Legal Professional Continuing Education Form

Legal Professional Continuing Education Form

This Legal Professional Continuing Education Form ("Form") is made and entered into by and between Registrant Name: , Bar/ID Number: (collectively "Registrant") and Provider Name: (hereafter "Provider"), effective as of Date: .

Recitals

WHEREAS, Registrant is a licensed legal professional required by applicable licensing authority to complete continuing legal education credits in order to maintain licensure; and

WHEREAS, Provider is an entity authorized or otherwise qualified to present continuing education activities and to report or certify completion of such activities to the applicable licensing authority; and

WHEREAS, the parties desire to document the details of a continuing education activity, the number of credit hours claimed, and the certifications required for acceptance of credit.

NOW THEREFORE, in consideration of the mutual covenants contained herein, the parties agree as follows:

1. Definitions

For purposes of this Form: "Activity" means the continuing education presentation, course, seminar, or other program described in Section 3; "Credit Hours" means the number of hours awarded for actual instruction time, excluding scheduled breaks; "Documentation" means attendance records, certificates of completion, sign-in sheets, or any materials required by the licensing authority.

2. Eligibility and Attendance

Registrant represents and warrants that Registrant is eligible to receive continuing education credit in the jurisdiction identified in this Form and that Registrant attended or participated in the Activity in the manner required by the applicable rules. Provider represents that the Activity was presented in accordance with Provider's published standards for continuing education and with any applicable rules of the licensing authority.

3. Activity Details

Live / In-Person Live Online Self-Study / On-Demand

4. Documentation and Recordkeeping

Provider shall retain proof of attendance and any supporting Documentation for a period of not less than three (3) years from the date of the Activity and shall, upon reasonable request, furnish copies to Registrant or the licensing authority. Registrant shall maintain a copy of this Form and any certificate of completion and shall promptly provide such records to the licensing authority if requested.

Certificate of Completion Sign-in Sheet Agenda or Syllabus

5. Certification and Attestation

Registrant certifies under penalty of law that the information contained in this Form is true, accurate and complete to the best of Registrant's knowledge. Registrant acknowledges that false statements or material omissions may subject Registrant to disciplinary action by the licensing authority and may constitute grounds for denial or rescission of credit.

Provider certifies that the Activity was presented in good faith, that the stated Credit Hours are awarded in accordance with Provider's policies and applicable rules, and that Provider has procedures to verify attendance and participation where required.

6. Audit and Correction

Either party or the licensing authority may audit the records supporting the claimed Credit Hours. If an audit results in a reduction of awarded credits, Registrant agrees to notify the licensing authority and return any credit previously reported in excess of the audited determination. Provider agrees to correct any erroneous reporting and to cooperate with the licensing authority in reconciling records.

7. Fees

Any fee charged by Provider for issuance of a certificate, duplicate documentation, or administrative processing shall be stated on Provider's invoice or fee schedule and paid by Registrant in accordance with Provider's terms. Provider shall not condition issuance of a certificate on receipt of payment where payment is disputed in good faith.

8. Notices

All notices required or permitted under this Form shall be in writing and delivered to the addresses provided below or to such other address as either party may designate in writing. Notices shall be deemed given upon receipt.

9. Miscellaneous Provisions

Governing Law. This Form shall be governed by and construed in accordance with the laws of the jurisdiction in which credit is claimed, without regard to conflict of laws principles.

Entire Agreement. This Form constitutes the entire agreement between the parties regarding the subject matter hereof and supersedes all prior oral or written agreements or understandings with respect to the Activity.

Severability. If any provision of this Form is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

Amendments and Waiver. Any amendment to this Form must be in writing and signed by both parties. No waiver of any provision shall be effective unless in writing and signed by the waiving party.

10. Additional Information

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