Provider Name Provider Number Title of Activity Location of the Activity City, State/Country/RemoteDate & Time of the Activity Minimum Continuing Legal Education (MCLE) Credit Hours Awarded for the Above Activity:General MCLE Credit HoursLegal Ethics Credit HoursRecognition & Elimination of Bias Credit HoursImplicit Bias Credit HoursPrevention & Detection Competence Credit HoursWellness Competence Credit HoursTechnology in the Practice of Law Credit HoursCivility in the Legal Profession Credit HoursTotal Credit HoursBelow section is to be completed by the California Licensee and/or the Provider after participation in the activityName of CA Licensee CA Bar Number Signature of CA Licensee Δ
