900-00026 - Certification of Completion of Makeup Plan (08/2017) Page 1 of 1
Certification of Completion
of Section 10 CLE Makeup Plan
Contact Information
1. Last name:
2. First name:
3. Attorney License Number:
4. Email address:
By signing and submitting this form, I understand that I am certifying each of the following:
• I completed all of the continuing legal education hours listed in the Makeup Plan that I filed on
______________________, 20__________, within 120 days of the filing of that Plan.
• I have now completed at least 20 hours of accredited continuing legal education for the reporting period
that ran from July 1, 20__________ thru June 30, 20__________.
• At least 2 of those hours were accredited in ethics.
• No more than 10 of those hours were "self-study" as defined by the Rules for Mandatory Continuing Legal
Education.
• I will keep records demonstrating completion of the continuing legal education requirements for the
above-listed reporting period for two years from the date of signing this form and make them available to
the Office of Attorney Licensing upon request.
• I understand that the hours of continuing legal education that I completed pursuant to the Makeup Plan
mentioned above cannot be used to satisfy other continuing legal education requirements, including the
continuing legal education requirements for the current reporting period.
Date: _____________ Attorney Signature: _____________________________
VERMONT SUPREME COURT
OFFICE OF THE STATE COURT ADMINISTRATOR
OFFICE OF ATTORNEY LICENSING
