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FEES AND INFORMATION (Pursuant to Rule 74 AZ. Supreme Ct)

• There is a $17.00 charge per certificate requested.
• This form is for Arizona Bar licensed attorneys only.
• The Division strives to process certificates of good standing within 10 business days of receipt. Number of requests and staff resource limitations may result in longer timeframes.
• Allow additional processing time for certificates from the Highest Court.

Fields marked with an asterisk* are required and must be completed prior to clicking Pay Now.

Enter attorney name as listed with the State Bar of Arizona

First Name

Middle Name

Last Name

Phone Number

AZ State Bar Number

Address

City/Town

State/Province

ZIP/Postal Code

You will need to confirm your application using this email

Law Firm Affiliation (if applicable)

Please select an option

Electronic only. Email the certificate. (N/A if highest court is selected)

Mail to address listed above.

Will pick up certificate. Please call this number when ready:

Certificate will be mailed to a different address than listed above.

Delivery Email

Phone Number for pick up

Mail To

Address

City/Town

State/Province

ZIP/Postal Code

Do you require a certificate from the Highest Court

There is no additional charge for a Highest Court certificate; allow additional time for processing.

# Requested

Additional: Disciplinary History Needed?

(no additional charge)

Additional Notes

Printed name of person making request

This request is on behalf of named attorney