Pro Bono Certification Form

PENNSYLVANIA BAR ASSOCIATION
PRO BONO CERTIFICATION

I undertook one new pro bono matter or continued work on an ongoing pro bono matter within the 12-month period ending May 10, 2013. (Please identify the matter on the line below.)

I am employed full-time by a public interest organization. (Please identify on the line below)

I am prohibited from handling a pro bono matter based upon my position or due to other circumstances. However, I have provided "Alternative Support" as defined in paragraphs 2 or 3 of the Recommendation of the Legal Services to the Public Committee approved by the Board on June 20, 2007.

I have not been able to comply with the Pro Bono Service Policy to date.

Name

Supreme Court Number

Date

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