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Declaration Of Organization Providing Professional Supervised Visitation Service VN222 - California
| Declaration Of Organization Providing Professional Supervised Visitation Service Form. This is a California form and can be used in Family Law Ventura Local County . |
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Superior Court of California County of Ventura DECLARATION OF ORGANIZATION PROVIDING PROFESSIONAL SUPERVISED VISITATION SERVICES I, _____________________________________, declare as follows: 1. I am _________________________________________ of the following (title or role in organization) agency, center, partnership, corporation or other entity or organization, and I am authorized to sign this declaration on its' behalf: Name of organization:________________________________________ Address of organization:______________________________________ ______________________________________ Primary contact in organization: ________________________________ ______________________ Phone ________________________________ E-mail 1. I have read and understand California Rules of Court Standard of Judicial Administration 5.20, a copy of which is attached. 2. I certify that each person, whether a employee, intern, volunteer, or independent contractor, who provides supervised visitation services on behalf of or by referral through the above named organization, will meet all of the qualifications and training requirements for professional supervised visitation monitors as stated in Standard 5.20. 3. I certify that each person, whether a employee, intern, volunteer, or independent contractor, who provides supervised visitation services on behalf of or by referral through the above named organization, will comply with all of the standards, procedures, responsibilities, requirements, and other provisions of Standard 5.20. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated:____________________ ____________________________________ Signature Page 1 of 1 Mandatory VN222 01/09 DECLARATION OF ORGANIZATION PROVIDING PROFESSIONAL SUPERVISED VISITATION SERVICES American LegalNet, Inc. www.FormsWorkflow.com
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