Declaration Of Counsel For Dependency Appointments Regarding Qualifications {JV17-0001}

JV17-0001 FOR COURT USE ONLY CASE NUMBER:Page 1 of 2 JV17-0001 TELEPHONE NO.:FAX NO. (Optional):E-MAIL ADDRESS (Optional): PETITIONER/PLAINTIFF:RESPONDENT/DEFENDANT: I, (name):, declare that if I appeared in court and were sworn, I would testify to the truth of the facts in this declaration.3.I am a licensed attorney and an active member in good standing of the State Bar of California;1. 2. On (date): , I was appointed by the court to represent (name of child): that has been approved by the presiding or supervising judge of the local family court as qualified to represent a child in family law proceedings, and I will be directly supervised by an attorney of the organization, agency, or private law firm who meets the experience requirements under rule 5.242(f);I have professional liability insurance or am adequately self-insured as previously determined by the court.a. I am employed by a legal services organization government agency private law firm 4.6.I have complied with one of the following alternative experience requirements stated in rule 5.242(g): 7. I have completed at least 8 hours of education and training in 5.660(d)(3). 5. ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):COUNSEL FOR THE CHILD(REN) (Name Each):LICENSE / INSURANCEEDUCATION AND TRAINING (Effective January 1, 2009) EXPERIENCE in the above case.OTHER PARTY: I have complied with any local court rules that impose experience requirements in addition to those under rule 5.660.I am working in consultation with an attorney approved by the presiding or supervising judge of the local family court as qualified to represent a child in family law proceedings; or b. c. I have demonstrated substantial equivalent experience (please provide a summary of equivalent experience): Continued in Attachment 7c. 825 FIFTH STREET, EUREKA, CA 95501DECLARATION OF COUNSEL FOR DEPENDENCY APPPOINTMENTSREGARDING QUALIFICATIONSSUPERIOR COURT OF CALIFORNIA, COUNTY OF HUMBOLDTDECLARATION OF COUNSEL FOR DEPENDENCY APPPOINTMENTSREGARDING QUALIFICATIONS American LegalNet, Inc. www.FormsWorkFlow.com I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.Date:(SIGNATURE OF DECLARANT) (TYPE OR PRINT NAME) NOTICE: Attorneys appointed to represent a child must file a declaration with the clerk of the court indicating compliance with California Rules of Court, rule 5.242, no later than 10 days after each appointment and before beginning work on the case.I have completed 8 hours of continuing education and training annually in the subject areas described in rule 5.242(c).8. ANNUAL CONTINUING EDUCATION (Effective January 1, 2010) CASE NUMBER:JV17-0001PETITIONER/PLAINTIFF:RESPONDENT/DEFENDANT:OTHER PARTY:JV17-0001 DECLARATION OF COUNSEL FOR DEPENDENCY APPPOINTMENTS Page 2 of 2REGARDING QUALIFICATIONS American LegalNet, Inc. www.FormsWorkFlow.com