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					         BOARD RECERTIFICATION APPLICATION & INSTRUCTIONS

    Dear Candidate for Recertification:

    It is now time to renew your certification. Your achievement of board certification is an indication of your personal
    and professional commitment to high standards in your practice. Public recognition of certification as a measure of
    competence and professionalism depends on the participation of those who meet the standards.

    We hope you will apply to renew your certificate by completing and returning the application. The information in
    this package is comprehensive. The recertification process is fundamental to the evaluation of each candidate and
    you are encouraged to read the instructions and to carefully prepare your application. Your staff liaison at The
    Florida Bar will be happy to assist with your questions about the procedures.

    As a board certified lawyer, the Board of Legal Specialization & Education and the committee is interested in your
    assessment of this program. If your practice has changed, or you do not intend to apply for recertification, we ask
    that you notify us. We encourage and welcome your comments.

    Thank you for your continued interest in Board Certification.

                                                                              Board of Legal Specialization & Education


       PLEASE READ BEFORE COMPLETING APPLICATION AND RETAIN IN YOUR FILES FOR FUTURE REFERENCE.




                          GENERAL APPLICATION INSTRUCTIONS

       Standards & Policies. Chapter 6, Rules Regulating The Florida Bar, sets forth the minimum standards for board
        certification and the specific requirements for each area of practice. The rules may be found on the Bar’s website
        at: www.floridabar.org/certification. Please be sure to carefully read the rules and policies before you begin
        your application.

       Application Filing. Please refer to the Bar's website for the postmark deadline for your area. All requirements for
        recertification must be met by the end of the 5-year period of certification unless an extension is authorized. Typed
        applications are preferred, but neatly handwritten applications will be accepted. Completed applications should be
        returned to the Legal Specialization & Education Department of The Florida Bar at the above address.

        Once your application has been submitted, please understand that you have a continuing obligation to notify the
        Legal Specialization & Education Department of The Florida Bar should there be any changes to any of your
        responses provided within your application.

       Recertification File Extension. Board of Legal Specialization and Education Standing Policy 2.05(f) states a one-
        time three-month recertification file extension may be authorized by the BLSE upon application and payment of the
        appropriate fee. This extension shall commence on the applicant’s current certification expiration date. The
        applicant must agree to complete all outstanding requirements for recertification by the end of the three-month
        extension and confirm understanding that if the requirements for recertification are not met, no further extensions
        will be permitted and the fee may not be refunded. If you are unable to complete the requirements for
        recertification by the deadline, please contact your staff liaison to obtain an application extension form or for more
        information.

                                            Generic Application Instructions
                                                           i
   Fees. The Certification Program is financially self-supportive and operates on revenue generated primarily from
    applicant fees. The recertification filing fee is $250 and, if recertification is granted, a $150 annual fee must be paid
    each year. You will receive an invoice for your annual fee each year in February via email to your record Bar email
    address.

    Your application must be accompanied by the $250 fee at the time of filing. Please make your payment by check,
    money order or bank cashier’s check payable to The Florida Bar. All fees are non-refundable.

   Application Processing & Review. Upon our receipt of your completed application, you will (within 14 days)
    receive written notification and an assigned file number. Incomplete applications will be returned. Only completed
    applications will be substantively reviewed and the accuracy of the information provided will be verified.

    A review and recommendation as to each applicant’s qualifications, based upon compliance with the standards
    adopted by the Supreme Court, and policies established by the certification committee (“Committee”), is the
    responsibility of the committee, with final approval determined by the Board of Legal Specialization and Education
    (“BLSE”). This process usually takes five to six months. During this time, you may be requested to provide
    additional information. A prompt response is important to the continued progress of your application. Your
    certification status remains intact during this process unless you are notified otherwise.

   Professionalism and Ethics. The standards for recertification include consideration of character, ethics and
    reputation for professionalism. Questions are included in the peer review statements and the application also
    requires disclosure of disciplinary history. Should there be any changes in the information you provided on your
    application during the processing period, please advise our office in writing. Recertification may be withheld
    pending the resolution of disciplinary matters.

   Peer Review. Each applicant shall submit names of lawyers and judges who can attest to the applicant’s special
    competence and substantial involvement in the practice of law in which certification is sought, as well as the
    applicant’s character, ethics, and reputation for professionalism, in accordance with the area standards and rule 6-
    3.5(c)(6). The BLSE or certification committee may solicit statements from additional lawyers and/or judges.

    Statements of reference concerning applicants shall be submitted on forms furnished by the BLSE. A sample copy
    of the Statement of Reference is provided for your information. Please do not send this statement to your
    references. Staff will solicit the statements on your behalf. Reference statements submitted by applicants cannot
    be accepted.

    Please take care to provide correct addresses for each reference. Persons ineligible to file references on an
    applicant's behalf include: Florida Supreme Court Justices, members of The Florida Bar Board of Governors, the
    Appeals Committee, the BLSE and officers of The Florida Bar, and any current certification committee, partners
    and co-workers. If you have questions about whether a particular individual may be listed, please contact your
    staff liaison.

   Continuing Legal Education. The education requirements must be completed within the time frame specified in
    the application. Hours submitted must be approved for certification in the area in which you are applying. General
    CLER hours will not qualify. If you are unsure about credit for a program or individual activity, please attach
    detailed information on the program or activity, including an outline of the course content, a time schedule and
    speaker information. The committee will review each submission and allocate credit as appropriate. CLE status
    reports from the website do not reflect credits for certification.

   Confidentiality. Rule 6-3.12, Rules Regulating The Florida Bar, provides for complete confidentiality in the
    certification process. The entire content of your file, including the statements of reference, will remain confidential.
    All communications you receive about your application and the examination will be marked "personal and
    confidential" and mailed to your official bar membership address. If you would prefer to have us correspond with
    you at a different address, you will need to complete a change of membership address form by accessing
    www.floridabar.org. You may also contact our Membership Records Department at (850) 561-5832.

   Staff Assistance. Your staff liaison is prepared to assist you with the application process and provide general
    information about the standards. Staff may not, however, advise you as to whether you qualify for recertification,
    nor discuss the status of your application. All communications as to the status of your application will be sent to
    you in writing on behalf of the Committee.



                                         Generic Application Instructions
                                                        ii
                      APPLICATION FOR BOARD RECERTIFICATION

     Please check one:

         Admiralty & Maritime Law                             Elder Law
         Adoption Law                                         Health Law
         Antitrust & Trade Regulation Law                     Intellectual Property Law
         Appellate Practice                                   International Law
         Aviation Law                                         Immigration & Nationality Law
         Business Litigation Law                              Labor & Employment Law
         City, County & Local Government Law                  Marital & Family Law
         Civil Trial Law                                      Real Estate Law
         Construction Law                                     State & Federal Government & Administrative Practice
         Criminal – Appellate Law                             Tax Law
         Criminal – Trial Law                                 Wills, Trusts & Estates Law
         Education Law                                        Workers’ Compensation Law



                                                  TYPE OR PRINT NEATLY
Bar Membership Name                                                                    File Number     (for office use only)

Name as you wish it to appear on certificate                                           Florida Bar Number



I.       Please Submit the Following Background Data
A.
         Current Firm or Employer                                                                    Start Date:

         Address                                                                                     Room or Suite

         City                                              State            Zip Code                 Telephone

         Fax                        E-mail Address*                         If necessary, may we contact you by e-mail?
                                                                                               Yes             No
         Home Address

         City                                              State            Zip Code                 Telephone



        Please note: It is our policy to use your official bar membership address for written communication
         concerning your application for board certification and to mark our correspondence “Personal and
         Confidential.” If you would prefer we use a different address, you will need to temporarily make that
         change by completing a Membership Records Change of Address Form at www.floridabar.org. You may
         also contact our Membership Records Department at (850) 561-5832.

*Optional
                                                      Generic Application
                                                               1
B.   Record of Admission to Law Practice
     1.    Is your membership in The Florida Bar active and in good standing?         Yes       No
     2.    In what year were you originally certified?
     3.    If you are currently admitted to practice law in other jurisdictions, please provide the following
           information:

     State                              Date of Admission               Membership No.      Member in Good Standing?
                                                                                               Yes      No
     State                              Date of Admission               Membership No.      Member in Good Standing?
                                                                                               Yes      No

             I haveI have attached a letter of good standing for each jurisdiction in which I am admitted to
                     practice law (excluding Florida).
         If you have ordered a letter of good standing but have not yet received it, please check here. You may file
     your application without this information, with the understanding it must be submitted separately to your Staff
     Liaison as soon as possible.

C.   Former Applications – Please complete the following information as to any other applications for
     certification or recertification in Florida or elsewhere:

     Year          State/Organization                       Area                         Disposition

     Year          State/Organization                       Area                         Disposition



D.   Professional History – Please provide below a complete statement of your employment since the last
     date of certification / recertification. List most recent employment first.
     From                                                          To

     Firm Name or Organization*

     Address

     Position


     From                                                          To

     Firm Name or Organization*

     Address

     Position


     From                                                          To

     Firm Name or Organization*

     Address

     Position



     *If service was in a non-judicial position and not in private law practice, please indicate whether bar
     admission was an employment condition.
                                               Generic Application
                                                        2
E.   Photo Identification

     Please tape a professional head and shoulders photograph (preferably 3x5 or smaller) of yourself to this
     page. Please put your full name on the back of the photograph. It may be used for identification
     purposes throughout the certification process. Pictures will not be returned.




                                                 PHOTO
                                     (Please put your name on the
                                        back of the photograph)




     Applicant Name:




                                           Generic Application
                                                    3
F.    Record of Professional Ethics and Competence – Please initial the appropriate responses and attach
      copies of all pertinent documentation. Please provide information relevant to your Florida Bar
      membership and any other State Bar which you are or have been a member since the last date of
      certification or recertification.

      Once your application has been submitted, please understand that you have a continuing obligation to
      notify the Legal Specialization & Education Department of The Florida Bar should there be any changes
      in your responses to the items below, or to any other portion of your application.

      1.     List all instances in which a disciplinary sanction was imposed. Attach documentation that
             includes: (1) title of the disciplinary action; (2) agency identification number; (3) nature of charge;
             (4) nature of sanction; (5) date sanction was imposed; and (6) date sanction was terminated.
             _____ Not Applicable _____ See Attached

      2.     If you have been requested to respond to an inquiry/complaint as to alleged misconduct, and the
             matter remains pending at this time, please attach documentation that includes: (1) title of the
             inquiry/complaint; (2) agency identification or case number; (3) nature of inquiry/complaint; and
             (4) a copy of the inquiry/complaint.
             _____ Not Applicable _____ See Attached

      3.     Explain any malpractice claims filed against you (or your firm) for which you were personally
             responsible which resulted in a lawsuit filed, settlement paid or appointment of an attorney by the
             malpractice carrier to defend you (or your firm). Please attach a copy of the complaint, your
             response, and a detailed explanation of your direct involvement. Please also attach a copy of the
             final order if available or the current status of the matter if still pending.
             _____ Not Applicable _____ See Attached

      4.     List and explain all cases in which your competence or conduct was raised as a basis for relief
             requested by opposing counsel or by the court including but not limited to a new trial, new
             appeal, dismissal or reversal.
             _____ Not Applicable _____ See Attached

      5.     List and explain all cases in which your conduct was adversely commented upon in writing by a
             judge or determined to be error whether harmless or not.
             _____ Not Applicable _____ See Attached

      6.     List all contempt proceedings brought against you as counsel. Include: (1) style of the
             proceedings; (2) nature of the charge; (3) nature of the sanction; (4) date sanction was imposed.
             _____ Not Applicable _____ See Attached

      7.     List and explain all instances, post conviction or currently pending, in which criminal charges,
             involving dishonesty or any felony, were filed against you. (This requirement does not include
             traffic infractions except DUI, which is included.) Include the case number, alleged violation(s),
             and disposition or current status.
             _____ Not Applicable _____ See Attached

II.   Compliance with Specific Certification Area Standards. Please initial to indicate your understanding
      and agreement.

      _____ I understand there are specific requirements for recertification in the area for which I am making
            application and that all attached exhibits must be completed and returned with this application to
            demonstrate my compliance.

      _____ I agree to abide by all rules and policies of the Board of Legal Specialization and Education and
            the area committee and to provide such information as may be required to ascertain my
            entitlement to recertification.

                                              Generic Application
                                                       4
III.   Application Fee. Please remember to attach your $250 filing fee to this application.

IV.    Release. By this application, I release from any and all liability and extend absolute immunity to The
       Florida Bar, and all persons, committees and institutions in any way involved in this certification process
       including references and informants. Applicant's Initials: _______

       I specifically authorize the Committee and/or Board to consult with any persons who may have
       information relating to my professional qualifications, credentials or character, mental or emotional
       stability, ethics, behavior or any other matter reasonably bearing on the criteria for initial and continued
       certification. This authorization includes inspecting and obtaining any writing that may be material to my
       certification. I hereby authorize the release of any information and writing, whether privileged or not,
       requested by the Committee and/or Board. I understand that all information received and made part of
       my file shall be treated confidentially. Applicant's Initials: _______

       I FURTHER UNDERSTAND THAT THE PEER REVIEW PROCESS IS UNABLE TO SERVE ITS
       PURPOSE UNLESS THE INDIVIDUALS FROM WHOM INFORMATION IS REQUESTED ARE
       GUARANTEED COMPLETE CONFIDENTIALITY.      BY APPLYING FOR RECERTIFICATION, I
       EXPRESSLY AGREE TO THE CONFIDENTIALITY OF THE PEER REVIEW PROCESS AND
       EXPRESSLY WAIVE ANY RIGHT TO REQUEST ANY INFORMATION OBTAINED THROUGH PEER
       REVIEW AT ANY STAGE OF THE RECERTIFICATION PROCESS. Applicant's Initials: _______

       I FURTHER UNDERSTAND THAT BOARD CERTIFICATION IS A VOLUNTARY PROGRAM AND
       HAS NO EFFECT ON MY ELIGIBILITY TO PRACTICE LAW IN ANY AREA OF PRACTICE.
       Applicant's Initials: _______

       I FURTHER UNDERSTAND THAT BOARD CERTIFICATION, IF OBTAINED, MAY BE
       AUTOMATICALLY REVOKED PURSUANT TO THE BLSE POLICIES OR THE RULES REGULATING
       THE FLORIDA BAR. Applicant's Initials: _______

       By executing this release, I acknowledge that I am specifically authorizing the Lawyer Regulation
       Department of The Florida Bar or any other state of which I am or was a member to provide to the
       Committee and/or Board any and all information concerning disciplinary complaints filed against me,
       even if confidential. Such release is intended to be applicable to the extent authorized by the Supreme
       Court of Florida. Applicant's Initials: _______

I,                                                              being duly sworn, have carefully read this
application in its entirety and certify the information herein is true. I fully understand failure to make a truthful
disclosure of any fact or item of information required may result in the denial of my application, revocation of my
Board Certification if granted, or disciplinary action by The Florida Bar.

STATE OF                                              )
                                                              Signature of Applicant
COUNTY OF                                             )

      The foregoing instrument was sworn to and subscribed before me this ________ day of
__________________, 20____, by ____________________________, who personally appeared before me at
the time of notarization, and who is personally known to me or who has produced
____________________________ as identification and who (did / did not) take an oath.

NOTARY PUBLIC:         Sign                                                   (Seal)

                       Print


                                                Generic Application
                                                         5
                                CIVIL TRIAL LAW RECERTIFICATION
                                                    EXHIBIT “A”


                                                 REFERENCES
Pursuant to Rule 6-4.4(a)(3), Rules Regulating The Florida Bar, please provide below the names and addresses
of 3 civil trial lawyers, one of whom is currently board certified in the area of civil trial law and 1 judge of a
court of general jurisdiction before whom you have appeared as an advocate within the 2 years preceding
application for recertification. Individuals used as references shall be sufficiently familiar with you and can attest
to your reputation for knowledge, skills, proficiency and substantial involvement in the field of civil trial law, as
well as your character, ethics and reputation for professionalism. Current partners or associates, members
of the Board of Governors, the Board of Legal Specialization & Education or any Certification
Committee, and Florida Supreme Court Justices may not be used as references. (See sample at the end
of this document.)

I.     Attorney References

        Name                                                     Firm/Employer

        Address                              Room/Suite          City                               State/Zip



        Name                                                     Firm/Employer

        Address                              Room/Suite          City                               State/Zip



        Name                                                     Firm/Employer

        Address                              Room/Suite          City                               State/Zip



II.    Judicial Reference

        Name of Judge                                            Name of Circuit Court

        Address                              Room/Suite          City                               State/Zip



III.   Please also list the names and addresses of 3 additional judges (other than those listed within
       Exhibit B-1) before whom you have appeared within the last 2 years.


       1.
            Name                                              Address
       2.
            Name                                              Address
       3.
            Name                                              Address


                                     Civil Trial Law Recertification Application
                                                     EXHIBIT “A”
                                                          1
                                    CIVIL TRIAL LAW RECERTIFICATION
                                                        EXHIBIT “B”


                                         SUBSTANTIAL INVOLVEMENT
Rule 6-4.4(a)(1), Rules Regulating The Florida Bar, states:

        The applicant must demonstrate continuous and substantial involvement in the practice of law of which 50
        percent has been spent in active participation in civil trial law throughout the period since the last date of
        certification.

        Substantial involvement includes investigation, evaluation, pleading, discovery, taking of testimony,
        presentation of evidence and argument of a jury or nonjury cases. For good cause shown, the Civil Trial
        Certification Committee may waive two of the three years substantial involvement for individuals who have
        served as judges of courts of general jurisdiction adjudicating civil trial matters. In no event may the year
        immediately preceding application be waived.

Instructions: Please initial indicating your understanding and agreement.

        A.      _____ I have, for the past five years, been engaged in the practice of law of which at least fifty percent
                      has been spent in the active participation in civil trial law as defined in Rule 6-4.2(a), Rules
                      Regulating The Florida Bar.

                OR

                _____ I have served as a judge in a court of general jurisdiction adjudicating civil trial matters during the
                      period since the last date of certification.

                Name of court:

                Dates of service:

        B.      Pursuant to Rule 6-4.4(a), Rules Regulating The Florida Bar, I have been continuously and substantially
                involved in contested civil matters sufficient to demonstrate special competence as a civil trial lawyer as
                follows (please approximate):

                1.      I have directed or conducted investigation in at least            contested civil matters.

                2.      I have made evaluation of theories or strategies in at least             contested civil matters.

                3.      I have prepared pleadings in at least             contested civil matters.

                4.      I have conducted discovery in at least             contested civil matters.

                5.      I have taken testimony in at least            contested civil matters.

                6.      I have presented evidence and argument in at least                contested civil matters tried by a jury.

                7.      I have presented evidence and argument in at least                contested civil matters without a jury.

        C.                 I represent I have met the 2 trial requirement pursuant to Rule 6-4.4(b)(1), Rules Regulating The
                Florida Bar, which requires 2 contested civil cases in courts of general jurisdiction (circuit court, federal
                district court, or a court of similar jurisdiction in other states), of which at least 1 was a jury case conducted
                by me as lead counsel, since the date of my last certification/ recertification and I have outlined those
                cases within Exhibit B-1. Matters deemed unacceptable are defined in Rule 6-4.3(a)(2), Rules Regulating

                                        Civil Trial Law Recertification Application
                                                        EXHIBIT “B”
                                                             1
                 The Florida Bar, however, the non-jury matter may include an evidentiary hearing or preliminary injunction
                 as defined in Rule 6-4.3(a)(2), Rules Regulating The Florida Bar;

                 Trial Substitution: Rule 6-4.4(c), Rules Regulating The Florida Bar, states: If the applicant has not
                 participated as lead counsel in a jury trial, the applicant may substitute completion of an advanced trial
                 advocacy seminar, either through teaching or attendance. The advanced trial advocacy seminar must be
                 approved by the civil trial certification committee and include as part of its curriculum active participation
                 by the applicant in simulated courtroom proceedings.

                 OR

                             I represent I have met the 1 trial requirement pursuant to Rule 6-4.4(b)(2), Rules Regulating The
                 Florida Bar, which requires, 1 jury trial as lead counsel lasting a minimum of 10 days, since the date of my
                 last certification/ recertification and I have outlined the case within Exhibit B-1. (For purposes of this rule,
                 a day shall be defined as a minimum of 6 hours.)

        D.       _____ I have been continuously certified as a civil trial lawyer since June 1, 1986, June 1, 1991 or June 1,
                 1996 and request the Civil Trial Certification Committee waive compliance with the trial criteria pursuant to
                 Rule 6-4.4(f)(3). I have complied with the guidelines set forth below and have reflected the required
                 information, within this application, pertaining to peer review and CLE. I have outlined the trials within
                 Exhibit B-1 in which I have been involved since June 1, 2006 or in the event I have tried less than 2 cases
                 since that date, I have attached a written narrative outlining my involvement in civil trial law.

Rule 6-4.4(f)(3) states: On special application, for good cause shown, the Civil Trial Certification Committee may waive
compliance with the trial criteria for an applicant who has been continuously certified as a civil trial lawyer for a period of 14
years or more. This waiver applies to only those attorneys who were certified June 1, 1986, 1991 or 1996. The committee
suggests the following guidelines be reviewed thoroughly and requires compliance by those applicants requesting a waiver
of the trial criteria.


        1.       The applicant’s peer review and CLE must be approved, as stated in Rules 6-4.4(a)(3) and (4);

        2.       The applicant must demonstrate substantial involvement in civil trial law. Substantial involvement includes
                 active participation in the litigation process, including the investigation and evaluation of civil disputes,
                 involvement in pretrial processes such as discovery and motion practice, the planning and review of
                 strategy and tactics for trial, and participation in qualifying trials, must be involved in moving cases to
                 resolution through the process of litigation;

        3.       An applicant, otherwise qualified, who is substantially serving as a mediator, referee, general master, or
                 supervising attorney, in the litigation field, but is also still handling litigation, will be granted a waiver
                 because the Committee deems that this activity requires substantial involvement in the litigation process;

        4.       An applicant who is not able to participate in trials for health reasons, if otherwise qualified, will receive a
                 waiver if he/she is actively involved in the litigation process as described herein;

        5.       All trials in which the applicant has participated should be outlined within Exhibit B-1 of the application;

        6.       The applicant should describe his courtroom experience, if any, during the period since the previous
                 certification including motion practice, summary judgment, and injunction hearings, arbitration proceedings
                 or any other court appearances involving the presentation of evidence and argument in an adversarial
                 environment. The Committee will evaluate all information provided to determine whether the applicant is
                 involved in substantially bringing a disputed civil matter to resolution through the legal process.




                                         Civil Trial Law Recertification Application
                                                         EXHIBIT “B”
                                                              2
                                  CIVIL TRIAL LAW CERTIFICATION
                                                  EXHIBIT “B-1”


                              CIVIL TRIAL INSTRUCTIONS – READ CAREFULLY

Please demonstrate compliance with Rule 6-4.4(b) Minimum Number of Matters, Rules Regulating The Florida
Bar, by completing the following case review sheets in Exhibit B-1. Please be sure to answer each question on
the case review sheets or your application will be considered incomplete and it will be returned to you. Only
complete applications will be substantively reviewed and the accuracy of the information provided will be
verified.

If you were initially certified 6/1/1986, 1991, 1996 or 2001, compliance with Rule 6-4.4(b), must be completed
between 6/1/2006 and 5/31/2011.

If you were initially certified 6/1/2006, compliance with Rule 6-4.4(b), must be completed between 9/1/2005 and
5/31/2011.

The Civil Trial Certification Committee has made the following specific interpretations with regard to compliance
with Rule 6-4.4(b):

1.     A "trial" is defined as "the actual commencement of in-court or in-chambers adversarial proceedings
       before the trier of fact for which the applicant submits sufficient information to demonstrate he/she was
       substantially involved in the oral presentation of the case (including but not limited to participating in
       opening and closing statements, voire dire, direct and cross examination and presentation of evidence.)"
       A case identified as "settled before trial" with no actual days in trial will not qualify nor will proceedings
       concluded by the granting of a motion for summary judgment or motion to dismiss with no actual hours in
       trial. Likewise, jury cases which settle prior to the "swearing in" of the jury will not qualify.

2.     Courts of "general jurisdiction" shall include circuit courts, federal courts and courts of similar jurisdiction
       in other states. Cases in courts of general jurisdiction do not include bankruptcy, mediation proceedings,
       arbitration proceedings, administrative hearings held pursuant to Chapter 120, Florida Statutes,
       dissolution of marriage cases, family law cases and de novo proceedings which do not include the taking
       of evidence.

3.     "Lead Counsel" is defined as having conducted a minimum of 50% of the in-court proceedings.

4.     To qualify as a "jury case," the jury must have been "sworn in" prior to the settling of the matter.




                                     Civil Trial Law Recertification Application
                                                    EXHIBIT “B-1”
                                                         1
                                                          EXHIBIT B-1
The following types of cases will not be accepted as a "trial" for civil trial certification (recertification).

        1.       Family law, criminal law or workers'                      6.      Motions for summary judgement;
                 compensation cases;                                       7.      Bankruptcy cases;
        2.       County court cases;                                       8.      Evidentiary hearings and preliminary
        3.       Administrative hearings;                                          injunctions lasting less than 6 hours;
        4.       Mediation or arbitration cases;                           9.      Mortgage foreclosures tried in less than
        5.       Cases settled prior to trial;                                     one day.


1.
     Title of Case:

     Case Number:                              Judicial Circuit:
                                                                                   Case Type:           Jury        Non-Jury

     Presiding Judge (and address if outside Florida):                             Party Represented:

                                                                                   Days in Trial:
     Role in Courtroom: Lead Counsel              Co-Counsel

     Did You:            Conduct Voir Dire?                                                Yes                 No
                         Give Opening Statement?                                           Yes                 No
                         Conduct Direct Examination?                                       Yes                 No
                         Conduct Cross Examination?                                        Yes                 No
                         Conduct Closing Argument?                                         Yes                 No
     Explain in detail your role throughout the courtroom proceedings.



     Nature of Proceeding (10 words or less):



     Amount in Controversy:                                                      Amount Awarded:
     Trial Concluded By:                      Submitted trier of fact           Settled        Mistried              Other
     If “Other” or “Settled” is indicated, please describe:

                                                                                Date Tried/Concluded (month and year):
     Prevailing Party:                        Plaintiff        Defendant

     Name of Co-Counsel:

     Name(s) and Address(es) of Opposing Counsel:




                                          Civil Trial Law Recertification Application
                                                         EXHIBIT “B-1”
                                                              1
                                                          EXHIBIT B-1
The following types of cases will not be accepted as a "trial" for civil trial certification (recertification).

        1.       Family law, criminal law or workers'                       6.      Motions for summary judgement;
                 compensation cases;                                        7.      Bankruptcy cases;
        2.       County court cases;                                        8.      Evidentiary hearings and preliminary
        3.       Administrative hearings;                                           injunctions lasting less than 6 hours;
        4.       Mediation or arbitration cases;                            9.      Mortgage foreclosures tried in less than
        5.       Cases settled prior to trial;                                      one day.


2.
     Title of Case:

     Case Number:                              Judicial Circuit:
                                                                                    Case Type:           Jury        Non-Jury

     Presiding Judge (and address if outside Florida):                              Party Represented:

                                                                                    Days in Trial:
     Role in Courtroom: Lead Counsel               Co-Counsel

     Did You:            Conduct Voir Dire?                                                 Yes                 No
                         Give Opening Statement?                                            Yes                 No
                         Conduct Direct Examination?                                        Yes                 No
                         Conduct Cross Examination?                                         Yes                 No
                         Conduct Closing Argument?                                          Yes                 No
     Explain in detail your role throughout the courtroom proceedings.



     Nature of Proceeding (10 words or less):



     Amount in Controversy:                                                          Amount Awarded:
     Trial Concluded By:                      Submitted trier of fact            Settled        Mistried              Other
     If “Other” or “Settled” is indicated, please describe:

                                                                                    Date Tried/Concluded (month and year):
     Prevailing Party:                        Plaintiff         Defendant

     Name of Co-Counsel:

     Name(s) and Address(es) of Opposing Counsel:




                                         Civil Trial Law Recertification Application
                                                        EXHIBIT “B-1”
                                                             2
                                                       EXHIBIT B-2

                                               TRIAL SUBSITUTION


Type of Substitution:       Evidentiary Hearing            Preliminary Injunction          Advanced T/A Seminar
Title of Case or Seminar Name and Sponsor:


Case Number:                              Judicial Circuit:
                                                                                                Jury             Non-Jury

Presiding Judge (and address if outside Florida):                                   Party Represented:


                                                                                    Days in Trial:
Role in Courtroom:         Lead Counsel              Co-Counsel

Did You:            Conduct Voir Dire?                                                      Yes                 No
                    Give Opening Statement?                                                 Yes                 No
                    Conduct Direct Examination?                                             Yes                 No
                    Conduct Cross Examination?                                              Yes                 No
                    Conduct Closing Argument?                                               Yes                 No

If co-counsel, please explain in detail your role throughout the courtroom proceedings.



Nature of Proceeding (10 words or less):



Amount in Controversy:                                                        Amount Awarded:
Trial Concluded By:                      Submitted trier of fact             Settled                 Mistried          Other
If “Other” or “Settled” is indicated, please describe:


                                                                              Date Tried/Concluded (month and year):
Prevailing Party:                        Plaintiff         Defendant

Name of Co-Counsel:


Name(s) and Address(es) of Opposing Counsel:




                                    Civil Trial Law Recertification Application
                                                   EXHIBIT “B-2”
                                                        1
                                CIVIL TRIAL LAW RECERTIFICATION
                                                   EXHIBIT “C”


                                   CONTINUING LEGAL EDUCATION
                    Approved Civil Trial Law Continuing Legal Education Credits Earned

In accordance with Rule 6-4.4(a)(4), Rules Regulating The Florida Bar, applicants must demonstrate they have
completed 50 hours of approved civil trial law certification credits since the filing of the last application for
certification. If you were certified June 1, 2006, list those credits accumulated between September 1, 2005 and
May 31, 2011. If you were certified June 1, 1986, 1991, 1996 or 2001, list those credit hours accumulated
between June 1, 2006 and May 31, 2011.

If you have downloaded this application from The Florida Bar's website and you have not requested a current
certification hours report, please contact our office at (850) 561-5842 and request a copy be sent to you. A
current report reflecting the minimum hours required for this plan should be attached prior to filing the
application. If you have requested a hard copy of this application, a current report was attached. Any hours not
posted to your record as of this report should be reflected on this exhibit. Please note that not all educational
activities qualify for certification credits. Questions regarding whether an educational activity has been approved
(or is eligible) for certification credits can be directed to the staff liaison listed elsewhere in this application.




                                     Civil Trial Law Recertification Application
                                                     EXHIBIT “C”
                                                          1
 I.   ATTENDANCE CREDIT REQUESTS:
      For attendance at seminars or use of independent-study materials
      Course No.                   Course Title                          Sponsor          Date(s)   Approved Hrs.

 1.
 2.
 3.
 4.
 5.
 6.
 7.
 8.
 9.
10.



 II. LECTURE CREDIT REQUESTS:*
                          Title/Course Name                              Sponsor          Date(s)   Approved Hrs.

 1.
 2.
 3.
*No single activity may receive more than 25 hours of credit.


 III. PUBLICATION CREDIT REQUESTS:*
      For publication of articles, chapters in books and books
                        Title                              Publication             Publisher        Approved Hrs.

 1.
 2.
 3.
*No single activity may receive more than 25 hours of credit.


IV. OTHER CREDIT REQUESTS:
    For the teaching of approved graduate level or law school courses
                                                  Description                                       Approved Hrs.

 1.
 2.
 3.



                                     Civil Trial Law Recertification Application
                                                     EXHIBIT “C”
                                                          2
                                                 CONFIDENTIAL STATEMENT OF REFERENCE
                             Sample – Do Not Submit
                           To:

                           For the Certification Applicant:

                           Practicing in the city of:

                           Type of application:


                             Sample – Do Not Submit
                  If you do not know the applicant’s professional qualifications well enough to complete this statement of reference,
                  please check here        and sign and return this form in the enclosed envelope.

                  1. Are you a Judge, Mediator, Arbitrator or Administrator before whom the              Yes        No
                     applicant has appeared?

                  2. Do you practice law in the same geographical area as the applicant?                 Yes        No

                  3. Are you now a partner or associate of the applicant?                                Yes        No

                  4. Are you related by blood or marriage to the applicant?                              Yes        No

                             Sample – Do Not Submit
                  5. Are you a lawyer with whom or against whom the applicant has been involved          Yes        No
CIVIL TRIAL LAW




                     in matters of significant civil trial issues?

                  6. What are the major areas of your law practice?

                  7. Are you board certified? If so, in what area is your certification?

                  8. What percentage of your law practice is devoted to civil trial?        %

                  9. How long have you been acquainted with the applicant?             (year)


                             Sample – Do Not Submit
                  10. Have you been associated with the applicant in the practice of law?
                      If so, how?
                                                                                                Yes         No




                  11. What is your experience in civil trial?




                             Sample – Do Not Submit
                  12. What opportunity have you had to form an opinion of the applicant’s knowledge, experience, skills and
                      proficiency in civil trial law in the community?




                  If responding “yes” to any of the following questions, please fully explain your answer.
                  13. Are there any incidents in the applicant’s law practice which, in your opinion, reflect conduct which has been
                       undignified or discourteous to the court, towards opposing counsel, witnesses or applicant’s client(s)?

                      No           Yes          ______________________________________________________________________




                                                                                                                       Continued
14. Are you aware of any facts or circumstances which indicate the applicant is not presently able to represent clients with
    the competency and professionalism expected of a board certified civil trial attorney?

    No         Yes     Sample – Do Not Submit
                              ____________________________________________________________________________



15. Are there any incidents in the applicant's law practice which, in your opinion, reflect insufficient skill, knowledge,
    proficiency or ethics in civil trial such that you have some doubt about the applicant's entitlement to board certification?

    No         Yes            ____________________________________________________________________________



16. Please rate the applicant as to the criteria listed below in comparison to civil trial attorneys with whose
    practices you are familiar. Please use the following ratings:

    5 = Outstanding; 4 = Above Average; 3 = Average; 2 = Below Average; 1 = Poor; 0 = Unknown.



                       Sample – Do Not Submit
    a. Knowledge of law: _____
    b. Ability to try a case: _____
    c. Consideration of clients’ interests: _____
    d. Courtesy towards court and counsel: _____
    e. Ethical conduct: _____

17. Please list the names and addresses of three other persons who might have particular knowledge about the
    applicant’s civil trial law experience and could be asked questions similar to those on this reference form.

    1.
    2.
    3.

18. Do you recommend this applicant for board certification in civil trial, thereby affirming his or her “special knowledge,
    skills and proficiency” in civil trial as well as good character, ethics and reputation for professionalism in the practice of

                       Sample – Do Not Submit
    law? If not, please explain your reasons. Yes                 No



I declare that I have read the foregoing answers and the facts stated in them (i) are true where given from personal
knowledge; (ii) are true to the best of my knowledge and belief where given from information received from others,
or sources which I believe to be reliable; and (iii) have not been secured from the applicant, the applicant's family
or any other person submitting a reference on this applicant. I further declare that I have attached separate
documentation, if applicable, which details other information of which the Committee and Board should be aware
in assessing the qualifications of this applicant. Finally, I understand that all information provided is confidential
and will not be disclosed to the applicant. I make this declaration pursuant to section 92.525, Florida Statutes, and
under penalties of perjury.


Signature                                                            Date

Should you have any questions, please contact the civil trial law certification staff liaison, Mary Ann Obos, at either
850/561-5690 or through e-mail at <mobos@flabar.org>.

                       Sample – Do Not Submit

				
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