Approval of CDRE Activity:
Authorship Credit – Instructions
1. This form should be submitted by individuals seeking Continuing Dispute Resolution
Education (CDRE) credit for published materials they have authored pursuant to
Supreme Court Rules 916(d)(4) and 917(b).
2. CDRE credit granted will be allocated to the compliance period in which publication
occurs.
3. Submit one application for each unique publication.
4. Make sure the application is accurate. This form will serve as the affidavit of
participation. The Office of Judicial Administration will enter the approved hours
directly into your file based on this information unless modifications are required. Credit
will not be entered into your file unless your name and dispute resolution provider
number are printed clearly and your signature is included at the end of the application.
6. Notice of approval will be emailed to the individual.
7. Completed applications (and any attachments) should be submitted to the Director of
Dispute Resolution via mail or email to:
Office of Judicial Administration
301 SW 10
th
Avenue
Topeka, KS 66612-1507
adr@kscourts.org
Required Attachments:
A written request for CDRE credit for authorship of a published article, chapter,
monograph, or book personally authored, in whole or part, that contributes substantially
to the education of dispute resolution professionals.
INCOMPLETE APPLICATIONS WILL BE RETURNED WITHOUT REVIEW
1
Approval of CDRE Activity:
Authorship – Application
Part A: Individual Information (Required on all applications)
Name: DRP#:
Address:
City, State, Zip:
Phone:
Email (Required):
Part B: Publication Information (Required on all applications)
Publisher:
Address:
City, State, Zip:
Title of Publication:
Volume/Issue of Publication:
Subject Matter:
Type of Publication:
Publication Date:
Is book or article personally authored by applicant? Yes No
Audience this activity is directed and advertised to. List all groups invited:
1.
2.
3.
Hours Calculation
Total hours personally spent researching, writing,
and preparing for publication:
Divided by (50 minute hours) equals: CDRE Hours
Total hours devoted to:
Domestic Violence Topics:
Ethics:
2
Approval of CDRE Activity:
Authorship – Application
Part C: Verification
I certify that this information is true and complete. I have calculated my hours in Part B based on my actual
time researching, writing, and preparing for publication a topic qualifying for CDRE credit pursuant to
Supreme Court Rule 916(d)(4). Based on this information, the Office of Judicial Administration will enter the
approved hours directly into my record unless a modification is required.
Name (Print) Signature
Date