SUPERIOR COURT OF CALIFORNIA, IN AND FOR THE COUNTY OF PLACER COUNTY OF PLACER 11270 B Avenue Auburn, California 95603 Juvenile Division CERTIFICATE OF COMPETENCY TO PRACTICE IN JUVENILE DEPENDENCY COURT I, _____________________________________________, Attorney at Law, licensed to practice in the State of California, have completed the following: Eight (8) hours of training or education in juvenile dependency law or related subjects as set forth in CRC 5.660 and Local Rule 50.5. Course Title: ____________________________________________________________. (Attach copies of MCLE certificates or other attendance documentation) Six (6) months experience in dependency proceedings. Court Location: __________________________________________________________. The experience, training or education occurred during the calendar year(s): ___________. I declare under penalty of perjury of the laws of the State of California that the foregoing is true and correct and that this Certificate of Competency was executed on ________________. _____________________________ Attorney Signature [Mandatory Form ­ Effective date 1/1/12] _____________________________ State Bar Number American LegalNet, Inc. www.FormsWorkFlow.com