NOTICE OF UNAVAILABILITY FOR APPOINTMENT TO JUVENILE ABUSE/NEGLECT/DEPENDENCY CASES To: From: Address: Email: Phone: Family Court Office and Clerk of Superior Court/Special Proceedings Division Supervisor _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ I, the undersigned attorney on the appointed list(s) for Abuse/Neglect/Dependency Court, will be on (check one) secured leave / medical leave and will be unavailable for assignment to cases which are scheduled for the first Nonsecure Custody hearing from: _____________________________ (Beginning date of unavailability) ____________________________ (Ending date of unavailability) This the ____ day of _______________, 20___. ______________________________ (Signature of Attorney) NOTE: The period of unavailability for secured leave may not be longer than thirty (30) days and the period of unavailability for medical leave may not be longer than six (6) months. If an approved attorney requires leave longer than these periods, then he or she shall be removed from the list(s) and a written request and accompanying documentation will be required to be placed back on the list(s) as required by the Tenth Judicial District Family Court Local Rules for Juvenile Abuse/Neglect/Dependency Court, Local Rule 5: Court Appointed Counsel, Guardian ad Litem for Parent, and Conflict Guardian ad Litem-Attorney Advocate Lists (www.nccourts.org). WAKE-JUV (AND)-6 (NEW 02/06) (PAGE 1 OF 1) American LegalNet, Inc. www.USCourtForms.com