SDSC PR-150 (Rev. 1/18) COURT-APPOINTED ATTORNEY COVER SHEET Cal. Rules of Court, rules 7.4, 7.1101(b), 7.1101(c) Mandatory Form SDSC Local Rules 4.21.5, 4.21.6 SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, CENTRAL COURTHOUSE 1100 UNION ST., SAN DIEGO, CA 92101 COURT-APPOINTED ATTORNEY COVER SHEET Name: Address: Email: Telephone Number: I would like to continue as a court-appointed attorney. (Annual Certification of Court-Appointed Attorney [JC Form #GC-011] must be attached.) I would like to be added to the list of attorneys who may be appointed by the court to represent parties in probate cases, also known as the Court-Appointed Attorney List. (Certificate of Attorney Concerning Qualifications for Court Appointment [JC Form #GC-010] must be attached.) I would like to be added to the list of attorneys who may be appointed by the court to represent parties in probate cases, also known as the Court-Appointed Attorney List, but I have not fully satisfied the requirements of Cal. Rules of Court, rule 7.1101. (Certificate of Attorney Concerning Qualifications for Court Appointment [JC Form #GC-010] must be attached.) I speak a language other than English. I have attached a letter of support from an attorney currently active on the Court-Appointed Attorney List. I have observed three conservatorship court calendars in the STATE WHICH TYPES OF CASES YOU WILL ACCEPT: TYPE OF CASE COMMENTS Guardianships Conservatorships Limited Conservatorships Major Neurocognitive Disorder Auth . Prob. Code 247 2356.5 Patient 226 Med Auth . Prob. Code 247 3205 Guardian Ad Litem I would like to be removed from the Court-Appointed Attorney List. I will NOT be available for appointments on the following days: . Language(s) spoken other than English: . If appointed to a case I understand the following: I will be appointed on a rotational basis. Fees for my services will be paid by the parties when available, but are otherwise paid by the County of San Diego. I must notify the court in writing of a conflict of interest within Date: Signature of Attorney American LegalNet, Inc. www.FormsWorkFlow.com