IOWA SUPREME COURT COMMISSION ON CONTINUING LEGAL EDUCATION Judicial Branch Building, 1111 East Court Avenue Des Moines, Iowa 50319 Telephone (515) 725-8029 2008 Rule 41.9 Compliance Report Description and Limitation of Practice NAME: ADDRESS: This form must be filed prior to communication of a description or indication of limitation of practice permitted by Iowa Rule of Professional Conduct 32:7.4. Telephone Number (______)__________________________ A. Lawyers who wish to use the terms “practice limited to…” or “practice primarily in…” must complete this section. List Field of Practice #1____________________________________________________________ a. You must have devoted the greater of 400 hours or 40% of your time in actual law practice to this indicated field of practice during calendar year 2007.Please indicate by checking either 400 hours or 40% of time. (DO NOT CHECK BOTH) b. List accredited continuing legal education activities completed during calendar year 2007 in this indicated field of practice. A minimum of fifteen (15) hours is required. Activity ID Sponsor Course Title Date & Location Hours 1.__________________________________________________________________________________________ 2.___________________________________________________________________________ 3.__________________________________________________________________________________________ List Field of Practice #2____________________________________________________________ a. You must have devoted the greater of 400 hours or 40% of your time in actual law practice to this indicated field of practice during calendar year 2006.Please indicate by checking either 400 hours or 40% of time. (DO NOT CHECK BOTH) b. List accredited continuing legal education activities completed during calendar year 2007 in this indicated field of practice. A minimum of fifteen (15) hours is required. Activity ID Sponsor Course Title Date & Location Hours 1.______________________________________________________________________________________________________ 2.______________________________________________________________________________________________________ 3.______________________________________________________________________________________________________ B. Lawyers who wish to designate fields of practice must complete this section. List Field of Practice #1____________________________________________________________ a. You must have devoted the greater of 100 hours or 10% of your time in actual law practice to this indicated field of practice during calendar year 2007.Please indicate by checking either 100 hours or 10% of time. (DO NOT CHECK BOTH) b. List accredited continuing legal education activities completed during calendar year 2007 in this indicated field of practice. A minimum of ten (10) hours is required. Activity ID Sponsor Course Title Date & Location Hours 1.______________________________________________________________________________________________________ 2.______________________________________________________________________________________________________ 3.______________________________________________________________________________________________________ (Continue on reverse side if necessary) I hereby submit this report pursuant to Rule 41.9 and certify this report is true and correct. Signed and dated this ________ day of __________________________________ 2008. 12/12/07 ___________________________________________________________ Attorney’s Signature American LegalNet, Inc. www.FormsWorkflow.com List Field of Practice #2____________________________________________________________ a. You must have devoted the greater of 100 hours or 10% of your time in actual law practice to this indicated field of practice during calendar year 2007.Please indicate by checking either 100 hours or 10% of time. (DO NOT CHECK BOTH) b. List accredited continuing legal education activities completed during calendar year 2007 in this indicated field of practice. A minimum of ten (10) hours is required. Activity ID Sponsor Course Title Date & Location Hours 1.______________________________________________________________________________________________________ 2.______________________________________________________________________________________________________ 3.______________________________________________________________________________________________________ List Field of Practice #3____________________________________________________________ a. You must have devoted the greater of 100 hours or 10% of your time in actual law practice to this indicated field of practice during calendar year 2007.Please indicate by checking either 100 hours or 10% of time. (DO NOT CHECK BOTH) b. List accredited continuing legal education activities completed during calendar year 2007 in this indicated field of practice. A minimum of ten (10) hours is required. Activity ID Sponsor Course Title Date & Location Hours 1.______________________________________________________________________________________________________ 2.______________________________________________________________________________________________________ 3.______________________________________________________________________________________________________ List Field of Practice #4____________________________________________________________ a. You must have devoted the greater of 100 hours or 10% of your time in actual law practice to this indicated field of practice during calendar year 2007.Please indicate by checking either 100 hours or 10% of time. (DO NOT CHECK BOTH) b. List accredited continuing legal education activities completed during calendar year 2007 in this indicated field of practice. A minimum of ten (10) hours is required. Activity ID Sponsor Course Title Date & Location Hours 1.______________________________________________________________________________________________________ 2.______________________________________________________________________________________________________ 3.______________________________________________________________________________________________________ List Field of Practice #5____________________________________________________________ a. You must have devoted the greater of 100 hours or 10% of your time in actual law practice to this indicated field of practice during calendar year 2007.Please indicate by checking either 100 hours or 10% of time. (DO NOT CHECK BOTH) b. List accredited continuing legal education activities completed during calendar year 2007 in this indicated field of practice. A minimum of ten (10) hours is required. Activity ID Sponsor Course Title Date & Location Hours 1.______________________________________________________________________________________________________ 2.______________________________________________________________________________________________________ 3.______________________________________________________________________________________________________ (Attach additional sheets if necessary) American LegalNet, Inc. www.FormsWorkflow.com