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
Professional Liability Insurance file for use in completing your yearly renewal and/or new application form.

Name:  
Program Title:  
Program Dates:  
Location:  
 
Substantive credits:
Ethics credits:
 

Special note to Maine, Rhode Island, Vermont & ** Pennsylvania Attorneys:
MCLE is an accredited sponsor with your states' CLE Commissions, which require proof of seminar attendance.

Special note to New Hampshire and New York Attorneys, to receive credits towards your mandatory requirements
please contact MCLE Customer Service by email at askmcle.org or at (800) 966-6253 extension 7.

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.
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