Appendix A - Request For Voluntary Cle Noncompliance Status

Name: ______________________________________ Address: _____________________________________ _____________________________________ E-Mail: ______________________________________ I certify I will no longer be actively practicing law in North Dakota and request that I be placed on voluntary CLE noncompliance status. I have reviewed Rule 4(b) of the North Dakota Rules for Continuing Legal Education and understand: 1) I will no longer be licensed to practice law in North Dakota; and 2) the ethical obligations associated with my voluntary CLE noncompliance status. I also certify that I am not subject to any disciplinary proceedings or investigations in any jurisdiction. ______ I would like the Lawyers page to reflect I am retiring from the practice of law. I understand my license record with the Board of Law Examiners will indicate voluntarily not licensed due to CLE noncompliance. Dated this _____ day of _____________, 20___. Signed by: _____________________________ Subscribed to and sworn before me this ____ day of ____________, 20___. _________________________________________ Notary Public My commission expires: __________________ (Adopted on an emergency basis August 17, 1993; amended and re-approved February 2, 1994; amended effective November 1, 2000 ; amended effective July 1, 2025. )