APPENDIX J (L.R. 9.05) APPLICATION FOR APPROVAL AS INDIGENT CRIMINAL DEFENSE COUNSEL BUTLER COUNTY COMMON PLEAS COURT Name_______________________________________________________________________ Butler County Business Address__________________________________________________ ____________________________________________________________________________ (Location where you intend to confer with your clients; not a P.O. Box) Preferred Mailing Address_______________________________________________________ ____________________________________________________________________________ Phone_______________________Fax___________________Cell_______________________ E-mail______________________________ Attorney Registration # _____________________ Preferred contact individual (for case assignments) and individual's phone ____________________________________________________________________________ List any formal post-law school training for criminal representation (including seminars). Include the year in which the formal training took place: List any professional associations affiliated with, with regards to criminal defense: Estimate the number of criminal defendants, along with the types of offenses, you have represented (we recognize that for some of you, this will be a very rough estimate). State if case went to evidentiary hearing (motion, court or jury trial, etc): Appendix Page 13 American LegalNet, Inc. www.FormsWorkFlow.com Do you have Supreme Court certification for capital cases? _____Yes_____No Dates and location of training____________________________________________________ ____________________________________________________________________________ What do you feel are your biggest strengths with regards to criminal defense? What areas do you feel could use improvement with regards to your criminal defense abilities and what will you do to make those improvements? Do you have current legal malpractice insurance? List company, policy number and expiration date of the policy. (Attach proof of insurance.) List any professional organizations for which you are currently a member: Review and sign each of the appropriate Certification of Compliance with State Standards for Appointment of Counsel forms for which you are applying: _____ Capital Cases _____ Felony Cases _____ Appellate Cases _____ Misdemeanor Cases Signature______________________________________________________________________ Return completed application and all Certification of Compliance with State Standards for Appointment of Counsel forms to: Manager of Court Administrative Services Butler County Common Pleas Court Government Services Center, Third Floor 315 High Street Hamilton, Ohio 45011 Appendix Page 14 American LegalNet, Inc. www.FormsWorkFlow.com BUTLER COUNTY COURT OF COMMON PLEAS Certification of Compliance with State Standards for Appointment of Counsel on Capital Cases By signing this certification, I represent that I am a licensed attorney in good standing with state requirements governing the legal profession. I am requesting to be considered for court appointments on capital cases. I understand the following standards must be complied with to obtain court appointments on capital cases pursuant to Revised Code Chapter 120, Ohio Administrative Code Section 120-1-10, and the Local Rules of Court. _____ All Attorneys appointed to represent indigent clients in capital cases must meet the following requirements: (1) Must meet qualifications of Supreme Court Rules for Appointment of Counsel in Capital Cases (formerly Rule 20); and (2) Must appear on list of attorneys qualified to accept appointments in capital cases promulgated by the Commission on Appointment of Counsel in Capital Cases (formerly the Rule 20 Commission); or (3) Must have a waiver of pre-qualification issued by the Commission on Appointment of Counsel in Capital Cases (formerly the Rule 20 Commission). _____ Lead trial counsel: (1) At least five years' criminal litigation and experience; and (2) Experience as lead counsel for the defense in jury trial of at least one capital case OR experience as co-counsel for the defense in jury trial of at least two capital cases; and (3) Within ten years preceding appointment, experience as lead counsel in jury trial of at least one murder or aggravated murder case OR within five years preceding appointment, experience as lead counsel in three aggravated or first or second degree felony jury trials. _____ Trial co-counsel: (1) At least three years' of criminal litigation experience; and (2) Within ten years preceding appointment, experience as co-counsel in one murder or aggravated murder jury trial OR within five years preceding appointment, experience as lead counsel in one first or second degree felony jury trial OR within five years preceding appointment, experience as lead or cocounsel in at least two felony jury or civil jury trials. By my signature, I certify that I have read and understand these requirements for appointment of counsel. I have checked where appropriate the capital categories for which I am eligible for appointment under these standards. I will notify the Court if an appointment is made in a category where I do not meet the above requirements. I understand I may be requested to document my qualifications for appointment. I have malpractice insurance. _____________________ Date ____________________ Printed Name ____________________ Signature Telephone __________________ Attorney Registration No._______________________ Appendix Page 15 American LegalNet, Inc. www.FormsWorkFlow.com BUTLER COUNTY COURT OF COMMON PLEAS Certification of Compliance with State Standards for Appointment of Counsel on Felony Cases By signing this certification, I represent that I am a licensed attorney in good standing with state requirements governing the legal profession. I am requesting to be considered for court appointments on felony cases. I understand the following standards must be complied with to obtain court appointments on felony cases pursuant to Revised Code Chapter 120, Ohio Administrative Code Section 120-1-10, and the Local Rules of Court. _____ All Attorneys appointed to represent indigent clients in felony cases must meet the following requirements: Within two years prior to the appointment, minimum twelve hours of continuing legal education in criminal practice and procedure. _____ Felony OVI: Minimum six hours of continuing legal education focused on OVI practice and procedure. _____ F