Fillable PRIVATE PROCESS SERVER INDIVIDUAL REQUEST FOR APPROVAL OF (Arizona Supreme Court)

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PRIVATE PROCESS SERVER INDIVIDUAL REQUEST FOR APPROVAL OF (Arizona Supreme Court)

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1
PRIVATE PROCESS SERVER INDIVIDUAL REQUEST FOR
APPROVAL OF SPONSORED CONTINUING EDUCATION
ACTIVITY
Continuing Education points are awarded in accordance with the adopted Program Continuing Education Policy. Credit
is awarded based on content and clock hours of study. Descriptions and credentials must be submitted for each
session.
PROCESS SERVER’S INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP: PHONE:
EMAIL: FAX:
TYPE OF PROGRAM:
Please check type of class/conference:
Seminar/Workshop Credit Hours Requested:
Webcast/Broadcast
Conference
College Course
CE ACTIVITY INFORMATION:
Activity/Course Name:
Sponsoring Entity:
Date(s) Activity Completed:
Location:
** Credit Hours: To calculate credit hours: 1) Take total hours attended, 2) Subtract time spent for
introductory remarks, breaks, meals, business meetings, 3) Enter remaining hours in space provided.
Exception: A college accredited course is the number of college credit hours x 2 not to exceed 50% of the
total number of continuing education points required for one year. For example, if a college course is
worth 3 credit hours, 3 credit hours x 2 = 6, however, only 5 hours can be counted toward your continuing
education credits.
2
**REQUIRED DOCUMENTATION TO BE ATTACHED: COURSES THAT HAVE NOT
BEEN PREAPPROVED MUST HAVE ATTACHED AGENDA AND COURSE MATERIALS.
YOUR REQUEST WILL NOT BE APPROVED WITHOUT THESE DOCUMENTS.
Also, please note that this form does not serve as a Certificate of Attendance. Documentation must
be provided at the time you apply for renewal of your certification to show you attended the class. If
the sponsor does not provide you with a Certificate of Attendance, you must have the court-approved
Certificate of Attendance completed by the sponsoring entity.
I am submitting the above request for continuing education credit with the understanding
that I may be required to provide additional documentation as requested by the presiding
judge or his/her designee.
Applicant Signature: ______________________________Date: _____________________
Shaded area is for official use only
Approved Credit Hours ______ More Information Needed
Explain: _____________________________
Denied Reason ______________________________________________________
Signature: ____________________________________________
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PRIVATE PROCESS SERVER INDIVIDUAL REQUEST FOR APPROVAL OF (Arizona Supreme Court)

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Completed 20 July 2020

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