1.Full Name:

2.Company Name:

3.Email Address:

4.Please select which type of credit(s) you are requesting.

CLE

CJE: Self-reported - You will receive a certificate of attendance

TCOLE: Self-reported - You will receive a certificate of attendance

SW: Self-reported - You will receive a certificate of attendance

LPC: Self-reported - You will receive a certificate of attendance

Other (please specify)

5.If you are requesting CLE credit hours, please enter your Bar Card number below.

6.Please mark which session recordings you watched:

IDD 101 and the Community Safety Net (Course #: 174293219)

Civil Commitment of People with IDD to SSLCs (Course #: 174293221)

Forensic Commitment of People with IDD to SSLCs (Course #: 174293222)

7.What date(s) did you watch the course(s)?

8.Please confirm your total number of credits earned below. Note: You may only submit a max of 3.00 CLE hours.

9.By clicking "Yes" below, you acknowledge that the information you submitted above is correct.

Yes, my information above is correct.

No