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Attorney Application For Appointment To PVP PRO 057 - California
| Attorney Application For Appointment To PVP 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 ATTORNEY APPLICATION FOR APPOINTMENT TO PROBATE VOLUNTEER PANEL I, (Typed or Printed Name) , apply for appointment to the Probate Volunteer Panel and declare as follows: 1. State Bar Membership A. I was admitted to the California State Bar on (Date) . . (Initial) I am currently an active member. My Bar number is B. As of the date of this Application, 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 proceeding that date. (Initial) Check one: I have previously been subject to State Bar disciplinary proceedings. I have not ever been subject to any State Bar disciplinary proceedings. (Initial) If applicable, please explain any prior State Bar disciplinary proceedings in a separate attachment. 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) 2. 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) 3. California Rules of Court PRO 057 02/12 ATTORNEY APPLICATION FOR APPOINTMENT TO PROBATE VOLUNTEER PANEL Page 1 of 5 American LegalNet, Inc. www.FormsWorkFlow.com A. Requirements for appointment as counsel in conservatorship cases: 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-010, Certification of Attorney Concerning Qualifications for Court Appointment in Conservatorships or Guardianships. (Initial) B. Requirements for appointment as counsel in guardianship cases: 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-010, Certification of Attorney Concerning Qualifications for Court Appointment in Conservatorships or Guardianships. (Initial) 4. Los Angeles Superior Court A. I have read California Rules of Court Rule 7.1101 and Los Angeles Superior Court Rules 10.83 through 10.87 regarding eligibility requirements for Probate Volunteer Panel members. (Initial) B. I comply with the educational requirements as follows: i. Check one: I have completed the mandatory PVP training program. I have NOT yet completed the mandatory PVP training program. I agree to complete the mandatory PVP training program within one year from submission of my initial application. (Initial) ii. 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 as required. (Initial) C. I request appointment to the Probate Volunteer Panel in the following area(s): 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 PRO 057 02/12 ATTORNEY APPLICATION FOR APPOINTMENT TO PROBATE VOLUNTEER PANEL Page 2 of 5 American LegalNet, Inc. www.FormsWorkFlow.com 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) 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. 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) E. 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 F. I understand and agree that an Annual Compliance Certification must be filed as required by Los Angeles Superior Court Rules, Rule 10.83. In addition, if my areas of interest include appointments in guardianship or conservatorship proceedings, I will submit each year the mandatory Judicial Council form GC-011, Annual Certification of Court-Appointed Attorney. (Initial) G. I am a Certified Specialist in: Estate Planning, Probate, and Trust Law Taxation PRO 057 02/12 ATTORNEY APPLICATION FOR APPOINTMENT TO PROBATE VOLUNTEER PANEL Page 3 of 5 American LegalNet, Inc. www.FormsWorkFlow.com Family Law Other (specify): H. I. % of my current practice consists of estate Approximately planning, estate administration, trusts, guardianships, or conservatorships. 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.) J. I have the following special skills, training, and/or experience relating to decedents' estates, trust administration, conservatorships, and guardianships: K. I speak the following languages (other than English): Members of my staff speak the following languages (other than English): L. Check one: I am willing to accept appointments for ex parte and other urgent matters. I am NOT willing to accept appointments for ex parte
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