JC-E-339 Application submitted by: (Name and Address) Name: Street Address City, State: Telephone Number: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO Street Address: 3341 Power Inn Road City and Zip Code: Sacramento, CA 95826 Branch Name: SITTING AS THE JUVENILE COURT NAME OF CHILD/MINOR: Date of Birth: FOR COURT USE ONLY RESPONSE TO JUVENILE COURT APPOINTING SACRAMENTO COURT APPOINTED SPECIAL ADVOCATES (CASA) (Welfare & Institutions Code § 102, California Rules of Court, rule 5.655) CASE NUMBER: I, ________________________________________________________________, do hereby declare that: ACKNOWLEDGMENT OF APPOINTMENT Sacramento Court Appointed Special Advocates (CASA) acknowledges the Juvenile Court's appointment in the above-entitled case and certifies the circumstances of the case make it appropriate for CASA to assign a Special Advocate to assist the Child. CASA hereby assigns _______________________________, sworn Special Advocate in good standing, to perform as the Child's Special Advocate of record for all purposes in these proceedings pending further notice and order of the Court. MOTION TO VACATE APPOINTMENT Sacramento Court Appointed Special Advocates (CASA) acknowledges the Juvenile Court's appointment in the above-entitled case and moves the Juvenile Court to vacate the order for the following reason: An appropriate CASA volunteer is currently unavailable. The CASA Programs concludes that a CASA Appointment is not recommended. Other:___________________________________________________________ I declare under penalty of perjury that the above is true and correct. Executed this _________ day of __________________________________ in Sacramento, California. Signature: __________________________________________________ Executive Director MANDATORY JC-E-339 REVISED 09/15/16 RESPONSE TO JUVENILE COURT APPOINTING SACRAMENTO COURT APPOINTED SPECIAL ADVOCATES (CASA) Page 1 of 1 www.saccourt.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com