12. Members may be exempted pursuant to section 11 if they submit a written request for recognition of the unlisted activity to the Order at least 30 days before the scheduled date of the activity or within 60 days of having attended such activity, as the case may be.
The request shall be accompanied by an attestation of the member’s attendance or of successful completion or, if applicable, by the transcript of results. The request for recognition shall include:(1) a description of the continuing education activity;
(2) the duration of the activity;
(3) the number of hours requested for the activity;
(4) the name and address of the person, organization or institution offering the activity;
(5) any other information deemed relevant for recognition purposes.