CLE FORM 1 SUPREME COURT OF WISCONSIN Board of Bar Examiners P.O. Box 2748 Madison, WI 53701-2748 Telephone: (608) 266-9760 Print Form 2007-2008 REPORT OF COMPLIANCE WITH CONTINUING LEGAL EDUCATION REQUIREMENTS (JANUARY 1, 2007 - DECEMBER 31, 2008) NOTE: If the address that appears below is incorrect, you must notify the State Bar of Wisconsin. Member number > 12/31/2008 File this form with the Wisconsin Board of Bar Examiners by the date noted above. Late penalties will be assessed of lawyers who do not comply on a timely basis. NOT ACCEPTED BY FAX DO NOT SCAN THIS FORM Attorney name Please provide the correct information below. Birthdate WI bar admission Box A The records at the office of the Board of Bar Examiners show that for the previous (2005-2006) reporting period you: If you choose to use this online form -- you MUST attach it to the original CLE Form 1 sent to you from the Board of Bar Examiners The Wisconsin mandatory CLE requirement is administered by the Board of Bar Examiners, an agency of the Supreme Court of Wisconsin. The Board is an eleven-person volunteer body appointed by the Court to carry out SCR Chapter 31. SCR Chapter 31 and duly adopted Board rules govern the Wisconsin mandatory CLE program. The instructions below are intended to guide completion of the CLE Form 1, not as substitutes for the rules themselves. COMITY EXEMPTION EXEMPTION FROM ATTENDANCE REQUIREMENT I certify I am a resident of (jurisdiction). I further certify that I have fully complied with ALL the mandatory continuing legal education requirements of that jurisdiction as of (date of most recent reporting cycle). SCR 31.04 (3) I understand by electing this comity exemption NO carryover credits will be given. 1. List all courses attended or taught within this document with all the required information. 2. Complete the EPR statement on the reverse. 4. Lawyer must sign and date the form*. 5. Retain a copy of this form for your records. 6. File this form with the Board of Bar Examiners. SPECIAL NOTES: • Attendance must be completed by December 31, 2008 to avoid penalties. • Filing is effective on the date the CLE Form 1 is received at the Board of Bar Examiners office during regular business hours (7:45 a.m.- 4:30 p.m., Monday - Friday, except holidays). A complying CLE Form 1 must be filed by February 2, 2009. • A $50 late fee will be assessed for noncompliance or late filing. • Carryover of hours will be allowed for 2007-2008 approved courses that are reported on a timely-filed CLE Form 1. Exemptions, waivers and comity do not generate carryover. CLE 1 (08/08) SCR 31.04 (2) I understand by electing this exemption NO carry over credits will be given. WAIVER FROM ATTENDANCE REQUIREMENT INSTRUCTIONS FOR FILING I affirm that the information contained in this report is complete and accurate to the best of my knowledge. I have not engaged in any activity constituting the practice of law in Wisconsin during the 2007-2008 reporting period and will not engage in any such activity prior to the end of that reporting period. I have received an attendance waiver from the Board of Bar Examiners for the 2007-2008 reporting period. (Attach Board confirmation of waiver.) CREDIT SUMMARY Hours credited from previous reporting period (limited to amount shown above - Box A) Box 1 Approved hours attended (from subtotal on reverse - Box B) Box 2 Approved ON-DEMAND hours (from subtotal on reverse - Box C) Box 3 Approved teaching hours (from subtotal on reverse - Box D) Box 4 Approved published legal writing (maximum 15; Box 5 Board confirmation of approval must be attached) TOTAL HOURS (Total of Boxes 1 through 5) (minimum 30; must include 3 EPR hours) TOTAL (Boxes1-5) 2007-2008 HOURS ELIGIBLE FOR CARRYOVER (maximum 15) * Original Signature of Lawyer SCR 31.12 (2) * MUST SIGN BOTH CLE FORM 1 Date American LegalNet, Inc. www.FormsWorkflow.com • List courses that are approved. Courses must be approved by the filing deadline to be accepted for credit. You are responsible for making sure approval is obtained. • Identify courses completely and accurately to avoid auditing delay. • Do not include any course prior to actual attendance. • Round hours down for each course to the nearest half or whole hour. ATTENDANCE SPONSOR DATE MO/DAY/YR COURSE TITLE LOCATION (City, State) HOURS ATTENDED 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Box B ON-DEMAND SUBTOTAL OF APPROVED HOURS ATTENDED ON-DEMAND CREDIT: As of January 29, 2007, SCR 31.05(5)(a), (b) & (c) allow lawyers to claim no more than 10.0 CLE credit hours for approved repeated ondemand programs to help satisfy the requirement of SCR 31.02. No legal ethics and professional responsibility credit is allowed for a repeated on-demand program. DATE HOURS SPONSOR COURSE TITLE MO/DAY/YR LOCATION (City, State) ATTENDED 11. 12. Box C SUBTOTAL OF APPROVED ON-DEMAND HOURS ATTENDED EPR STATEMENT The Supreme Court of Wisconsin has mandated a 3-hour ethics and professional responsibilty (EPR) requirement as part of its regular 30-hour requirement Specify by line number those activities you have attended or taught in satisfaction of the EPR requirement: Note that the Board of Bar Examiners must have approved an activity for EPR purposes for it to qualify. TEACHING TEACHING CREDIT: SCR 31.05(3) governs teaching credit. Lawyers who teach approved courses are entitled to claim an additional hour for each hour taught. On lines 13-14, indicate the number of hours actually taught in the "Hours Taught" column and double that number in the adjacent column. Lawyers who also attended a portion of the course may claim attendance credit for those hours in the "Attendance" portion of the form (lines 1-10). To receive proper credit, list attendance and teaching separately. Teaching an entire law school course yields one hour for each hour taught. DATE HOURS MULTIPLY SPONSOR COURSE TITLE MO/DAY/YR LOCATION (City, State) TAUGHT BY 2 13. 14. Box D SUBTOTAL OF APPROVED TEACHING HOURS ** SCR CHAPTER 31 IS AVAILABLE ON THE SUPREME COURT OF WISCONSIN WEB SITE AT http://www.wicourts.gov** For assistance with this form, contact Tammy McMillen, CLE Records Manager for the Board. American LegalNet, Inc. www.FormsWorkflow.com