Please complete all fields so that we can send you a Certificate of Attendance for California MCLE for this course.Completed by the ProviderProvider NameProvider NumberTitle of ActivitySubmission Date Date Format: MM slash DD slash YYYY Time of Activity : HH MM AM PM Location of Activity (City/State)This Activity qualifies for Participatory Self-Study Total California MCLE Credit HoursSub-field credits - Legal EthicsSub-field credits: Recognition and Elimination of BiasSub-field credits: Competence IssuesVideo Verification Codes1st*2nd*3rd*Attorney DetailsTotal California MCLE Credit HoursSub-field credits - Legal EthicsSub-field credits: Recognition and Elimination of BiasSub-field credits: Competence IssuesName*California State Bar Number*Signature*Email*Please use a frequently-checked email address, because this is where we'll send your Certificate of Attendance PDF.