APPENDIX E RHODE ISLAND MANDATORY CONTINUING LEGAL EDUCATION COMMISSION JOHN E. FOGARTY JUDICIAL ANNEX 24 WEYBOSSET STREET, 3RD FLOOR PROVIDENCE, RHODE ISLAND 02903 (401) 222-4942 RI ATTORNEY ID ___________________________________ FULL NAME___________________________________ (Print or Type) APPLICATION FOR APPROVAL OF AUTHORSHIP CREDIT Applications for MCLE credit for published articles will be reviewed UPON PUBLICATION. MCLE credit granted will be allocated to the compliance period in which publication occurs. 1. Title of article, chapter, monograph or book __________________________________________________________________ _____________________________________________________________________ 2. Publisher_________________________________________________________________ 3. If applicable: 4. Date of publication _________________________________________________________ 5. Type of publication _________________________________________________________ 6. Subject matter _____________________________________________________________ 7. Number of hours spent directly in preparation ________________________ 8. Submit a copy of the publication. 9. Submitted by: Volume _______ Number _______ Signature _________________________________________ Date __________________ Street/PO Box ______________________________________________________________ City/State/Zip _____________________________________ Phone # ________________ Note: Articles, monographs, and books directed to non-attorney audience readers, while resulting in self-improvement, do not qualify for authorship credit. FOR COMMISSION OFFICE USE ONLY Approved _______________________________________ Denied ________________________ Reason __________________________________________ __________________________________________ D#MCLEREGS:AppendxE American LegalNet, Inc. www.USCourtForms.com