. Do not list experience prior to the applicant's date of licensure listed in Section I.

Applicants for an initial license based on 15 years of experience in lieu of meeting the education requirements - must document at least 15 years of acceptable full time experience (or the part-time equivalent as described above).

Instructions for Completing Item 7, A-K

Indicate the applicant's service(s) performed during the attested experience.

A.Independent Audit: Includes experience where the applicant was involved:

1.in examining financial statements of clients where the application of generally accepted auditing standards has been employed for the purpose of expressing an opinion that the financial statements are presented in accordance with generally accepted accounting principles; or

2.in examining financial statements of clients when certain auditing procedures have been applied but a disclaimer is expressed, including Statements on Auditing Standards (SASs), Statements on Standards for Attestation Engagements (SSAEs), and Statements on Quality Control Standards (SQCSs).

The preparation of a client’s related income tax returns and management letters by the applicant who participated in the examination of the financial statements may also be included in this category. Involvement in the examination of the financial statement is mandatory for including these tax preparation and management letter activities in the audit category.

B.Compilations and Reviews: The independent preparation of financial statements from the books of account without audit, including compilations as defined by Statements on Standards for Accounting and Review Services (SSARS), and performing related services in which the applicant has demonstrated a knowledge of generally accepted accounting principles.

Certified Public Accountant Form 4BInst, Page 1 of 2, Rev. 9/20

C.Internal, Management, or Government Audit: Includes all audit activities that are not conducted independently or to determine that financial statements are presented in accordance with generally accepted accounting principles, such as:

1.objective analysis of internal controls and evaluation of risk related to an organization's governance, operations and information systems;

2.structured review of the efficiency/effectiveness of an organization's systems and procedures;

3.review of corporate or individual tax returns on behalf of a governmental entity;

4.any audit activities conducted by an employee of a governmental entity.

D.Forensic Accounting: The application of accounting skills at a level to determine issues such as: fraud; criminal investigations; estimates of losses, damages and assets related to potential legal cases.

E.Bookkeeping Services and Internal Financial Statement Preparation: Preparing books of original entry, preparing payrolls, checks, and posting to subsidiary ledgers. Posting to the client's general ledger in connection with preparing financial statements should be classified as bookkeeping services. Providing general accounting services to an employer or client is considered bookkeeping.

F.Tax Preparation or Tax Advice:

1.Preparing corporation, fiduciary, partnership and individual tax returns from information compiled by others, or from unaudited data furnished by clients.

2.Preparing payroll tax reports, sales and similar tax returns.

3.Researching tax law; tax planning for clients; preparing protests, Tax Court petitions, and briefs; and representing clients before taxing authorities.

4.Examining tax returns.

5.Providing information and advice on tax issues to clients or an employer.

6.Estate planning for clients.

G.Management Advisory Services:

1.Designing and installing accounting, cost or other systems for a client or employer, when not related to an extension of auditing assignments.

2.Any other management advisory services provided for a client or employer.

H.Financial Advisory Services: Includes a range of financial analysis and advice for either a client or employer including:

1.Financial management activities;

2.Pension management;

3.Securities analysis;

4.Personal Financial Planning.

I.Consulting (Includes a range of consulting services surrounding technological and industry experience.):

1.Business valuation.

2.Mergers and acquisitions.

3.Client training on accounting systems.

J.Teaching College Accounting: Preparation and delivery of accounting courses for academic credit at a regionally accredited 4 year degree granting college or university. Teaching by a full-time faculty member is considered to be full-time during the semester of course delivery. Adjunct faculty must deliver 9 or more credits of course work per semester to be considered "full-time." Teaching assignments must be certified by an accounting department chair or Dean who is licensed as a CPA.

K.Other Professional Services: Any other professional services for a client or employer that do not fit in the categories above. Do not list paid time off (PTO), Continuing Professional Education (CPE), Training or other non-billable time.

Instructions for Self-Verification of Experience

Only for Applicants Who Hold a CPA License Issued by Another State (Endorsement Applicants ONLY)

An applicant for licensure in New York, who is licensed in another state, may certify his/her own experience on Form 4B if:

1.he/she is working in private industry, government, or a not for profit and he/she does not have a US licensed CPA supervisor; or

2.he/she is working as a sole proprietor of a CPA firm in a state other than New York.

To self-verify experience on Form 4B the applicant must do all of the following:

Provide his/her personal information in Section I: Applicant Information;

Provide his/her professional credentialing information in Section II, Item 1;

Detail his/her experience in Section 2, Items 2 - 10; and

Sign the affidavit at the end of the form.

Certified Public Accountant Form 4BInst, Page 2 of 2, Rev. 9/20

The University of the State of New York

 

The State Education Department

Certified Public Accountant Form 4B

Office of the Professions

Verification of Experience by Supervisor

Division of Professional Licensing Services

www.op.nysed.gov

 

 

 

Applicant Instructions: Complete Section I before sending the form along with a copy of Instructions for Completing Verification of Experience by Supervisor (Form 4BInst) to your supervisor. Use a separate Form 4B for each supervisor you listed on Form 1. Ask your supervisor to complete Section II. The supervisor must submit the form directly to the address at the end of this form. This form will not be accepted if submitted by the applicant.

Section I: Application Information

1.

Last 4 Digits of Social Security Number

 

 

 

 

2.

Birth Date

Month

 

Day

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Leave this blank if you do not have a U.S. Social Security Number)

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Print Name as it Appears on Your Application for Licensure (Form 1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Telephone/Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Daytime Phone

 

 

 

Email Address (please print clearly)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Area Code

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

Name as it appears on degree or other credentials (if different from above)

 

 

 

 

 

 

 

 

 

 

6.

Endorsement Applicants Only: Date of Licensure

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Month

 

Day

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section II: Verification of Experience

Instructions to Supervisor: Read the accompanying instructions before completing this section. The information you provide in this section will be used by the New York State Board for Public Accountancy to determine whether the applicant has satisfied the experience requirement of Section 70.3 of the Commissioner's Regulations. Sign and date the affirmation and submit the entire form along with any required documentation to the Office of the Professions at the address at the end of the form. Do not return this form to the applicant. This form will not be accepted if submitted by the applicant.

1.

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Number

State in which licensed

Date Licensed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

Firm or organization were you supervised the applicant.

 

 

 

 

Firm or Organization Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

List your title or position while supervising the applicant

 

 

 

 

 

 

 

 

 

 

4.

 

Indicate your principal place of business (the state) during the time period attested

 

 

 

 

 

 

 

 

5.

 

If the state of your principal place of business and the state of licensure are different, were you lawfully practicing* in the state of your

 

 

principal place of business during the time attested?

 

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*For questions on lawful practice in the state of your principal place of business with an out of state license, please refer to the state board

 

of accountancy in that state.

 

 

 

 

 

 

 

 

6. Employer Category (check one):

 

 

 

 

 

 

Public Accounting Firm

 

Government

 

Private Industry

 

 

 

 

 

 

Not-for-Profit

 

Law Firm

 

Education

 

 

 

 

 

 

Other (please describe)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certified Public Accountant Form 4B, Page 1 of 2, Rev. 9/20

Items 7 - 11: Applicant's work experience record to which I am attesting and acted in a supervisory capacity:

7.Type of services performed by the applicant:

A.* Independent Audit

B.* Compilations and Reviews

C. Internal, Management, or Government Audit

D. Forensic Accounting

E. Bookkeeping and Internal Financial Statement Preparation

F. Tax Preparation or Tax Advice

G. Management Advisory Services

H. Financial Advisory Services

I. Consulting

J. Teaching College Accounting

K Other Professional Services (describe in detail or attach additional sheets)

*A and B - restricted to registered public accounting firms only.

8.Applicant's Job Classification:

Job Title

Date Supervised (MM/DD/YYYY)

From

To

 

 

Full Time/Part Time*

Full Time Part Time*

Full Time Part Time*

Full Time Part Time*

*Part time experience will not be accepted without supporting documentation. See instructions for acceptable supporting documentation.

9.Were you employed in the same employing organization as the applicant?

If No, Stop. You are not authorized to submit the experience for this applicant.

10.Did you act in a supervisory capacity to the applicant in the employing organization for the dates you are attesting to? If No, Stop. You are not authorized to submit the experience for this applicant.

11.Does the applicant, in your opinion, possess good moral character and have other attributes required of a CPA? If No, please attach an explanation.

Yes

Yes

Yes

No

No

No

Affirmation

Ideclare and affirm under penalty of perjury that the statements made in the foregoing application, including any attached statements, are true, complete and correct and that the experience and competency I am attesting to meets the definition and practice as a certified public accountant.

Supervisor Signature

 

 

 

 

Date

Print Name

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone

 

 

 

 

 

 

 

 

 

 

Check here if you are attaching additional information

Fax

 

 

 

 

 

 

 

 

 

 

 

 

Email

 

 

 

 

 

 

 

 

 

 

 

 

 

Return Directly to by mail: New York State Education Department, Office of the Professions, Division of Professional Licensing Services, CPA Unit, 89 Washington Avenue, Albany, NY 12234-1000, OR, Submit this form to the Department by E-mail at

DPLSExperience@nysed.gov.

Certified Public Accountant Form 4B, Page 2 of 2, Rev. 9/20

Common mistakes

Filling out the NY 4B Certification of Employer form can be a straightforward process, but mistakes often occur that can complicate an applicant's journey toward licensure. One common error is failing to ensure that the supervising CPA is properly licensed. If the CPA who supervises the applicant does not hold a valid license in the state where they practiced, the experience will not be accepted. This oversight can lead to significant delays, as the applicant may need to seek out a new supervisor who meets the necessary qualifications.

Another frequent mistake is not providing adequate documentation for part-time experience. Applicants must remember that part-time work requires supporting documentation that details the number of hours worked each week. Simply stating that the experience was part-time without proper records will not suffice. The State Board requires evidence such as time cards or billing reports. Without these documents, the part-time experience may be dismissed, which could set back the application process.

Many applicants also overlook the importance of accurately completing Section II of the form. This section must be filled out by the supervisor, and any inaccuracies or omissions can result in the form being rejected. For instance, if the supervisor fails to indicate whether they acted in a supervisory capacity or does not provide their license number, the entire application may be deemed incomplete. Ensuring that this section is filled out thoroughly and correctly is crucial for a successful submission.

Additionally, applicants sometimes mistakenly include experience that does not qualify. For example, any experience gained prior to the applicant's date of licensure cannot be counted. This error can be easily avoided by carefully reviewing the dates of experience and ensuring that they align with the licensure timeline. It’s essential to adhere strictly to the guidelines regarding acceptable experience to avoid complications.

Finally, another common pitfall is neglecting to send the completed form directly to the State Education Department. Applicants may mistakenly think they can submit the form themselves, but this is not permitted. The supervisor must send the completed form directly to the designated address. Failing to follow this instruction can result in the application being rejected, leading to further delays in the licensure process. By paying attention to these details, applicants can enhance their chances of a smooth and successful application experience.

More About Ny 4B Certification Of Employer

  1. Who is eligible to complete the NY 4B Certification of Employer form?

    The form can be completed by a certified public accountant (CPA) who is licensed in one of the U.S. jurisdictions. The CPA must be properly licensed, registered, or authorized to practice in the jurisdiction where they conduct their business. Additionally, the CPA must have acted in a supervisory capacity to the applicant within the same employing organization.

  2. What type of experience is considered acceptable?

    Acceptable experience includes full-time work providing accounting services or advice under the supervision of a licensed CPA. This can occur in various settings, such as public accounting firms, government agencies, not-for-profit organizations, private industry, or educational institutions. Internships are not acceptable if they are used to meet degree requirements or are listed for academic credit.

  3. How much experience must be certified on the form?

    • For an initial license with 150 semester hours: at least 1 year of full-time experience.
    • For an initial license with 120 semester hours: at least 2 years of full-time experience, unless transcripts show 150 semester hours.
    • For endorsement of a CPA license from another state: 4 years of full-time experience within the last 10 years.
    • For foreign endorsement: 4 years of full-time experience certified by a U.S. CPA.
    • For applicants using 15 years of experience in lieu of education: at least 15 years of full-time experience.
  4. What documentation is required for part-time experience?

    Part-time experience must be documented with supporting materials indicating the number of hours worked each week. Acceptable documentation may include time cards, billing reports, or spreadsheets. Note that an average of part-time work will not be accepted.

  5. Can an applicant self-verify their experience?

    Yes, an applicant licensed in another state may self-verify their experience on Form 4B if they are working in private industry, government, or a not-for-profit without a U.S. licensed CPA supervisor. They can also self-verify if they are a sole proprietor of a CPA firm in a different state.

  6. What types of services should be listed in Item 7 of the form?

    Item 7 requires a description of the services performed by the applicant. This can include independent audits, compilations and reviews, internal audits, forensic accounting, bookkeeping, tax preparation, management advisory services, financial advisory services, consulting, teaching college accounting, and other professional services. It is essential to avoid listing non-billable time such as paid time off or training.

  7. What happens if the supervisor does not meet the licensing requirements?

    If the CPA supervisor is not properly licensed or registered in the state where they practiced, the experience cannot be accepted. The supervisor must confirm their licensing status and their supervisory role over the applicant in the same organization for the experience to be valid.

Misconceptions

Misconception 1: Only full-time experience counts.

This is incorrect. Part-time experience can also be accepted. However, it must meet specific criteria, such as working at least 20 hours per week and providing supporting documentation. The experience is calculated on a basis of one week for every two weeks worked.

Misconception 2: Any supervisor can complete the form.

Not true. Only a certified public accountant who is properly licensed in their jurisdiction can complete the Form 4B. If the supervisor is not licensed or registered, the experience cannot be accepted.

Misconception 3: Internships count toward the experience requirement.

This is misleading. Internships are not accepted if they are used to meet degree requirements or listed for academic credit on a transcript. Only full-time or part-time work experience under the supervision of a licensed CPA is considered.

Misconception 4: Experience from any time period is acceptable.

This is false. Experience must be documented within specific time frames. For example, applicants for endorsement must document four years of experience within the last ten years. Prior experience cannot be counted.

Misconception 5: The applicant can submit the form themselves.

This is incorrect. The Form 4B must be submitted directly by the supervisor to ensure its validity. If the applicant submits it, it will not be accepted.

Misconception 6: Self-verification is allowed for all applicants.

This is not accurate. Self-verification on Form 4B is only permitted for applicants who hold a CPA license issued by another state and meet specific conditions, such as working in private industry without a U.S. licensed CPA supervisor.

Key takeaways

Filling out the NY 4B Certification of Employer form is a crucial step for CPA applicants. Here are key takeaways to ensure the process is smooth and effective:

  • Qualified Supervisors: Only a licensed CPA can complete this form. Ensure your supervisor is properly licensed in their jurisdiction.
  • Experience Requirements: Applicants need to document specific years of full-time or part-time experience based on their educational qualifications.
  • Acceptable Experience: Experience must involve accounting services under the supervision of a CPA. This can include various roles, from auditing to tax preparation.
  • Part-Time Experience: If claiming part-time work, provide documentation that details hours worked. An average will not be accepted.
  • Self-Verification: Applicants licensed in another state may self-certify their experience if they lack a U.S. CPA supervisor.
  • Submission Protocol: Supervisors must submit the completed form directly to the State Education Department. Applicants should not submit it themselves.
  • Detailing Experience: Clearly indicate the type of services performed in the designated section. This helps in assessing whether the experience meets the requirements.

Ny 4B Certification Of Employer: Usage Guide

Completing the NY 4B Certification of Employer form is an essential step for applicants seeking licensure as a Certified Public Accountant (CPA) in New York. The form must be filled out accurately to ensure that all required experience is documented properly. Once completed, the form should be submitted directly by the supervisor to the appropriate office, as it cannot be returned by the applicant.

  1. Begin by filling out Section I: Applicant Information. Provide the last four digits of your Social Security Number, your birth date, and your name as it appears on your application for licensure.
  2. Include your daytime phone number and email address. If your name differs from what is on your degree or credentials, include that as well.
  3. If applicable, indicate your date of licensure in Section I.
  4. Send the completed Section I along with the instructions to your supervisor.
  5. Instruct your supervisor to read the accompanying instructions before completing Section II: Verification of Experience.
  6. Your supervisor should provide their name, license number, and the state in which they are licensed, along with the date they were licensed.
  7. They must also indicate the firm or organization where they supervised you, including the name, city, and state.
  8. Your supervisor should list their title or position while supervising you and indicate their principal place of business during the attested time period.
  9. If the state of their principal place of business differs from their state of licensure, they must confirm whether they were lawfully practicing in that state during the attested time.
  10. Your supervisor will check the appropriate employer category (Public Accounting Firm, Government, Private Industry, Not-for-Profit, Law Firm, Education, or Other).
  11. For items 7-11, your supervisor will indicate the type of services you performed and your job classification during the supervision period.
  12. They must confirm whether they were employed in the same organization as you and if they acted in a supervisory capacity during the attested dates.
  13. Your supervisor will also need to assess whether you possess good moral character and other necessary attributes of a CPA.
  14. Finally, your supervisor must sign and date the affirmation, ensuring all statements made are true and complete.
  15. Your supervisor should submit the completed form directly to the New York State Education Department, as specified in the instructions.