Printable blank Form 5434-A

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What is a 5434-A Form?

The fillable form 5434-a is needed for the IRS to renew your registration as an IRS-recognized actuary. The applicant must provide information such as details of their continuing education and whether they have been accused of professional misconduct.

What I need Form 5434-A for?

  • The 5434 form is used for maintaining active enrollment to perform actuary services.

How to fill out Form 5434-A?

Download Form 5434-A and fill it out using the instructions:
1. Enter the last prefix you were eligible to use and your enrollment number
2. Provide your name, business name (if needed), address details, and phone number;
3. Fill out the information about your professional activity:

  • Specify the total credit hours of qualifying professional education completed;
  • Provide information about qualifying programs, serving as a speaker/instructor;
  • Published articles, books, etc.;
  • Joint Board examination and credits earned.

4. Enter the total credit hours of qualifying professional education completed;
5. Enter the number of ethics credit hours completed.

Organizations that work with Form 5434-A

  • Internal Revenue Service.

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