SPPE - Employer

SPPE - Employer

Applicant Information

SPPE Application Last Name

SPPE Application First Name

Date of Hire

If not currently employed, start conditioned on license? (Yes/No)

Select

Employer Information

Employer

Employer Oregon Mailing Address

Employer Phone #

Full Name of Employer's Representative

Title

Phone

Physical address of office from which the provisional licensee will primarily engage in the practice of law

Supervising Attorney Information

Name of Supervising Attorney

Supervising Attorney's Job Title

Supervising Attorney's OSB number

Supervising Attorney Phone #

Supervising Attorney Email

Supervising Attorney Work Address

Is supervising attorney employed by same employer as applicant? (Yes/No)

Select

Documents and Declarations

File Upload

Your submission must include an electronic original of a completed Employer Application, with a dated Declaration page signed by an authorized representative with the authority to bind the Employer to the obligations, affirmations and declarations contained in the Application. No fee is required to submit the Employer Application.

Use the area below to upload your documents.

Drag and drop files here or

Declaration - Employer

Check this box to affirm that Employer has uploaded a completed electronic original of the Employer Application and that an authorized representative of the Employer has signed the Declaration on the Employer's behalf.

Send me a copy of my responses

Privacy Notice|Report Abuse