Attorney Name and Address Superior Court of California, County of Glenn Juvenile Division 526 W. Sycamore Street Willows, CA 95988 (530)934-6446 DECLARATION OF CERTIFICATION OF ATTORNEY COMPETENCY (Glenn County Local Rule 7.0) Attorney Name : State Bar Number: I am an attorney at law licensed to practice in the State of California. I hereby declare that I am eligible for appointment to represent any party in a dependency proceeding because I have the following minimum training and educational requirements: INITIAL CERTIFICATION I have participated in at least thirty-six (36) hours of training and education in juvenile dependency law and practice. (Explanation or documents attached.) OR I have at least six (6) months experience within the last twelve (12) months in dependency proceedings in the State of California in which I have had primary responsibility for representation of clients in said proceedings. (Explanation or documents attached.) RENEWAL I have completed within a one (1) year period at least twelve (12) hours of continuing education related to dependency proceedings. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this day of , . (Signature) Note: Submit form to Judicial Assistant for Juvenile Dependency, Judicial Officer. Glenn County Superior Court 3/2019 GCSC JV-020 American LegalNet, Inc. www.FormsWorkFlow.com