Attorney Name and Address Superior Court of California, County of Sonoma Juvenile Division 600 Administration Drive Santa Rosa, CA 95403 Phone: (707) 565-1100 DECLARATION OF CERTIFICATION OF ATTORNEY COMPETENCY (Sonoma County Local Rule 10.12) Attorney Name: ______________________________ ______ State Bar Number: ______________ I am an attorney at law licensed to practice in the State of California. I hereby declare that I am eligible for appointment to represent any party in a dependency proceeding because I have the following minimum training and educational requirements: INITIAL CERTIFICATION I have participated in at least thirty-six (36) hours of training and education in juvenile dependency law and practice. (Explanation or documents attached.) OR I have at least six (6) months experience within the last twelve (12) months in dependency proceedings in the State of California in which I have had primary responsibility for representation of clients in said proceedings. (Explanation or documents attached.) RENEWAL I have completed within a one (1) year period at least twelve (12) hours of continuing education related to dependency proceedings. I declare under penalty of perjury and under the laws of the State of California that the foregoing is true and correct. Executed this __________ day of ___________________, _________. _________________________________ Signature Revised July 2006 Note: Submit form to Judicial Assistant for Juvenile Dependency Judicial Officer. American LegalNet, Inc. www.FormsWorkflow.com