Compliance Affidavit Form Or
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1Oregon State Bar, Regulatory Services, PO Box 231935, Tigard, OR 97281-1935
Compliance Affidavit
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BR 8.3 Reinstatement
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Not Effective Until Approved by Oregon State Bar
Active/Inactive (circle one
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Compliance Affidavit
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4 I hearby attest that during the period of my suspension from the practice of law in Oregon from
________________ to ________________ (insert dates), I
did
did not (check one) engage in
the practice of law in Oregon or in a jurisdiction where I was not authorized by law to do so.
If you did, explain on an attached sheet.
5 I also hereby attest that I complied as directed with the following terms of probation:
(circle applicable items)
f. passed Multi-State Professional
a. abstinence from consumption of alcohol and
Responsibility exam
mind mind-altering chemicals/drugs, except as
prescribed by a physician
g. attended law office management
counseling and/or programs
b. attendance at Alcoholics Anonymous meetings
h. other (please identify):
c. cooperation with Chemical Dependency Program
___________________________
d. cooperation with State Lawyers Assistance Committee
i. none required
e. psychiatric/psychological counseling
6 I also hereby attest that I have successfully completed Ethics School pursuant to BR 6.4, or am
enrolled in the Ethics School next offered by the bar.
State of ____________________________ )
) ss.
County of __________________________)
Applicant _____________________________________
Subscribed and sworn to before me this __________ day of _______________, 20 __________
Notary Public for ________________________________________
My Commission Expires: __________________________________
= attachment necessary
= attachment may be necessary
7/11
BR 8.3 Reinstatement
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