Form 12: Reinstatement Application

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Form 12 (SCR 213)
NEVADA BOARD OF CONTINUING LEGAL EDUCATION
457 COURT STREET, SECOND FLOOR
RENO, NEVADA 89501
TEL (775) 329-4443 FAX (775) 329-4291
E-MAIL nevadacleboard@sbcglobal.net
APPLICATION FOR REINSTATEMENT
Name of Attorney:_____________________________________________Bar#_____________________
Mailing Address: ______________________________________________________________________
City, State, Zip Code___________________________________________Telephone________________
INSTRUCTIONS TO APPLICANT: In order for the Board of Continuing Legal Education to reinstate
the applicant to active status, a minimum of 15 hours (six of which must be in ethics) of accredited
educational activity must be completed within a period of 12 months immediately preceding the date of this
Application for Reinstatement. A fee of $500 (check made payable to the Nevada Board of Continuing
Legal Education) as required under SCR 213, and the $40 annual fee, as required under SCR 208(11), are
to be paid for the year in which reinstatement is sought.
Credit hrs.
ATTENDANCE: Please list program sponsor, title, location and date of program.
obtained
Attach Certificates of Attendance to this application.
______________________________________________________________________
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OTHER: To be used for instruction and authorship. Describe activity in detail.
Credit hrs.
obtained
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I,________________________________, under penalty of perjury state that I am a member of the
PRINT NAME
State Bar of Nevada. I have read the foregoing application and believe it to be true to the best of my
personal knowledge.
__________________________________________
SIGNATURE
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APPROVED:__________ DISAPPROVED:____________ CONDITIONS:_____________________
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Revised 03/30/10
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