Form 5 - Request For Cle Credit For Publication Of A Book Or Article

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CCLE Form 5
SUPREME COURT OF OHIO
Commission on Continuing Legal Education
65 South Front Street, Columbus, Ohio 43215-3431
(614) 387-9325
REQUEST FOR CLE CREDIT FOR PUBLICATION OF A BOOK OR ARTICLE
1. Name: ______________________________
Attorney Registration #: _________
2. Address: _____________________________________________________________
_______________________________ Telephone (____) _____________________
3. A Book? ________ An Article? ________
Publication Date: ____/____/_____
4. Topic: ______________________________________________________________
5. Title: ______________________________________________________________
6. Legal Periodical in which article was published: _____________________________
_______________________________________________________________________
7. Name and address of Publisher : __________________________________________
_______________________________________________________________________
8. A) Is book or article personally authored by applicant?
Yes _______ No _______
B) Is book or article co-authored with another person?
Yes _______ No _______
(If "yes" describe clearly the portions attributable to the applicant, citing pages,
sections or paragraphs. Use separate sheet to describe).
9. Does the book or article concern matters directly related to the practice of law, judicial
administration, professional conduct, ethical obligations, law office economics or
other subjects that will maintain and improve the quality of legal services in Ohio?
Yes ________
No _________
10. Is book or article intended primarily for reading or use by an Attorney or Judge?
Yes _______
No _________
11. Does any portion of the material relate to legal ethics (code of professional
responsibility)?
Yes ________
No ________
If yes, what percentage? ________%

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