Approved for Optional Use Form L - 524 ( J uly 2016) Faretta Waiver (Contempt) www.occourts.org ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address) : Telephone No.: Fax No. (Optional): E - Mail Address (Optional): ATTORNEY FOR (Name): Bar No: FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER: Central - 700 Civic Center Dr. West, Santa Ana, CA 92701 - 4045 Lamoreaux - 341 The City Drive, Orange, CA 92868 - 3205 PLAINTIFF / PETITIONER: DEFENDANT / RESPONDENT: OTHER PARTY/PARENT: FARETTA WAIVER (CONTEMPT) CASE NUMBER : You have stated to the court that you do not wish to be represented by an attorney even though one would be provided to you at no expense if you cannot afford one and that you wish to represent yourself. In making this decision to be your own attorney, you must consider the following: 1. It is almost always unwise to represent yourself and in doing so, you may conduct a defense which may aid the opposing party. (Initials) 2. You are not entitled to any special privileges or treatment from the judge. The judge will require you to follow all the technical rules of law , procedure and evidence in the defense of your case and in the presentation of your defense. The judge will not aid you in your efforts to defend yourself. (Initials) 3. The person(s) opposing you in the hearing may be an experienced attorney who will not treat you in any special way even though you do not ha ve the same skills or experience. It will not lik ely be a fair contest. (Initials) 4. An allegation that you were denied effective assistance of counsel, that is, you were incompetent as trial attorney, will not result in a new trial with competent counsel. ( Initials) 5. If you change your mind during the hearing , you may not be permitted to obtain a postponement of the hearing while you obtain an attorney. (Initials) 6. Your right to represent yourself may be ended, an attorney appointed for you, and you may be excluded from the courtroom if you misbehave during this case or seriously disrupt the trial. (Initials) American LegalNet, Inc. www.FormsWorkFlow.com Approved for Optional Use Form L - 524 ( J uly 2016) Faretta Waiver (Contempt) www.occourts.org Answer the following questions: 7. Have you ever represented yourself before in any court proceeding? Yes No 8. You are charged with contempt of court. Have you considered any possible defense? Yes No 9. Do you know the maximum penalty in the event you are found in contempt? Yes No 10. Indicate the number of years of formal education you have had. Elementary School High School College Graduate 11. Is English your first language? If no, what is? Yes No 12. Have you been treated for any emotional or mental illness which you believe would interfere with your ability to represent yourself ? Yes No If yes, please explain: 13. Have you had any difficulties reading and understanding this form? Yes No 14 . Please briefly explain why you wish to represent yourself: 1 5 . Do you now wish the court to permit you to represent yourself as your own attorney? Yes No Date: Signature of Defendant American LegalNet, Inc. www.FormsWorkFlow.com