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Annual Compliance Certification For PVP Attorneys PRO 058 - California
| Annual Compliance Certification For PVP Attorneys Form. This is a California form and can be used in Probate Los Angeles Local County . |
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CONFIDENTIAL FOR COURT USE ONLY LOS ANGELES SUPERIOR COURT PROBATE DEPARTMENT ANNUAL COMPLIANCE CERTIFICATION FOR PROBATE VOLUNTEER PANEL ATTORNEYS 1. Personal Information Name Last First Middle Address: Firm Name Street/P.O. Box City State Zip Telephone: Email: 2. _ (Office) _ (Cell) (Fax) State Bar Membership A. I am an active member of the California State Bar. My Bar number is . (Initial) B. As of the date of this Certification, I have no disciplinary proceedings pending with the California State Bar, and I have had no discipline imposed on me within the 12-month period immediately preceeding that date. (Initial) C. If, at any time that I am a member of this panel and my status as a member of the State Bar changes, I agree to notify the Court, in writing , within ten (10) days of that change. (Initial) 3. Professional Liability Insurance A. I carry professional liability insurance with policy limits consistent with the values of the matters to be handled, at a minimum amount of $100,000 per claim and $300,000 per year. (Initial) B. If, at any time that I am a member of this panel, I am no longer covered by professional liability insurance in the amounts specified above, I agree to notify the Court, in writing, within ten (10) days of that change. (Initial) PROBATE VOLUNTEER PANEL ANNUAL COMPLIANCE CERTIFICATION PRO 058 02/12 Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 4. California Rules of Court The California Rules of Court establish qualifications for attorneys accepting appointments in conservatorship and/or guardianship cases. A. I am qualified to accept appointments by the Court to represent conservatees or proposed conservatees under Probate Code §§ 1470 and 1471. Pursuant to Rule 7.1101(b)(2) of the California Rules of Court, I have filed or am filing herewith mandatory Judicial Council form GC-011, Annual Certification of Court-Appointed Attorney (Probate-Guardianships and Conservatorships). (Initial) B. I am qualified to accept appointments by the Court to represent wards or proposed wards under Probate Code § 1470. Pursuant to Rule 7.1101(b)(1) of the California Rules of Court, I have filed or am filing herewith mandatory Judicial Council form GC-011, Annual Certification of Court-Appointed Attorney (Probate-Guardianships and Conservatorships). (Initial) 5. Los Angeles Superior Court A. Check one: I have completed the mandatory PVP training program. I have NOT completed the mandatory PVP training program. (Initial) B. I have completed at least 12 hours of MCLE during my State Bar reporting period in the areas of decedents' estates, conservatorships, guardianships, or trust administration. (Initial) C. My specific areas of interest during this compliance period are: Decedents' estates and trust administration Conservatorships and guardianships of the estate * Guardianships of the person (minors' counsel) * Conservatorships of the person * Limited conservatorships for developmentally disabled adults * Capacity determinations and health care decisions for adults without conservators Estate planning and taxation Medi-Cal planning (Probate Code §§ 3100 and 3600) Compromises/judgments, special needs trusts, minors' trusts (probate) Compromises/judgments, special needs trusts, minors' trusts (civil) PROBATE VOLUNTEER PANEL ANNUAL COMPLIANCE CERTIFICATION PRO 058 02/12 Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Tuberculosis detention proceedings Fiduciary appointments Guardians ad litem LASC Probate Cases LASC Civil Cases U.S. Federal District Court Cases I authorize Los Angeles Superior Court to provide a copy of this application to the Federal District Court. (Initial) Evidence Code § 730 experts/referees/special masters Other (specify): * Attorneys accepting appointments as counsel in conservatorship and/or guardianship proceedings must meet the qualifications and continuing education requirements set forth in California Rules of Court Rule 7.1101. D. 6. I certify that I meet the requirements specified in Los Angeles Superior Court Rules, Rule 10.84, for each area of interest marked above (Initial) District Appointments I am willing to accept appointments in the following Los Angeles Superior Court districts: Central (Los Angeles) Northwest (Van Nuys) Northeast (Pasadena) East (Pomona) North (Antelope Valley) South (Long Beach) Southwest (Torrance) Southeast (Norwalk) West (Santa Monica) All Districts 7. Private Professional Fiduciary Representation I am or have been the attorney of record for the following private professional fiduciaries: Name Estimated Number of Cases (Attach additional pages if needed.) I declare under penalty of perjury under the laws of California that the foregoing is true and correct. (Date) (Signature) PROBATE VOLUNTEER PANEL ANNUAL COMPLIANCE CERTIFICATION PRO 058 02/12 Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com
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