Attorney CLE Credit Affirmation
Affirm your participation in Continuing Legal Education (CLE) activities and claim your CLE credit.
Attorney Full Name
*
First Name
Last Name
Bar Number
*
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Course Title
*
Course Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Number of CLE Credit Hours Claimed
*
By checking this box, I affirm that I personally attended the above CLE course and claim the credit hours as indicated.
*
I affirm the above statement is true and accurate.
Signature
*
Submit Affirmation
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