OCBA Application for Membership
Ontario County Bar Association Membership Application
First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Email 1 *
Email for OCBA correspondence (and online publication unless opting out below.)
Your answer
Email 2-optional
Optional email for online publication in member list - if different from Email 1
Your answer
Your answer
Address 1 *
Street address of office
Your answer
Address 2
Optional Line 2 of office street address
Your answer
City *
Your answer
State *
2 digit abbreviation
Your answer
Zip *
Your answer
Mailing Address
Your answer
Phone *
xxx-xxx-xxxx plus ext. format
Your answer
xxx-xxx-xxxx format
Your answer
Website URL
Your answer
Opt Out
Online Listing: Please check information that you do NOT want published in our online member listing
Type *
Membership Level and Annual Dues/Choose One
Payment *
Please indicate method of payment for dues submission/Choose one
Categories (5 max) *
Select up to 5 categories for your online member listing. If more than 5 are selected, only the first 5 will display.
Attorney Applications Only:
Law School
Law school attended
Your answer
Year Graduated
Year of law school graduation
Your answer
Date admitted to practice in NYS
Your answer
Department admitted
Your answer
Other Bars
Please list other State Bars currently admitted to/admission date
Your answer
Certification *
I certify that I will abide by the Ontario County Bar Association's bylaws, I will notify the OCBA in writing immediately of any disciplinary actions concerning my license to practice in this or any State, and I further certify that: I am licensed to practice law in the State of New York (if regular, attorney member) AND I either reside in or practice law in Ontario County (if unretired attorney member) or I am a 7th Judicial District Judge or court staff, I am a retired attorney, OR I am a non-attorney affiliate applicant.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.