Fillable Printable CLE Certificate of Attendance
Fillable Printable CLE Certificate of Attendance
CLE Certificate of Attendance
New Jersey Continuing Legal Education
Certificate of Attendance
Revised: 05/2014, CN 11388 page 1 of 1
This certificate is issued under Rule 1:42 and BCLE Reg. 301:8 of the Board on Continuing Legal Education.
Title of Program:
Date:
Location:
Format: (please check)
Traditional live classroom setting
CD
Webinar
Teleconference/Videoconference
DVD
Other:
Simulcast
Audio/Videotape
This program has been approved for:
CLE credits (50 minute hour)
including
Ethics/Professionalism credits
This course also qualifies for certification credits for: (please check)
civil trial law
criminal trial law
matrimonial law
workers’ compensation law
municipal court law
Attorneys: Retain this certificate for a period of at least three years from the date of your attendance. In the event
of an audit, you will be required to provide this certificate as proof of your compliance. By signing this certificate,
you certify that you attended the activity described above and are entitled to claim the amount of credits listed.
Name of Attorney:
Signature:
Attorney ID # (if applicable):
Providers: By issuing this certificate, you verify that the attorney named above completed this program.
Provider:
Acknowledged by:
(Provider Representative Signature)
For Faculty Participation Only: (check one)
Speaker
Moderator
Panel Member
Other
Calculate:
Number of minutes teaching ethics/professionalism (x2)
Number of minutes teaching non-ethics/professionalism (x2)
+
Number of minutes attending ethics/professionalism taught by others (x1)
+
Number of minutes attending non-ethics/professionalism taught by others (x1)
+
Total number of minutes
=
Divide total number of minutes by 50 to obtain total CLE credits and indicate below.
Divide total number of ethics/professionalism minutes by 50 and indicate below.
Faculty has been approved for:
CLE credit (50 minute hour)
including
Ethics/Professionalism credits
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