University of Miami School of Law Heckerling Institute on Estate Planning
    
CONTINUING EDUCATION PROOF OF ATTENDANCE FORM

52nd Annual Heckerling Institute on Estate Planning
 

Many accrediting agencies have imposed mandatory cut-off dates for reporting credits. Attendees who return forms after February 2, 2018 may be subject to additional fees or may be denied credits by the accrediting agency.

All registrants must complete this form as proof of attendance. All credit, including ethics credit, will be awarded based on sessions actually attended. LIST ALL JURISDICTIONS AND PROFESSIONS IN WHICH YOU WISH TO RECEIVE CREDIT AND INCLUDE YOUR LICENSE OR IDENTIFICATION NUMBER. PLEASE NOTE THAT IT IS YOUR RESPONSIBILITY TO ASCERTAIN THE CONTINUING EDUCATION GUIDELINES FOR YOUR JURISDICTION AND PROFESSION.
Forms MUST be received by February 2, 2018.


Contact Information:
First Name *
Last Name *
E-Mail Address*  Find
Firm Name  
Address *
City *
State*
Province
Zip Code*
Country *
Phone*
Credit applying for:


 
Bar # State
Bar # State
Bar # State
Bar # State
Bar # State
Bar # State


 
CPA # State
CPA # State
CPA # State
CPA # State
CPA # State
CPA # State


 
License #/NPN State
License #/NPN State
License #/NPN State
License #/NPN State
License #/NPN State
License #/NPN State


Last 4 digits of Social Security #  
License #


 
PTIN # P

 (Enter license number if applicable)






 
Please indicate sessions attended:

Monday Morning, January 22, 2018 (9:00am - 12:15pm)

Monday Afternoon, January 22, 2018 (1:55pm - 5:45pm)

Tuesday Morning, January 23, 2018 (9:00am - 12:35pm)




Tuesday Afternoon, January 23, 2018 (2:00 - 5:35pm)




Wednesday Morning, January 24, 2018 (9:00am - 12:35pm)



Wednesday Afternoon, January 24, 2018 (Concurrent Sessions) (2:00 - 3:30pm) (3:50 – 5:20pm)













Thursday Morning, January 25, 2018 (9:00am - 12:35pm)




Thursday Afternoon, January 25, 2018 (Concurrent Sessions) (2:00 - 3:30pm) (3:50 – 5:20pm)













Friday Morning, January 26, 2018 (9:00am – 12:00pm)


*Ethics, Diversity, Elimination of Bias and/or Technology credit may be available for this session.
Please refer to the continuing education packet for information regarding your specific jurisdiction and profession.


Attendance Notes (less than 200 characters only)

 
Acknowledgement

*


SIGNATURE: *                   Date: 06/19/2018

You may wish to print this form for your records.  Print