Rev. 01/09/18 Pg. 1 of 5
Please TYPE or PRINT legibly and firmly in BLACK ink. Neither the County Clerk nor his deputies are permitted by law to give
legal advice and/or assistance. This filing will become a public record and there are no refunds.
Space above for County Clerk use only
INSTRUCTIONS: Completely fill in all business and personal information requested in Part A. Check each
applicable box in Parts B-F and provide information as requested for each box that is checked. Attach legible copies of
all documents requested for each box that is checked (attach certified copies and originals as specified). The completed
application must be signed under penalty of perjury by a senior executive officer or a general partner.
Filing Fees:
Filing registration: $175.00
Filing bond $ 35.00
Each additional ID card $ 10.00
A. Business and Personal Information
Name o
f
Corporat
i
on or Partners
hi
p
Bus
i
ness Nam
e
Bus
i
ness Street A
dd
ress C
i
t
y
Stat
e
Z
i
p Co
de
Te
l
ep
h
one Num
b
e
r
Num
b
er o
f
l
ega
l
d
ocument ass
i
stants emp
l
oye
d
b
y t
h
e corporat
on or partners
p
One to four ($25,000 bond) Five to nine ($50,000 bond) Ten or more ($100,000 bond)
Additional Fees:
Record the bond – 1
st
p
age of bond $14.00
Each additional page of bond $ 3.00
Registration Number: ___________________________ Expiration Date: ________________________________
If a renewal, a new # must be assigned if there is a Two years from date of filing or bond expiration
lapse of three years or more in the period of registration.
CORPORATION OR PARTNERSHIP APPLICATION FOR REGISTRATION AS A
LEGAL DOCUMENT ASSISTANT COUNTY OF ______________________________
Completely fill in all business and personal information requested in Part A. Check each applicable box in Parts B-E and
provide information as requested for each box that is checked. Attach legible copies of all documents requested for each
box that is checked (attach certified copies and originals as specified). The completed application must be signed under
penalt
y
of per
j
ur
y
b
y
a senior executive officer or
g
eneral partner.
San Bernardino County
Recorder - Clerk
222 West Hospitality Lane
San Bernardino, CA 92415-0022
855 REC-CLRK
www.sbcounty.gov/arc
Rev. 01/09/18 Pg. 2 of 5
List the name, address, telephone number and age of each corporate officer or general partner:
(
1
)
Nam
e
Date o
f
B
i
rt
h
Te
l
ep
h
one Num
b
e
r
(
1
)
A
dd
ress C
i
t
y
State Z
i
p Co
d
e
(
2
)
Nam
e
Date o
f
B
i
rt
h
Te
l
ep
h
one Num
b
e
r
(
2
)
A
dd
ress C
i
t
y
State Z
i
p Co
d
e
(
3
)
Nam
e
Date o
f
B
i
rt
h
Te
l
ep
h
one Num
b
e
r
(
3
)
A
dd
ress C
i
t
y
State Z
i
p Co
d
e
(
4
)
Nam
e
Date o
f
B
i
rt
h
Te
l
ep
h
one Num
b
e
r
(
4
)
A
dd
ress C
i
t
y
State Z
i
p Co
d
e
(
5
)
Nam
e
Date o
f
B
i
rt
h
Te
l
ep
h
one Num
b
e
r
(
5
)
A
dd
ress C
i
t
y
State Z
i
p Co
d
e
(
6
)
Nam
e
Date o
f
B
i
rt
h
Te
l
ep
h
one Num
b
e
r
(
6
)
A
dd
ress C
i
t
y
State Z
i
p Co
d
e
B. Education and Experience
(Note: This information must be provided for at least one corporate officer
or general partner)
Name of corporate officer or general partner for whom education and experience information is provided:
1. Paralegal program/ABA School
The above-named officer or partner has earned a certificate of completion from a paralegal program
that is accredited by the American Bar Association (attach copy of certificate of completion).
2. Paralegal Program/Non-ABA School
The above–named officer or partner has earned a certificate of completion from a paralegal program that
is institutionally accredited but that is not approved by the American Bar Association (attach copy of
certificate of completion) AND the above–named officer or partner has successfully completed a
minimum of 24 semester units (or the equivalent) in legal specialization courses (attach copy of
transcript). Number of semester units (or the equivalent) ______________.
3. College or University
The above–named officer or partner has a bachelor’s degree in
AND
(List field and attach copy of diploma)
the above–named officer or partner has completed at least one year of law-related experience
working under the supervision of a licensed attorney (must present original statement on the
attorney’s letterhead signed by the attorney describing the scope and dates of your experience).
OR
The above–named officer or partner completed at least one year of experience providing self-help
service as defined by Business and Professions Code §6400(d) before January 1, 1999 (attach
original statement signed by the officer or partner describing the scope and dates of this
experience).
Rev. 01/09/18 Pg. 3 of 5
4. High School or General Equivalency Diploma
The above–named officer or partner has a high school diploma (attach copy of diploma).
OR
The above–named officer or partner has a general equivalency diploma (attach copy of diploma)
AND
The above–named officer or partner has completed at least two years of law-related experience
working under the supervision of a licensed attorney (must present original statement on the
attorney’s letterhead signed by the attorney describing the scope and dates of this experience).
OR
The above-named officer completed at least two years of experience providing self-help service as
Defined by Business and Professions Code §6400(d) before January 1, 1999 (attach original
statement signed by the officer or partner describing the scope and dates of this experience).
C. Disbarment/Suspension (Note: This information must be provided for each corporate officer or general
partner).
Is any officer or general partner presently disbarred or suspended from the pra
ctice of law pursuant to
Business and Professions Code §6100-6117?
Yes. Date of disbarment or suspension: No
Name of corporate officer(s) or general partner(s)
D. Civil Judgment (Note: This information must be provided for each corporate officer or general partner)
1. Has any officer or general partner been held liable in a final judgment or entry of a stipulated judgment
entered in a civil action that alleged fraud, use of an untrue or misleading representation, or use of an unfair,
unlawful or deceptive business practice?
Yes (attach certified copy of each judgment). No
Name of corporate officer(s) or general partner(s) for whom judgment information is provided:
2. Has any officer or general partner had a civil judgment entered against him or her in an action arising out of
negligent, reckless or willful failure to properly perform the obligation of a legal document assistant or an
unlawful detainer assistant?
Yes (attach certified copy of each judgment). No
Name of corporate officer(s) or general partner(s) for whom judgment information is provided:
E. Criminal Conviction (Note: This information must be provided for each corporate officer or general
partner. Conviction means a plea or verdict of guilty or a conviction following a plea of nolo contendere. Any
conviction dismissed under Penal Code §1203.4 must be included).
1. Has any officer or general partner been convicted of a felony?
Yes (attach certified copies of each conviction and disposition) No
Name of corporate officer(s) or general partner(s) for whom conviction information is provided:
Rev. 01/09/18 Pg. 4 of 5
2. Has any officer or general partner been convicted of a misdemeanor unlawful practice of law or
the contempt of the authority of a court under Business and Professions Code §6126 or §6127, or found
liable under Section §6126.5?
Yes (attach certified copies of each conviction and disposition) No
Name of corporate officer(s) or general partner(s) for whom conviction information is provided:
3. Has any officer or general partner been convicted of a misdemeanor violation of the provisions on legal
document assistants and unlawful detainer assistants under Business and Professions Code
§6400-6416?
Yes (attach certified copies of each conviction and disposition) No
Name of corporate officer(s) or general partner(s) for whom conviction information is provided:
F. Revocation of Registration (NOTE: This information must be provided for each corporate officer or
general partner)
Has any officer or general partner had a registration as a legal document assistant or an unlawful detainer
assistant revoked by a county clerk pursuant to Business and Professions Code §6413?
Yes (attach certified copy of each revocation) No
Name of corporate officer(s) or general partner(s) for whom revocation information is provided:
I declare under penalty of perjury under the laws of the State of California that all information on this application and
on all accompanying documents is true and correct.
*
S
i
gnature T
i
t
l
eDate
*
S
i
gnature T
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t
l
eDate
*Corporate applicant: Application must be signed by: The chairman of the board or the president; or by any vice
president AND the secretary, any assistant secretary, the chief financial officer or any assistant treasurer.
*Partnership applicant: Application must be signed by at least one general partner.
Rev. 01/09/18 Pg. 5 of 5
ADDENDUM TO RENEWAL OF REGISTRATION FOR LEGAL DOCUMENT ASSISTANT
DUE TO CALIFORNIA ASSEMBLY BILL 285 (Chapter 295)
Pursuant to California Business and Professions Code Section 6402 the Department of Consumer Affairs shall
develop the application required to be completed by a person for purposes of registration as a Legal Document
Assistant. In an effort to meet the new requirements of Assembly Bill 285 this Addendum to the application is
in place only until the official application is issued by the Department of Consumer Affairs.
LEGAL DOCUMENT ASSISTANT Registration #:____________
Individual’s Name or Business Name on Application: __________________________________________
RENEWAL OF REGISTRATION
Per Business & Professions Code Section 6402.2, to be eligible to renew registration, the registrant shall
complete 15 hours of continuing legal education courses, which meet the requirements of Section 6070 MCLE
(Minimum Continuing Legal Education Requirements), during the two-year period preceding renewal. This
addendum is incorporated with my application dated: _________________________.
Ideclareunderpenaltyofper
j
uryunderthelawsoftheStateofCaliforniathatIhavecompleted15hoursofcontinuinglegal
educationcoursesasrequiredperB&PCodeSection6402.2,whichmeettherequirementssetforthinB&PCodeSection6070.
Signature* Date Place of Execution
Signature* Date Place of Execution
* This Addendum MUST be executed by the same signers of application submitted to the County Clerk.