FL-322 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): COUNSEL FOR THE CHILD(REN) (Name Each): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARTY: DECLARATION OF COUNSEL FOR A CHILD REGARDING QUALIFICATIONS 1. I, (name): to the truth of the facts in this declaration. 2. On (date): in the above case. CASE NUMBER: , declare that if I appeared in court and were sworn, I would testify , I was appointed by the court to represent (name of child): LICENSE / INSURANCE 3. I am a licensed attorney and an active member in good standing of the State Bar of California; 4. I have professional liability insurance or am adequately self-insured as previously determined by the court. EDUCATION AND TRAINING (Effective January 1, 2009) 5. I have completed at least 12 hours of education and training in the subjects listed in rule 5.242(c). EXPERIENCE 6. a. b. 7. I have complied with the experience requirements of rule 5.242(f). I have complied with any local court rules that impose experience requirements in addition to those under rule 5.242. I have complied with one of the following alternative experience requirements stated in rule 5.242(g): a. I am employed by a legal services organization government agency private law firm 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 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 I have demonstrated substantial equivalent experience (please provide a summary of equivalent experience): Continued in Attachment 7c. b. c. Page 1 of 2 Form Approved for Optional Use Judicial Council of California FL-322 [New January 1, 2008] DECLARATION OF COUNSEL FOR A CHILD REGARDING QUALIFICATIONS Family Code, § 3150; Cal. Rules of Court, rule 5.242 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com FL-322 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARTY: CASE NUMBER: ANNUAL CONTINUING EDUCATION (Effective January 1, 2010) 8. I have completed 8 hours of continuing education and training annually in the subject areas described in rule 5.242(c). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) 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. FL-322 [New January 1, 2008] DECLARATION OF COUNSEL FOR A CHILD REGARDING QUALIFICATIONS Page 2 of 2