900-00021 -Certificate of Good Standing & Disciplinary History Request (11/2017) Page 1 of 1
Certificate of Good Standing Request
A Certificate of Good Standing will certify that an attorney is not suspended or disbarred and is current on licensing
fees and CLE credits. The Certificate will also include your date of admission. A Certificate of Good Standing will not
include disciplinary history.
INSTRUCTIONS: To obtain a Certificate of Good Standing, send this completed form and a check payable to ATTORNEY
LICENSING to:
Office of Attorney Licensing
Costello Courthouse
32 Cherry Street, Suite 213
Burlington, VT 05401
The fee is $3.00 for each Certificate requested. Please allow 2 weeks for processing.
Name of Attorney for which the Certificate is to be produced:
Name and address of person requesting the Certificate: ______________________________
______________________________
______________________________
______________________________
Name and address where the Certificate should be mailed (if
different from person requesting the Certificate): ______________________________
______________________________
______________________________
______________________________
Number of Certificates Requested __________
No telephone or fax requests are accepted. We are not able to accept credit card payment.
VERMONT SUPREME COURT
OFFICE OF ATTORNEY LICENSING
32 CHERRY STREET, SUITE 213
BURLINGTON, VT 05401
JUD.ATTYLICENSING@VERMONT.GOV