MCLE ATTENDANCE VERIFICATION FORM

MARKETING DEPARTMENT – RECORDED WEBINAR FORMATS

Program: / Making the Most of the New IRS Management Contract Safe Harbors
Formats: / Live Webinar; Recorded
Presenters: / W. Kenneth Davis, Jr. (Partner/Katten Muchin Rosenman LLP-Chicago)
Milton S. Wakschlag (Partner/Katten Muchin Rosenman LLP-Chicago)
Live Program Date/Time: / Tuesday, September 8, 2015 / 12:00 p.m.-1:00 p.m. CST
Location: / Katten Muchin Rosenman LLP – Chicago, IL
Katten Muchin Rosenman LLP is an accredited provider of continuing legal education (CLE) in California, Illinois and New York only. As such, we are not accredited to issue CLE credit for any other jurisdictions.
The above-referenced program has been approved for continuing legal education credit by the
·  Illinois MCLE Board and State Bar of California for 1 General credit
·  New York State Continuing Legal Education Board for 1 CLE credit in Professional Practice for New York experienced attorneys only
Media available dates for issuing CLE credit: / September 10, 2015 through September 10, 2016
Check applicable
CLE jurisdiction(s): / I certify that I viewed/listened to this program in its entirety and am eligible to claim CLE credit for the following jurisdiction(s):
_____ California
_____ Illinois / _____ New York
(experienced attorneys only)
Check applicable
participation format: / _____ www.kattenlaw.com
_____ Audio/DVD Recording
_____ MP3/MP4 Recording / Participant Location:
______
(city/state)
Dated Participated: / ______, 2015
Indicate the in/out times of your participation: / Time In: ______p.m. ___CST / ___EST / ___PST
Time Out: ______p.m. ___CST / ___EST / ___PST
Enter the CLE Course Verification Code announced during the program: / ______ / If the verification code and in/out times are omitted, Katten Muchin Rosenman LLP is not accredited to award you CLE credit.
Print name legibly:
Signature:
Date Submitted: / ______, 2015
E-mail address (print legibly):
Bar Information: / No. ______State: _____ Check if Newly Admitted: ___

TO REQUEST CALIFORNIA, ILLINOIS, AND/OR NEW YORK CLE CREDIT:

Submit your completed MCLE Attendance Verification Form to within 48 hours of viewing/listening to the recorded webcast. A MCLE Program Evaluation Request and Certificate of Attendance (IL/CA/NY only) will be sent to the above e-mail address within 90 business days receipt of your completed verification. New York attorneys must retain a copy of this verification with their New York CLE Certificate of Attendance. All CLE inquiries are to be submitted to .

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