- RASRNEXT

Entitlement Request Form

Fields marked with an asterisk are required.

Firm Name

1. Legal name of firm *

Firm Representative

2. Representative Name

2a. Family Name (Last Name) *

2b. Given Name (First Name) *

3. Representative Business Title *

4. Representative Mailing Address

4a. Country *

4b. Street Address 1 *

4c. Street Address 2

4d. City *

4e. State/Province *

4f. Zip/Postal Code

5. Representative Telephone Number *
(Including country and area codes)

6. Representative Fax Number
(Including country and area codes)

7. Representative Email Address *

Login Information

Please create a username and password which will be used to access the PCAOB Registration website. The username must be between 6 and 20 characters in length. The password must be between 6 and 16 characters, must not include the username, and must contain characters from at least three of the following four categories:

Upper case letters
Lower case letters
Numbers
One of the following special characters: $ # >

New username *

New password *

Confirm new password *