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Court Appointed Attorney Cover Sheet PR-150 - California

Court Appointed Attorney Cover Sheet Form. This is a California form and can be used in Probate San Diego Local County .
 Fillable pdf Last Modified 6/28/2010
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SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN DIEGO PROBATE DIVISION 1409 FOURTH AVENUE SAN DIEGO, CA 92101 PROBATE-CENTRAL (619)450-7676 (619)450-7584 FAX COURT APPOINTED ATTORNEY COVER SHEET Name: Address: Email: Phone Number: I would like to be added to the list of attorneys who may be appointed by the court to represent parties in probate cases, also known as the Court-Appointed Attorney List. (JC Form #GC-010 must be attached.) PLEASE STATE WHAT TYPES OF CASES YOU WILL AND WILL NOT ACCEPT AT EACH LOCATION. TYPE OF CASE Conservatorships Patient ­ Med Auth Prob. Code § 3205 Dementia Auth Prob. Code § 2356.5 Guardianships Incarcerated Parent Guardian Ad Litem I have ATTACHED proof of my CURRENT professional liability insurance. I understand fees for these services are paid by the parties when able, but are otherwise paid by the County of San Diego. I understand that I will be appointed on a rotational basis. I would like to continue as a court appointed attorney. (JC Form #GC-011 must be attached.) I would like to be removed from the Court Appointed Attorney List. I will NOT be available for appointments for the following period of time hearing dates from or to . Languages spoken other than English: CENTRAL YES NO NORTH YES NO COMMENTS Date: Signature of Attorney RETURN THIS FORM TO THE PROBATE BUSINESS OFFICE AT THE ADDRESS ABOVE, ATTENTION CONSERVATORSHIP DESK. SDSC PR-150 (Rev. 5/10) COURT APPOINTED ATTORNEY COVER SHEET Cal. Rules of Court, rules 7.1101(b), 7.1101(c) SDSC Local Rules 4.18.12, 4.19.14 American LegalNet, Inc. www.FormsWorkFlow.com
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