SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE INDIO 47-671 Oasis St., Indio, CA 92201 MURRIETA 30755-D Auld Rd., Ste. 1226, Murrieta, CA 92563 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) RIVERSIDE 9991 County Farm Rd., Riverside, CA 92503 RI-JV018 FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): CERTIFICATION OF ATTORNEY COMPETENCY (Juvenile Dependency) I, California. My State Bar Number is Office address: am an attorney at law licensed to practice in the State of . Telephone number: I hereby certify under penalty of perjury that I meet the minimum standards for practice before a Juvenile Court set forth in the California Rules of Court, rule 5.660, and local rule 5270, and that I have completed the minimum 8 hour requirements for training, education and/or experience as set forth below. Training and Education: Course Title (Attach copies of MCLE certificates or other documentation of attendance.) Date Completed Hours Provider Summary of Juvenile Dependency Experience: I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: (TYPE OF PRINT NAME OF ATTORNEY (SIGNATURE) Page 1 of 1 Approved for Optional Use Riverside Superior Court RI-JV018 [Rev. 09/15/15] CERTIFICATION OF ATTORNEY COMPETENCY American LegalNet, Inc. www.FormsWorkFlow.com California Rules of Court, rule 5.660 Local Rule 5270 riverside.courts.ca.gov/localfrms/localfrms.shtml