OFFICIAL RECORD OF PARTICIPATORY MCLE ACTIVITIES

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Participating Attorney's Name:

Office Street Address:

City:                                                            State:             Zip:                         Fax: (          )                           

Bar Number:                                          State:

Daytime Phone: (       )                                                 Email Address:

NOTE:  The California State Bar's "actual time spent" rule requires that if you actually spend less time on the participatory activities than pre-printed below, that you cross out the pre-printed time and write in your actual lesser time spent, in which case you will receive credit for the lesser time, rather than the pre-printed time.

Date of

Activity

Location of Activity

MCLE Activity Subject/Title

MCLE

credits

Signature of

Participating Attorney

Signature of

Provider's Agent
. .

Federal Americans With Disabilities Act

2.95

 .  . 
. .

Attorney Fees & Fee Arbitration Programs

3.25 hours

  .  .
. .

Substance Abuse and Chemical Dependency in the Legal Prof'n

1.8 hours

  .  .
. .

Eliminating Bias in the Legal Profession

1.8 hours

  .  .
. .

Attorney Competence

1.8 hours

  .  .
. .

Federal Family Medical & Leave Act

3.75hours

 .   .
. .

Advising Your Clients on Identity Theft

2.95 hours

  .  .
. .

Important Internet Issues for Lawyers

3.25 hours

  .  .

Paper Power for the Law Office

3.25 hours
. .

Online Legal Research

3.25 hours

  .  .

CERTIFICATION OF PARTICIPATING ATTORNEY:  I, the undersigned, hereby declare on my oath as an attorney that the foregoing is a true and accurate record of my time spent on the indicated participatory CLE activities. In the event I have spent less time on any activity than is indicated above in the column labeled "MCLE Credits" I have lined out the pre-printed time and entered the lesser time actually spent on such activity. I authorize CCI'S Institute for Continuing Legal Education to contact me regarding my CLE by email, fax, mail and.or phone.

DATED: _________________    SIGNATURE: ___________________________

CERTIFICATION OF PROVIDER'S AGENT: I, the undersigned, acting as the agent for the MCLE provider, C.C.I.'s Institute for Continuing Legal Education, hereby declare that the foregoing is a true and accurate record of the above-named attorney's time spent on the indicated participatory MCLE activities.

PRINTED NAME OF PROVIDER'S AGENT(S):

DATED: _________________    SIGNATURE OF PROVIDER'S AGENT: ___________________________

Instructions: Participating attorney and provider's agent sign each participatory activity.  Upon completion of all CLE activities for which credit is sought, attorney and provider's agent sign and date certification at bottom of Official Record, then mail original to provider: C.C.I.'s Institute for Continuing Legal Education, 9424 Darwell Drive, L.V., NV 89117-0602.     Keep a copy for your records.

NOTE:  The California State Bar's "actual time spent" rule requires that if you actually spend less time on the participatory activities than pre-printed above, that you cross out the pre-printed time and write in your actual lesser time spent, in which case you will receive credit for the lesser time, rather than the pre-printed time. In no event will greater credit be given than the maximum allowable CLE credits pre-printed in the "MCLE credits" column above.

To print out, click on the printer icon, or on File, Print from your top menu bar

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