Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Summary Reporting Form (Appendix G) Form. This is a Rhode Island form and can be use in Supreme Court Statewide.
Loading PDF...
Tags: Summary Reporting Form (Appendix G), Rhode Island Statewide, Supreme Court
REPORTING YEAR ENDING JUNE 30, 200___
DUPLICATE AS NEEDED
INITIAL FILING____SUPPLEMENTARY FILING____
APPENDIX G - Summary Reporting Form
MAIL TO:
Rhode Island Mandatory Continuing Legal Education Commission
John E. Fogarty Judicial Annex
24 Weybosset Street, 3rd floor
Providence, RI 02903
(401) 222-4942
FULL NAME:_____________________________________________PHONE#_________________RI ATTORNEY ID#_____________
ADDRESS:______________________________________________________________________________________________________
FULL-TIME MILITARY ATTORNEY: ___yes ___no SWORN IN DURING THE PREVIOUS REPORTING YEAR___yes___no
This form will not be accepted unless completed in full, legible, and certificates of attendance from approved sponsors are attached. The form
should be submitted as soon as all ten credits are accrued (inclusive of two ethics credits). *NOTE: On-line max includes on-line, telephonic,
video and sound tape courses.
What portion of total assigned to:
Sponsoring Agency
Program
Total
Teaching
Ethics
In-House
AuthorOn-line*
Date
Credit
Credit
Credit
Credit
ship Cr.
Credit
(not course name)
(max. 6)
(min. 2)
(max. 5)
(max. 5)
(max. 3)
Carry forward from year ending 200__
Copy of MCLE transcript must be attached
________
________
________
________
________
_______
_________________________________
________
________
________
________
________
________
_______
_________________________________
________
________
________
________
________
________
_______
_________________________________
________
________
________
________
________
________
_______
_________________________________
________
________
________
________
________
________
_______
_________________________________
________
________
________
________
________
________
_______
_________________________________
________
________
________
________
________
________
_______
I certify that the information hereon, to the best of my knowledge, is complete and accurate, and that I did in fact attend, for the number of credits
indicated, the courses listed.
SIGNATURE:_____________________________
American LegalNet, Inc.
www.USCourtForms.com