Michigan > Local County > Oakland > Probate
Application To Serve As Court-Appointed Counsel For Indigents PEMH 1091 - Michigan
| Application To Serve As Court-Appointed Counsel For Indigents Form. This is a Michigan form and can be used in Probate Oakland Local County . |
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APPLICATION TO SERVE AS COURT APPOINTED COUNSEL FOR INDIGENTS OAKLAND COUNTY PROBATE COURT All attorneys seeking appointments as counsel for indigents must have their principal places of business in Oakland County and must submit this application to the Probate Register. 1. Name / P# Principal Business Address Business Phone No. E-mail Fax no. Social Security No. 2. Please check the appointment categories for which you wish to be considered. A. Attorney for Alleged Legally Incapacitated Individual (Adult Guardianship) B. Attorney for Alleged Individual with Developmental Disability C. Attorney for Alleged Mentally Ill Individual. 3. # Years in Practice Describe your practice (and any specializations) 4. Do you have any special skills or hold any special licenses? If Yes, What Skills? / Licenses? Yes No 5. Are you fluent in any foreign language? If so, please indicate language(s) 6. What professional training do you have in the area or areas in which you seek appointments? List by title of training, provider, and year. 7. Do you have other training or experience which is relevant to the areas in which you seek appointments? If yes, please indicate. Page 1 of 4 American LegalNet, Inc. www.FormsWorkflow.com Probate Application 8. Have you spoken, taught, presented, or published in the areas in which you seek appointments? If yes, please indicate. 9. List any professional organization(s) of which you are a member (including sections or committees) which are relevant to the areas in which you seek appointments. 10. Have you ever been reprimanded, suspended or disbarred from the practice of law in this state or NO YES any other state in which you are licensed to practice law? If Yes, please explain IF YOUR TRAINING IS FROM A PROVIDER OTHER THAN THE OAKLAND COUNTY BAR ASSOCIATION (OCBA), PLEASE ATTACH DOCUMENTATION WHICH REFLECTS ATTENDANCE AND CURRICULUM. PROBATE EXPERIENCE For each category for which you seek appointments, list at least 3 such cases for which you were attorney of record in the same capacity. A. Attorney for Alleged Legally Incapacitated Individual Case Name & File No. 1. 2. 3. [Optional] 4. 5. 6. Court/ Judge No. of Hearings Page 2 of 4 American LegalNet, Inc. www.FormsWorkflow.com Probate Application B. Attorney for Alleged Individual with Developmental Disability Case Name & File No. 1. 2. 3. [Optional] 4. 5. 6. C. Attorney for Alleged Mentally Ill Individual Case Name & File No. 1. 2. 3. [Optional] 4. 5. 6. If you wish to supply additional case file information, please attach a separate sheet. Other related trial experience which you believe is relevant to the categories for which you seek appointment: Court/ Judge No. of Hearings Court/ Judge No. of Hearings Page 3 of 4 American LegalNet, Inc. www.FormsWorkflow.com Probate Application List any cases in which you have served as "second chair" with an experienced mentor which you believe should be considered in reviewing your application. Case Name/Type 1. 2. 3. Court/Judge Date of Trial Name of Mentor AGREEMENT If appointed to represent an indigent party, I agree to be a mentor to a less experienced attorney and I will allow another attorney to second-chair a case to permit him/her to gain probate court experience. I understand that my appointment file will be maintained by the Circuit and Probate Court Administration Office. The press and public periodically requests access to such files. By checking this box I authorize Circuit and Probate Court Administration Office employees to provide them access to my file upon request. If appointed to represent an indigent party, I agree to represent my client at all proceedings. If I cannot attend a proceeding on behalf of my client, I agree to obtain substitute counsel who is qualified to represent indigent parties in the category of case to which I was appointed. I further agree to attend training sessions and/or continuing legal education seminars to maintain my professional currency. I hereby certify that the above information is true. Date: Signature: Do not write below this line For court use only Page 4 of 4 PEMH 1091 (04/04) CAAApplication Form American LegalNet, Inc. www.FormsWorkflow.com
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