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Application For CLE Credit - Wyoming

Application For CLE Credit Form. This is a Wyoming form and can be used in State Bar Statewide .
 Fillable pdf Last Modified 3/19/2007
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A P P L I C A T I O N F O R C L E C R E D I T This form must be completed and returned to Wyoming State Bar, P.O. Box 109, Cheyenne, WY 82003. Applications for CLE Credit should be submitted immediately after course attendance, th but no later than January 30 of the following year. Do NOT fax applications. I HEREBY APPLY FOR CLE CREDIT FOR THE FOLLOWING COURSE : Seminar Name: Seminar Location: Sponsor Name: Date(s) of Seminar: For non-accredited courses, please enclose a course brochure or outline showing course description, topics, faculty, and actual lecture times. The Wyoming Board of CLE grants CLE credit on a 60-minute hour. The following jurisdictions grant CLE credit on a 50-minute hour: CO, FL, KS, MO, NM, NY, OK, RI, WV, AND WI. If you apply for credits based on a 50-minute hour, you will receive .83 of that credit in Wyoming. The following credits are based on a: t 60-minute hour t 50-minute hour I APPLY FOR __________ total CLE credit hours for attendance, INCLUDING __________ ETHICS credit(s). (Ethics credits are included in the total CLE credit hours.) I INSTRUCTED __________ hours at this seminar. (Insert actual instruction time, however triple credits will be granted for instruction.) Signature: _____Check here if any of the information (firm name, addressAttorney Name: phone or e-mail address) provided(please type or print) to the left is to be accepted as an official change of address. Attorney Number: (required) Firm Name: OFFICE USE ONLY: Mailing Address: Hours Credited: __________ City/State/Zip: Date Credited: __________ Telephone Number: Staff Initials: __________E-Mail Address: If you have questions regarding this form, or other CLE issues, please contact Kim Mayo at (307) 632-9061 or kmayo@wyomingbar.org. Revised 8/2003
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