Confirmation That Pro Bono Work

In Private Law Firm

Satisfies the Public Service Requirement

 

Name
Email
Organization
Address
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Attorney License No:     Issuing State:

By completing this form, I understand and agree that the work completed by under my supervision in satisfaction of the Public Service Requirement will constitute a minimum of fifty hours of supervised uncompensated law-related pro bono or low fee work.

Attorney Supervisor
Date