Attorney Renewal Application

Contact Information

Name *

Business Address *

Email Address *

Phone Number *

Cell Number *

Registration Information

Date Admitted to Bar *

Ohio Supreme Court Registration Number *

Certifications

Current Certification(s)

Rule 20 Lead Counsel (Death Penalty)

Rule 20 Co-Counsel

Homicide

Major Felony

Felony

Mental Health Docket

Please select one of the following:

Certifications are the same as last application or renewal.

Certifications are different from last application or renewal. (If certifications are different state the reasons on this or a separate Sheet of paper)

Additional Information

I am covered by malpractice insurance

Yes

I am presently in good standing with the Supreme Court of Ohio.

I have been continuously engaged in the active practice of law, including criminal defense work, since last qualifying on the assigned counsel list. I hereby state that all the information contained in this application is true and as a consideration of being on this list, I will comply with the compensation schedule in Rule 33. I request that my application be renewed.

Common Pleas Court
General Division
Cuyahoga County

1200 Ontario Street · Cleveland, Ohio 44113

(216) 443-8560

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