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LAWYER
REGISTRATION Annual Registration Process | Removal From and Reinstatement to the Master Roll of Attorneys | Change of Attorney’s Registration Address | Change of Registration Address Form | Attorney’s Request For Written Verification of Status | Request For Written Verification of Status Form | Changing From Rule 770 Inactive Status | Requesting Duplicate Identification Card | Admission to Practice Law | Attorney's Request for Name Change | Professional Service Entities and Associations | Rule 756(j) Pro Bono Authorization Forms | Contact the Registration Department ATTORNEY'S REQUEST FOR WRITTEN VERIFICATION OF STATUS I hereby request a written verification of my status as an Illinois lawyer and provide the information listed below in support of my request. I understand that the verification will include my full name as licensed, the date of my licensure, and my current registration status. I acknowledge that the verification will disclose any and all public ARDC proceedings and public disciplinary sanctions related to me. The written verification will also disclose pending confidential matters related to me if my request is for a verification for use by one or any of the following: admission authorities in another jurisdiction in connection with my application for admission to the bar; a screening committee in connection with my application for a judgeship; or a governmental employer in connection with my application for government employment. The confidential information will be provided pursuant to authorization from the Supreme Court under Rule 766(b)(2). I acknowledge that I have no right to confidentiality in the information being provided and I expressly waive any claim to such a right. My full name:
____________________________________ Reason for Request ____ application
for admission to the bar (not isolated case admission). ____ application
for a judicial position. ____ application
for government employment. ____ other Name and address
to which written verification should be sent: Name:
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