non-attorney part 36 varification

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NON-ATTORNEY PART 36 VERIFICATION

The undersigned affirms that he/she has:

listened to the CD in its entirety on

watched the DVD in its entirety on

viewed the On Demand title in its entirety on

During the course or program you will see and/or hear a CLE code(s). Please enter the code(s) in the above field.

To obtain Part 36 certification, please complete and sign this form and then submit it to the above CLE provider. Once your participation is verified by the provider, a New York CLE Certificate of Attendance will be issued to you by the provider