
The State Bar of California
Office of Admissions – MJP Program
845 S. Figueroa Street, Los Angeles, CA 90017-2515
(213) 765-1500
Out-of-State Attorney Registered In-House Counsel Program Application
Attachment A – Attorney Declaration
a. I am currently a member in good standing of and eligible to practice law in at least one jurisdiction in the
United States.
b. I am not suspended, disbarred or resigned with charges pending from any professional occupational
disciplinary agency or licensing board.
c. I agree to be subject to the disciplinary authority of The Supreme Court of California and The State Bar
of California with respect to the law of The State of California governing the conduct of attorneys, to the
same extent as a member of The State Bar of California.
d. As Registered In-House Counsel, I will practice law for a SINGLE Qualifying Institution in California
which employs me.
e. I understand that I may qualify to simultaneously practice law under the Registered Legal Services
Attorney Program.
f. I currently reside in California.
g. I will not provide personal or individual representation to any customers, shareholders, owners,
partners, officers, employees, servants, or agents of the Qualifying Institution.
h. I will not make court appearances in California state courts or engage in any other activities for which
Pro Hac Vice admission is required.
i. I agree that in my first year of practice under the Registered In-House Counsel Program, I will satisfy all
of the Minimum Continuing Legal Education requirements that members of The State Bar of California
must complete every 3 years and thereafter satisfy the Minimum Continuing Legal Education
Requirements applicable to all members of The State Bar of California.
j. I will notify The State Bar of California in writing within 30 days of a change in any information provided
in my application, including my address, employment at a qualifying institution, or eligibility to practice
law in another jurisdiction. Eligibility would be changed by a suspension, resignation with or without
charges pending, disbarment, or its functional equivalent.
k. I will provide The State Bar of California with a forwarding address to which any notices or papers may
be mailed within 30 days of cessation of employment by the Qualifying Institution.
l. I am aware that filing a certificate containing false information or otherwise failing to comply with the
standards of professional conduct required of members of The State Bar of California or the rules
governing Registered In-House Counsel will subject me to the disciplinary jurisdiction of The State Bar
of California.
I declare under penalty of perjury under the laws of The State of California that the foregoing
application and any attachments to it are true and correct.
Date: Print Name:
Signature:
RIHC Application 2017_R
Page 2 of 4