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Registration Of Attorney Specialty Form. This is a Nevada form and can be use in State Bar Statewide.
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Tags: Registration Of Attorney Specialty, Nevada Statewide, State Bar
REGISTRATION OF
ATTORNEY SPECIALTY
FORM: RPC 7.4(d)(3)
State Bar of Nevada
PO Box 50
Las Vegas, NV 89125-0050
Phone: (702) 382-2200 Toll Free (800) 254-2797
Fax: (702) 385-2878
DATE SUBMITTED: __________________
SUBMITTED BY:
_________________________________ ____________
Attorney name
Bar number
_________________________________
Firm name
_________________________________
Address
_________________________________
_________________________
______________________________
Phone number
E-mail
1. Specialty registered:
__________________________________
List as you will be advertising your specialty
□ Proof of certification attached i.e. copy of certificate indicating expiration date
•
Certification issued by:
__________________________________
Name of approved organization that certified you
•
This certification was first issued _________ and is valid through ___________.
Date
Date
2. Are you registering more than one specialty?
□
Yes
□ No
You must attach a completed copy of this form, with the exception of #3 (fee) for each
additional specialty (up to three total). There is only (1) fee if you register multiple specialties at
this time or at annual renewal. Additional specialties added at another time will be assessed a
one-time $50 processing fee.
3. Process my $250 registration fee by: □ Check (enclosed)
Please mail original application with payment to:
State Bar of Nevada
PO Box 50
Las Vegas, NV 89125-0050
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4. Attestation
By signing and submitting this form, the undersigned attests to compliance with
each of the following (INITIAL each item):
_____
I have verified that the organization which certifies my specialty as
designated in item #2 herein is currently ABA Certified, or, approved
by the State Bar of Nevada Board of Governors.
_____
I have devoted at least one-third of my practice to the specialty designated in item #1
herein for the past two (2) years.
_____ I have completed ten (10) hours of continuing legal education in the area of my
designated specialty in the past year as follows:
□ Proof of attendance attached OR
□ List courses below:
___________________________________________
___________________________________________
___________________________________________
______ Professional liability insurance verification- Complete one of the following as it
applies to you:
_____
I currently carry at least $500,000 in professional liability insurance.
□ Proof of my coverage is attached. (Required. RPC 7.4(d)(2)(iii). )
______
I am exempt from liability coverage under RPC 7.4 because I practice
exclusively public law.
______ I am concurrently filing a copy of this form and its attachments with the Mandatory Board
of Continuing Legal Education, 457 Court Street, Reno, NV 89501. (Required. RPC
7.4(d)(2)(iv).)
ORIGINAL SIGNATURE OF ATTORNEY REGISTERING SPECIALTY
I have personally read this form and attest to the accuracy of the information contained
therein. Please do not fax this application as an original signature is needed.
Dated this ____________ day of _______________________, ___________.
_____________________________________________________
Print Name
_____________________________________________________
Sign Name
Please submit an original application.
If you have questions please call Member Services, 702-382-2200.
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