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Get Certificate Of Experience (form - Kentucky: Finance Cabinet Intranet ...

Ow must be confirmed by a CPA who, during the employment period being verified, held an active license to practice. Any false or misleading statements made by the CPA on this document shall constitute a violation of KRS 325.340(1)(h). Please review the verifying CPA's responsibilities under KRS 325.261 and 201 KAR 1:063 when signing this document. NAME: LAST FIRST MI MAIDEN EMPLOYER'S NAME: (FIRM, COMPANY, AGENCY, OR INSTITUTION OF HIGHER EDUCATION) EMPLOYER'S ADDRESS: STREET ADDRESS CITY.

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