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CLE Form. This is a Official Federal Forms form and can be use in US Court Of Federal Claims.
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[Ed. Note: This form cannot be used in Minnesota.]
UNIFORM CERTIFICATE OF ATTENDANCE
This certificate should be filed with the appropriate MCLE Board(s) or Commission(s) within 30 days of activity.
(California and Oregon attorneys should keep this form for their records.)
Sponsor:
Activity Title:
Date:
Location:
Activity Number:
(for those states designating seminar numbers)
This program has
been approved for a total of
CLE credit hours based on 60-minute hour
CLE credit hours based on 50-minute hour
Of this total
CLE credit hour(s) of this program
is/are devoted to instruction in ethics
Reminder: Introductory remarks, keynote addresses, business meetings breaks, receptions, etc., are not
to be included in the computation of credit.
TO BE COMPLETED BY ATTORNEY
By signing below, I certify that I attended the activity described above and am entitled to claim
CLE credit hours, including __________ Ethics credits.
Attorney Name (print)
Signature
___________________________________________
Membership Registration or
Supreme Court Number
Date
Note: If you are required to report to more than one state, complete a form for each state.
State where credits are to be registered.
When Required Complete the Following:
Acknowledged by:
Sponsor Representative
(x)
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