1. Provider Name:
CLE Course/Activity Title:
Date(s) of Course/Activity: _______________________________ Location: _________________________________________
Name of Attorney:
Attorney’s method of
participation:
Live Faculty in Room Live Video/Audio
Format
Recorded Video/Audio
Format
Attorney Attended: Entire Course
Attendance
Partial Course Attendance (only actual attendance or
participation earns credit)
ILLINOIS ACCREDITED MCLE COURSE
CERTIFICATE OF ATTENDANCE
SECTION A: TO BE COMPLETED BY THE PROVIDER
Form 4
• Illinois uses a 60-minute hour.
• Total CLE credit earned must be rounded down to the nearest quarter hour.
• Only actual attendance or participation earns credit.
MCLE Credit Earned by Attorney named above:
TOTAL General Credit:
Including TOTAL Professional Responsibility Credit:
TOTAL MCLE Credit:
(this number cannot be more than the Total General Credits)
By signing below, I certify that the course identified above is accredited by the MCLE Board. I have prepared this certificate in
compliance with MCLE Rule 795(a)(8) which requires the provider to maintain an attendance list for three years and issue
certificates of attendance to attorneys who attended the course.
Provider Representative Signature: Date:
SECTION B: TO BE COMPLETED BY ATTORNEY
• Attorneys are responsible for their own recordkeeping. Keep this record of attendance for three years after the end of the
relevant two-year reporting period.
• Do not submit this form to the Illinois MCLE Board. If you are audited by the Illinois MCLE Board, you will need to
submit this form. MCLE Rule 796(f)(1).
• If approved for professional responsibility, CLE credit may be claimed in any combination of approved general and
approved professional responsibility credit not to exceed the Total MCLE Teaching Credit.
By signing below, I certify that I participated in the course or activity described above, and that I am entitled to claim the number of
Illinois MCLE credit hours as detailed above.
Attorney (Printed) Name: ARDC #: ______________________
Attorney Signature: Date: _________________________
American Bar Association
Driverless Cars in the Fast Lane: Legality, Safety, and Liability on the Road Ahead
09/06/2015 On-Demand Online Course
1.5
1.5
0.0
217108
Margaret Naughton
Laureana Espia Estoque Cortez
Laureana Espia Estoque Cortez
09/06/2015
09/06/2015