Please complete all fields so that we can send you a Certificate of Attendance for California MCLE for this course.
Completed by the Provider
Provider Name
Provider Number
Title of Activity
Submission Date
Date Format: MM slash DD slash YYYY
Time of Activity

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Location of Activity (City/State)
This Activity qualifies for
- Participatory
- Self-Study
Total California MCLE Credit Hours
Sub-field credits - Legal Ethics
Sub-field credits: Recognition and Elimination of Bias
Sub-field credits: Competence Issues
Video Verification Codes
1st*
2nd*
3rd*
Attorney Details
Total California MCLE Credit Hours
Sub-field credits - Legal Ethics
Sub-field credits: Recognition and Elimination of Bias
Sub-field credits: Competence Issues
Name*
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.

Mindful, Ethical, Law Practices, Organizations, and Communities

Completed by the Provider