STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS APPLICATION FOR COURT APPOINTMENT RECERTIFICATION Attorneys seeking recertification to court appointment panels must return this form to the Administrative Office of State Courts, c/o Karen Torti, 250 Benefit Street, Providence, RI 02903, before August 15. The information provided must demonstrate that the attorney has fulfilled the continuing legal education and other requirements to continue qualifying for appointment in the type(s) of cases indicated below (see Executive Order 2013-07 on the Judiciary's website at www.courts.ri.gov under the Supreme Court homepage, Opinions and Orders, Executive Orders, 2013, 2013-07). A copy of the policy declaration sheet from your current professional liability policy must be enclosed with your application. Rhode Island Bar Number: _______________________ Name: _______________________________________________________________________________ Address: _____________________________________ _____________________________________ Telephone Number: ____________________ Email Address: ________________________ If payments will be made to your firm, please complete the following: Firm Name: __________________________________________________________________________ Firm Employer Identification Number (EIN): ______________________________________________ PANELS: Check the court appointment panel(s) for which you are seeking recertification. Please note, an attorney may remove himself/herself from a panel; however, you cannot add any new panels without prior approval by the Chief Justice, Presiding Justice, or Chief Judge of the court of appointment. SUPREME COURT Indigent Defense Services Criminal Appeal Miscellaneous Appeals and Petitions Post-conviction Relief Appeal Termination of Parental Rights SUPERIOR COURT Indigent Defense Services Murder Murder ­ Post-conviction Relief Supreme-3 Page 1 of 9 Revised July 2014 American LegalNet, Inc. www.FormsWorkFlow.com Providence/ Bristol County Washington County Kent County Newport County Class 1 Felony Class 1 Felony ­ Post-conviction Relief Class 2 Felony Class 2 Felony ­ Post-conviction Relief Misdemeanor Misdemeanor ­ Post-conviction Relief Sexual Violent Predator, Licht Judicial Complex Violation of Court Order for Payment of Fines, Costs, and/or Restitution Courtroom 14 (Fines, Costs, and/or Restitution Calendar), Licht Judicial Complex Courtrooms 5-G (Pre-arraignment Calendar), Providence/Bristol County and 9 (Daily Criminal Calendar), Providence/Bristol County Civil Panels Attorney Appointed Pursuant to Servicemembers Civil Relief Act (50 U.S.C.A. App. § 520, et seq.) Guardian Ad Litem ­ Partition Action Guardian Ad Litem ­ Personal Injury Guardian Ad Litem ­ Probate Commissioner for Real Estate Receiver/Trustee Title Attorney/Tax Case ­ Petition to Foreclose Equities of Redemption Providence/ Bristol County Washington County Kent County Newport County FAMILY COURT Indigent Defense Services Dependency/Neglect/Abuse Felony (Adult) Felony (Adult) ­ Post-conviction Relief Guardian Ad Litem for Child Protection and Wayward/Delinquency Misdemeanor (Adult) Misdemeanor (Adult) ­ Post-conviction Relief Termination of Parental Rights Violation of Court Order for Child and/or Spousal Support Waiver of Jurisdiction and Certification Hearing Wayward/Delinquency Providence/ Bristol County Washington County Kent County Newport County Civil Panels Attorney Appointed Pursuant to Servicemembers Civil Relief Act (50 U.S.C.A. App. § 520, et seq.) Commissioner for Real Estate Guardian Ad Litem for Domestic Relations Case Receiver Supreme-3 Page 2 of 9 Providence/ Bristol County Washington County Kent County Newport County Revised July 2014 American LegalNet, Inc. www.FormsWorkFlow.com DISTRICT COURT Indigent Defense Services Class 1 Felony Class 2 Felony Driving Under Influence of Liquor or Drugs Driving Under Influence of Liquor or Drugs ­ Post-conviction Relief Misdemeanor Misdemeanor ­ Post-conviction Relief Violation of Court Order for Payment of Fines, Costs, and/or Restitution 6th Division 4th Division 3rd Division 2nd Division Civil Panels Attorney Appointed Pursuant to Servicemembers Civil Relief Act (50 U.S.C.A. App. § 520, et seq.) Commissioner for Real Estate Guardian Ad Litem Receiver/Trustee Mental Health 6th Division 4th Division 3rd Division 2nd Division WORKERS' COMPENSATION COURT Civil Panels Guardian Unrepresented Employee in Settled Case GENERAL REQUIREMENTS: Certify that you continue to meet each of the following requirements for appointment by writing your initials in the blank and providing any other information required. 1. I am a member of the Rhode Island Bar in good standing. _______ (initial) 2. I have legal malpractice insurance in a minimum amount of $100,000 per claim/$300,000 aggregate with a Rhode Island licensed carrier. _______ (initial) A copy of the policy declaration sheet from your current professional liability policy must be attached. 3. When appointed in cases that involve the handling and managing of funds, I will acquire bonding by a surety bond in an amount equal to the total funds being managed. _______ (initial) 4. I will serve as a mentor for attorneys seeking to qualify for court appointment. _______ (initial) 5. Only I, as the certified attorney, will provide representation in the appointed cases. I will not send an associate in my firm or any other individual in my place to represent a party. _______ (initial) Supreme-3 Page 3 of 9 Revised July 2014 American LegalNet, Inc. www.FormsWorkFlow.com I may be removed from a panel by the respective court if I refuse to accept an appointment without good cause shown or fail to meet any of the general requirements listed above. _______ (initial) CONTNUING LEGAL EDUCATION REQUIREMENTS (CLE): You must have completed the CLE credit hours required. Credits must be no older than the immediate past mandatory continuing legal education reporting year (carryover credits included). 1. Supreme Court ­ For criminal appeals and post-conviction relief appeals, annual completion of six (6) hours of CLE in criminal law and/or procedure. For termination of parental rights cases, annual completion of three (3) hours of CLE in family law and/or procedure. For miscellaneous appeals and petitions, certified in the specific Supreme Court indigent defense services panel. 2. Superior Court ­ For criminal and post-conviction relief cases, annual completion of six (6) hours of CLE in criminal law and/o