2026 Membership Application

Fill it out below, then print or save as a PDF.

Complete this application on screen, then use Print / Save as PDF to produce a copy to mail with your check — or pay your dues online. Please type or print legibly so we can read every field. If your contact information changes (including your e-mail), let us know: we send notices only by e-mail.

Membership Category & Dues Select the category that applies to you. Your total updates automatically.

Active Member — Admitted to Practice 2024–2026 $50 Active Member — Admitted to Practice 2022 and Before $100 Retired and Inactive Member $50

Reinstatement Fee (if paying after Feb 28, 2026) $10

Total Due $0

Attorney Information

Year admitted to practice in Ohio

Year joined the LCBA

Ohio Supreme Court Registration Number

Committee preferences (only if different from last year's assignment)

Contact Information

Member's name

Post office box and street address

City

State

ZIP code

Telephone

Fax

E-mail We send all LCBA notices by e-mail — please keep this current.

Mail your payment

Make checks payable to Licking County Bar Association.

David Skrobot
Fisher, Skrobot & Sheraw
471 East Broad Street, Suite 1810
Columbus, Ohio 43215

Return this completed form with your check.

Dues deadline

Dues are payable by January 1, 2026. If dues are not paid by February 28, 2026, your membership lapses, notices stop, and your name is removed from the LCBA website.

After February 28, 2026, reinstate by paying your dues plus a $10 reinstatement fee. Fees are not prorated.

Pay Dues Online Choose “Save as PDF” as the destination in the print dialog to keep a digital copy.