ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) TELEPHONE NO: ATTORNEY FOR (NAME): FOR COURT USE ONLY FAX NO: SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET MARYSVILLE CA 95901 (530) 749-7600 IN THE MATTER OF: CERTIFICATE OF COMPETENCY TO PRACTICE IN JUVENILE DEPENDENCY COURT CASE NUMBER: I, __________________________________________, Attorney at Law, licensed to practice in the State of California. My State Bar Number is ________________. I hereby certify that I meet the minimum standards for practice before the Juvenile Division of Yuba County Superior Court as set forth in Local Rule 7.2 and CRC Rule 5.660(c) and that I have completed the minimum requirements for training, education and/or experience as set forth below. TRAINING AND EDUCATION (Attach copies of MCLE certificates or other documentation of attendance) COURSE TITLE DATE COMPLETED HOURS PROVIDER ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ JUVENILE DEPENDENCY EXPERIENCE (attach extra page if necessary) COURSE TITLE DATE COMPLETED HOURS PROVIDER ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Dated:______________ _______________________ Signature APPROVED Dated:______________ ___________________________ JUDGE OF THE SUPERIOR COURT Form Adopted for Mandatory Use Yuba County Superior Court CERTIFICATE OF COMPETENCY TO PRACTICE IN JUVENILE DEPENDENCY COURT Effective, July 1, 2007 American LegalNet, Inc. www.FormsWorkflow.com