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Summary Reporting Form (Appendix G) - Rhode Island
| Summary Reporting Form (Appendix G) Form. This is a Rhode Island form and can be used in Mandatory Continuing Legal Education Supreme Court Statewide . |
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DUPLICATE AS NEEDED REPORTING YEAR ENDING JUNE 30, 200___ INITIAL FILING____SUPPLEMENTARY FILING____ APPENDIX G - Summary Reporting Form MAIL TO: Rhode Island Mandatory Continuing Legal Education Commission 250 Benefit Street Providence, RI 02903 (401) 222-4942 FULL NAME:_____________________________________________PHONE#_________________RI ATTORNEY ID#________ ADDRESS:______________________________________________________________________________________________________ FULL-TIME MILITARY ATTORNEY: ___yes ___no SWORN IN DURING THE PREVIOUS REPORTING YEAR___yes___no This form will not be accepted unless completed in full, legible, and certificates of attendance from approved sponsors are attached. The form should be submitted as soon as all ten credits are accrued (inclusive of two ethics credits). What portion of total assigned to: Sponsoring Agency Program Total Teaching Ethics In-House Author- (not course name) Date Credit Credit Credit Credit ship Cr. (max. 6) (min. 2) (max. 5) (max. 5) ____________________________________________________________________________________________________________ Carry forward from year ending 200__ Copy of MCLE transcript must be attached ________ ________ _________ ________ ________ _________________________________ ________ ________ ________ ________ _________ ________ _________________________________ ________ ________ ________ ________ _________ ________ _________________________________ ________ ________ ________ ________ _________ ________ _________________________________ ________ ________ ________ ________ _________ ________ _________________________________ ________ ________ ________ ________ _________ ________ _________________________________ ________ ________ ________ ________ _________ ________ I certify that the information hereon, to the best of my knowledge, is complete and accurate, and that I did in fact attend, for the number of credits indicated, the courses listed. SIGNATURE:_____________________________
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