CERTIFICATE OF COMPETENCY TO PRACTICE IN JUVENILE DEPENDENCY COURT I have completed the following: (check one) _____8 hours of training or education in juvenile dependency law or related subjects as set out in the Rules of Court. _____6 months of experience in dependency proceedings. The experience, training, or education occurred during the calendar year(s) _______________________. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, and that this certification is executed at _____________________[city], California on __________________[date]. Signature Line LSC Form 3A Mandatory Form, Effective Date 07/01/1999 American LegalNet, Inc. www.FormsWorkFlow.com