- RASRNEXT

Entitlement Request Form

Fields marked with an asterisk are required.

Firm Name

1. Legal name of firm *

Firm Practice

2. Please indicate whether your firm is a "public accounting firm" as defined by PCAOB Rule 1001(p)(iii). *

Yes

Firm Representative

3. Representative Name

3a. Family Name (Last Name) *

3b. Given Name (First Name) *

4. Representative Business Title *

5. Representative Mailing Address

5a. Country *

5b. Street Address 1 *

5c. Street Address 2

5d. City *

5e. State/Province *

5f. Zip/Postal Code

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

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

8. 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 *