Sonoma — Response to Appointment CASA

Source: https://sonoma.courts.ca.gov/system/files/forms-and-filings/jc-111.pdf

JC-111

Application submitted by: (Name and Address) FOR COURT USE ONLY Name: Street Address City, State: Telephone Number:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SONOMA Juvenile Dependency Juvenile Justice Center 625 Administration Drive, 106 J 7425 Rancho Los Guilicos Road,Dept C Santa Rosa, CA 95403 Santa Rosa, CA 95409 NAME OF CHILD/MINOR: Date of Birth: RESPONSE TO JUVENILE COURT APPOINTING SONOMA CASE NUMBER: COURT APPOINTED SPECIAL ADVOCATES (CASA) (Welfare & Institutions Code § 102, California Rules of Court, rule 5.655)

I, ________________________________________________________________, do hereby declare that:

ACKNOWLEDGMENT OF APPOINTMENT

Sonoma Court Appointed Special Advocates (CASA) acknowledges the Juvenile Court’s appointment in the above-entitled case and certifies the circumstances of the case make it appropriate for CASA to assign a Special Advocate to assist the Child.

CASA hereby assigns _______________________________, sworn Special Advocate in good standing, to perform as the Child’s Special Advocate of record for all purposes in these proceedings pending further notice and order of the Court.

MOTION TO VACATE APPOINTMENT

Sonoma Court Appointed Special Advocates (CASA) acknowledges the Juvenile Court’s appointment in the above-entitled case and moves the Juvenile Court to vacate the order for the following reason:

An appropriate CASA volunteer is currently unavailable.

The CASA Programs concludes that a CASA Appointment is not recommended.

Other:___________________________________________________________

I declare under penalty of perjury that the above is true and correct.

Executed this _________ day of _________________________________ _ in Sonoma County, California.

Signature: __________________________________________________ Executive Director

Adopted for Mandatory Use RESPONSE TO JUVENILE COURT APPOINTING Page 1 of 1 Eff. 09/05/2025 SONOMA COURT APPOINTED SPECIAL ADVOCATES (CASA) JC- 111