NEW YORK CLE CERTIFICATE OF ATTENDANCE

NEW YORK CLE CERTIFICATE OF ATTENDANCE
MAY BE USED ONLY FOR PROGRAMS ACCREDITED BY THE NYS CLE BOARD. ALL INFORMATION MUST BE ENTERED BY THE CLE PROVIDER.

This certificate is issued under §1500.4(b12) of the NYS CLE Program Rules and under §10(B) of the NYS CLE Board Regulations and Guidelines. By issuing this certificate, the CLE provider verifies that the attorney named below completed this program. Attorneys must retain their certificates of attendance for at least four (4) years from the date of the program.

A. Attorney and Program Information

Award credit in accordance with §8(A4a) of the Regulations. Enter number of credits earned in each category:
Name of Attorney
[TYPE FULL NAME]
Title of Program
THE LIFE-CYCLE OF A PERM
For Newly Admitted and/or Experienced Attorneys:
Ethics
Skills
1.0
Law Practice Mgmt
Diversity, Inclusion and Elimination of Bias
Prof Practice
Areas of Professional Practice

For Experienced Attorneys Only:
Dates of Attendance For self-study programs, indicate date attorney completed program

MonthDayYear
Date
In accordance with §10(B2) of the Regulations, for multiple breakout sessions, provider should attach a sheet indicating the sessions attended by the attorney.
Location of Program (City, State)
Location of Program (City, State)
F. Credit for Faculty Participation

Award credit in accordance with §3(D) of the Regulations. Select participation type and enter number of credits earned in each category:

For Experienced Attorneys Only:
Check only the format completed by the attorney to whom this certificate is issued

6. Other (Describe)
Live Simultaneous Transmission
webconference, teleconference, webcast, videoconference, satellite broadcast, etc
Text Field F1
Areas of Professional Practice

Diversity, Inclusion and Elimination of Bias
- Newly admitted attorney format restrictions (except as provided in §2(A) and 2(F) of the Regulations):
- Formats 1 & 2 - acceptable for credit in any category
- Format 3 - unacceptable for Skills credit
- Formats 4 & 5 - unacceptable for Skills or Ethics and Professionalism credit
Provider Organization
Address
C. Attorney’s Method of Participation (Check only one)
C. Attorney’s Method of Participation (Check only one)
Telephone
Provider Agent Name
D. Level of Difficulty (Check only one)
Provider Agent Signature
The content of the course is appropriate for:

The CLE Provider: (Check only one)
(transitional/nontransitional), or
NYS CLE Board, or
accredited by the NYS CLE Board as
Course Number
This certificate may NOT be used to award CLE credit to New York attorneys under New York’s Approved Jurisdiction policy.
Email
example@example.com
Should be Empty:

Telephone

Course Number