Attorney Affirmation New York CLE Credit for Nontraditional Format Course

Attorney Affirmation New York CLE Credit for Nontraditional Format Course
I (attorney name) First Name* Last Name*, acknowledge receipt of the course materials for: (course title) blank*.

I certify that I have listened to and/or viewed the above course in its entirety. Therefore I request that I be awarded the applicable number of the New York CLE credits for this course.
Format (check one)*
Course Code
During this course or program, you will see and/or hear a CLE code. Please enter the code in the below field. If you do not include the code, you will not be awarded New York CLE credit.

Course Code: *
Name of CLE Provider

Kostelanetz LLP
Date of Completion of CLE course (New York attorneys earn CLE credit as of the day they complete a CLE course)*

MonthDayYear
Date
Signature*

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E-mail*
example@example.com
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