900-00020 -Certificate Suitable for Framing Request (05/2017) Page 1 of 1
Certificate Suitable for Framing Request
INSTRUCTIONS: For a certificate suitable for framing, send this completed
form, and a check made payable to ATTORNEY LICENSING to:
Attorney Licensing
32 Cherry Street, Suite 213
Burlington, VT 05401
The fee is $20.00. Please allow 2 weeks for processing.
Name as you would like it to appear on the Certificate: ____________________________________________________
Date of Birth or Vermont Attorney License Number: ___________________________________________________
Mailing Address: ___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________________
Please note: This certificate should not be confused with a Certificate of Good Standing, which is required for proof of
admission and good standing for admission in other states and other purposes. The form for that document is also on
the Vermont Judiciary's website, under Attorney Licensing.
Text of Certificate:
Be it Remembered that at the Month Term, Year
of the Honorable Supreme Court of the State of Vermont
A. Attorney, Esquire
was agreeably to the rules of said Court, admitted and sworn as an
Attorney and Counselor at Law
of said court, and as such was duly enrolled, on
the Day day of Month, Year.
