SUPERIOR COURT OF CALIFORNIA COUNTY OF DEL NORTE JUVENILE COURT CERTIFICATION OF COMPETENCY - JUVENILE DEPENDENCY I, Name ________________________________________________________________________ Office address ________________________________________________________________________ Telephone number am an attorney at law licensed to practice in the State of California. My State Bar Number is _____________. I hereby certify that I meet the minimum standards for practice before a juvenile court set forth in rule 5.660 of the California Rules of Court, and Chapter 10 (Juvenile Court Rules) of the local rules of court for the Superior Court of California, County of Del Norte, and that I have completed the minimum requirements for training, education and/or experience as set forth below. Training and Education: (Attach copies of MCLE certificates or other documentation of attendance) Date Completed Course Title Hours Provider Juvenile Dependency Experience: (Initial certification only) Date of Last Appearance Case # Contested Hearings Party Represented Dated Form Adopted for Mandatory Use DN-102 (Rev. January 1, 2012) Signature CERTIFICATE OF COMPETENCY JUVENILE COURT SUPERIOR COURT OF CALIFORNIA COUNTY OF DEL NORTE American LegalNet, Inc. www.FormsWorkFlow.com