Request For Credit For Attendance At A Cle Activity Outside Ohio

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REQUEST FOR CREDIT FOR ATTENDANCE AT A CLE ACTIVITY OUTSIDE OHIO
(CCLE Form 1(a))
Date Received by Office of Attorney Services
Please mail completed form to:
The Supreme Court of Ohio
Commission on CLE
65 South Front Street, 5
Floor
th
Columbus, Ohio 43215-3431
INSTRUCTIONS
If the activity has not been pre-approved in Ohio, this form must be accompanied by a completed Application for
Accreditation (Form 6) when applying for post-program approval. If pre-approval of an activity is being sought,
this Form 1(a) is not valid until after you attend. You may not request credit for attendance before you have
actually attended.
ATTORNEY INFORMATION
Ohio Registration Number:
Name of Attorney:
Address:
Telephone Number:
Email Address:
ACTIVITY INFORMATION
Ohio Activity Code Number:
Sponsor of CLE Activity:
Title of CLE Activity:
Date and Location of CLE Activity:
Total Credit Hours Attended:
Please provide breakdown of total hours requested. Failure to provide breakdown will result in the form being
returned.
General Hours
Professional Conduct Credit Hours
I hereby affirm that I have attended the above presentation for the number of hours stated above.
Attorney Signature __________________________________
Date _____________
Print Form

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