Solano — Community Service Hours Verification

Source: https://solano.courts.ca.gov/system/files/4009crcommunityserviceletterrev05_2014.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SOLANO CRIMINAL LAW DIVISION

Fairfield Branch Vallejo Branch
600 Union Avenue, Suite 151 321 Tuolumne St.
Fairfield, CA 94533 Vallejo, CA 94590

COURT CASE NO.__________________________

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: (Circle one)

Excellent Good 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.

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COMMUNITY SERVICE

4009 -CR Rev. 05-2014