SUPERIOR COURT OF CALIFORNIA, COUNTY OF SOLANO CRIMINAL DIVISION Fairfield Branch 600 Union Avenue , Ste. 151 Fairfield, CA 94533 Vallejo Branch 321 Tuolumne St. Vallejo, CA 94590 COURT CASE NUMBER: ______________________ NUMBER OF HOURS: ______________________ COMPLETION DATE: ______________________ TO WHOM IT MAY CONCERN: The bearer of this letter has requested volunteer work with your non-profit agency. If this is agreeable with you, please supervise this person’s work, monitor his/her hours, and have the volunteer return this letter to the court. NAME OF VOLUNTEER: _________________________________________________ QUALITY OF WORK: Excellent Good (Circle one) Average Unsatisfactory For verification purposes this portion to be filled out by the non-profit organization and must be completed in full: Name of non-profit organization: ____________________________________________ Address: _______________________________________________________________ Telephone No.: _______________________________________ TAX ID #: ____________________________________________ Name of Supervisor: ______________________________________________ Signature of Supervisor: ___________________________________________ Telephone No. of Supervisor: _______________________________________ Thank you for your cooperation. COMMUNITY SERVICE Form #95 Rev. 8/10 American LegalNet, Inc. www.FormsWorkFlow.com