CLA/CP CLE Credit Reporting Form
This form is only for use by CLAs or CPs
in order to provide evidence of the CLE hours required to maintain the
CLA or CP credential.
Do not mail, e-mail, or fax additional
documentation when completing this form on-line. If you print this
form to submit CLE hours to NALA Headquarters by mail, e-mail, or fax, please do
not send supporting documentation -- only send the CLE Reporting form
unless you are sending a special request under Categories D or E which must be
submitted in writing to NALA Headquarters with backup documentation.
The Certifying Board reserves the right
to adjust CLE submissions in accordance with the current CLE
requirements.
When counting hours for a seminar or workshop,
count only the actual hours of
legal instruction that qualify for credit. No credit will be given
for lunch, breaks, registration,
and social periods.
To ensure the accuracy of CLE entries, the NALA Certifying Board reserves the right to audit credit submissions
for CLAs or CPs by requesting all backup documentation. If you are
selected for an audit, all backup documentation must be provided to NALA
Headquarters within 60 days of notice of the audit.
A CLA/CP who fails to submit satisfactory
evidence of attendance or completion of a CLE event or course within
sixty (60) days of the date of the audit notice is subject to discipline
as set forth in the Rules for Disciplinary Proceedings published by
NALA. The NALA Certifying Board has the right to refuse to grant CLE
credit for unconfirmed credits.
DOCUMENT RETENTION: A CLA/CP shall
maintain satisfactory evidence of attendance or completion of a CLE
event or course for which credit has not been confirmed for a minimum of
one year from the date of acknowledgment ("Acknowledgment") of the
credit by NALA. Acknowledgment shall be evidenced by NALA posting the
credit as "unconfirmed" on the CLA/CP's CLE record (the "Recap"), which
Recap shall be sent to the CLA/CP.
Please click
here for the current
requirements to maintain the CLA/CP credential.
Please click
here for the NALA
Certifying Board's Rules for Disciplinary Proceedings.
Please be sure to include your name and
mailing address so we can ensure our database records are correct.
Click
here for a
printable version of the on-line form
|
NALA Account
Number, if known
|
|
|
Last Name (required)
First Name (required)
Middle Initial
|
|
Preferred
Mailing Address
(required) Preferred mailing address is a:
Home Address
Business Address
|
| Home Telephone |
(Please use this format for telephone numbers:
xxx-xxx-xxxx)
|
| Office Telephone |
Fax
|
E-mail
Note: We will rely on e-mail to communicate with you regarding
this form. If this is not acceptable, check here:
|
| |
| Event/Course Information
(required):
Type of
Course/Event:
Date of Event (Please enter as MM-DD-YY)
NOTE: If the course/event is a multi-day event, please
check here and enter the first day of the course/event in the
date field above:
Name of Event/Course (Limited to 55
characters)
Event/Course Location (City, State) (Limited to 55
characters)
|
CLE Provider/Sponsor Information:
CLE Provider/Sponsor (required - limited to 55 characters)
CLE Provider/Sponsor's Contact
Information (Required - please provide any two of the three
fields listed for CLE Provider/Sponsor information.)
Phone # (Please enter as XXX-XXX-XXXX)
CLE Provider/Sponsor's Web/E-mail Address
CLE Provider/Sponsor's Mailing Address
|
Credit Requested: (If the event includes substantive,
nonsubstantive, and/or ethics hours be sure to enter the hours in
the appropriate box(es).) (Quarter and half-hour decimals may
be used as long as the program consists of a minimum of one hour
in length, e.g., 6.25, 4.50.)
# Substantive Law Hours of Instruction (legal education hours
only)
|
| # Nonsubstantive Law Hours of Instruction
(law-related hours such as law office management, computer
courses, mediation training, etc., limited to 10 hours per
five-year period.)
|
| # Legal Ethics Hours of Instruction (must be
designated as Ethics hours in a legal or law-related event.
Five hours of Legal Ethics are required during each five-year
Certification period.)
|
|
Enter any special comments below:
I hereby attest that I have read the CLE requirements to
maintain the CLA/CP credential. I attended the above listed
event and the hours entered are true and accurate. I understand that
inaccurate or falsification of CLE hours entered could result in
no credit awarded and/or disciplinary actions
including suspension or revocation of my certification.
I also
understand the NALA Certifying Board reserves the right to
review and/or adjust entries as needed in accordance with the
CLE requirements.
Type
Name:
Note: By typing your name here and clicking "accept" below, you
are agreeing to the provisions of this attestation and
indicating your understanding of its provisions.
|
|
|
|
|
|
|