CLE CREDIT RECORD OF ATTENDANCE
We recommend that you complete this form for each MCLE Program you attend and keep all forms together in your
Special note to Maine, Rhode Island, Vermont & ** Pennsylvania Attorneys:
Special note to New Hampshire and New York Attorneys, to receive credits towards your mandatory requirements
Name of registrar, program attorney or MCLE staff: Jonathan C. Small, Esq., MCLE Director of Programming
** Please be advised that you are awarded CLE Credits on a case by case basis.
|MCLE, Inc. | 10 Winter Place | Boston MA 02108
(800) 966-6253 | firstname.lastname@example.org