Rule 13.10 Compliance Declaration

A compliance declaration filed under BR 7.1(7) shall be in substantially the following form: COMPLIANCE DECLARATION In re: Reinstatement of (Name of attorney) (Bar number) For reinstatement as an active/inactive (circle one) licensee. 1. Full name ________________ Date of Birth ___________ 2. Residence address _________Telephone _____________ 3. I hereby attest that during my period of suspension from the practice of law from ________to _________, (insert dates) □ I did not at any time engage in the practice of law except where authorized to do so OR □ I engaged in the practice of law under the circumstances described on the attached [attach an explanation of activities relating to the practice of law during suspension]. 4. I also hereby attest that I responded to the requests for information or records by Disciplinary Counsel and have complied with any subpoenas issued by Disciplinary Counsel, or provided good cause for not complying to the request. I HEREBY DECLARE THAT THE ABOVE STATEMENT IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF, AND THAT I UNDERSTAND IT IS MADE FOR USE AS EVIDENCE IN COURT AND IS SUBJECT TO PENALTY FOR PERJURY. (Name)