SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE RULES ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): TELEPHONE NO: FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE Butte County Courthouse One Court Street Oroville, CA 95965 (530) 532-7002 Chico Courthouse 655 Oleander Chico, CA 95926 (530) 532-7009 PLAINTIFF(S): DEFENDANT (S): CERTIFICATE OF COMPETENCY TO PRACTICE IN JUVENILE DEPENDENCY COURT CASE NUMBER: I, _______________________, Attorney at Law, have completed the following within the past three (3) years: [ ] Eight (8) hours of training or education in juvenile dependency law as set forth in Butte County Local Rule 17 OR [ ] Six (6) months of recent regular appearances in dependency proceedings which occurred on and between _____________________________ in the county of ____________________________. The eight (8) hours of training or education was completed on ____________. The name of the course and provider of the training or education was _____________________________________________. _________________________ Date __________________________________ Attorney VERIFICATION I have read Butte County Superior Court Rule 17.5 and California Rule of Court 5.660(d) - Competent Counsel, and know its contents. The matters stated in the foregoing document are true of my own knowledge. I declare under penalty of perjury of the laws of the State of California that the foregoing is true and correct and that this Verification was executed on ______________________, at Butte County, California. _______________________________ Attorney Each attorney certified to practice before the juvenile court shall complete eight (8) hours of continuing education related to dependency and submit a new certificate of competency to the court within three (3) years. Butte County Local Rule of Court 17.5(d). (JV.010) Page 1 of 1 _______ (A.D. 7-1-2012) Mandatory Certificate of Competency to Practice in Juvenile Dependency Court American LegalNet, Inc. www.FormsWorkFlow.com