CERTIFICATE OF ATTENDANCE FOR LOUISIANA MCLE

Top portion of form to be completed by Provider
_____________________________________________________________________________________
It is preferred that the form is pre-printed with the attendees name and bar number

Provider Name: _SimplyCLE_
Course Number: _x_
Title of Activity: _The Nuts and Bolts of Chapter 13 & Its Ethical Considerations_
Date of Activity: __
Location of Activity (City/State): _N/A_

This Activity qualifies for: Participatory ____; Self-Study __x__;

Total Louisiana MCLE Credit Hours for the above activity: _____, including the following sub-field credits:

  • Legal Ethics: _____;
  • Professionalism: _____;

_____________________________________________________________________________________
Bottom portion of form to be completed by the Attorney after participation in the above-referenced activity

By signing below, I certify that I participated in all, or some*, of the activity described above and am therefore entitled to claim the following Louisiana MCLE credit hours:

Total Louisiana MCLE Credit Hours for the above activity: _____, including the following sub-field credits:

  • Legal Ethics: _____;
  • Professionalism: _____;

(You may not claim credit for the subfields above unless the provider is granting credit in those areas above.)

Print Your Name (clearly): _ _;
Your Louisiana State Bar Number: _____________;
Signature: __________________________________________;