San Bernardino — 13-16502-360

Source: https://sanbernardino.courts.ca.gov/system/files/13-16502-360certificationofcompetencydelinquency.pdf

LAW FIRM (Name and address): STATE BAR NO: For Court Use Only FILED Date FIRM NAME: STREET ADDRESS: STREET ADDRESS:

CITY: STATE: ZIP CODE:
TELEPHONE NO: FAX NO:
E-MAIL ADDRESS:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: ATTORNEY’S NAME:

CERTIFICATION OF COMPETENCY DELINQUENCY

Initial Certification Training and Education

(Attach summary of Experience and copies of MCLE certificates /documentation of training and/or attendance.) Date Completed Course Title Provider Hours

Recertification Training and Education

I declare that in the past three years – from February 1, ________, to January 31, ________, which corresponds to my MCLE reporting cycle – I have completed eight hours per year of continuing education training that meets the requirements stated in rule 5.664(c) (list trainings, including dates, and attach copies of MCLE certificates or other documentation of training and/or attendance, attorneys who are eligible for appointment during a portion of their compliance period must complete proportional hours as stated in rule 5.664): Year 1 trainings: _________________________________________________________________________ Year 2 trainings: _________________________________________________________________________ Year 3 trainings: _________________________________________________________________________

I hereby certify that am an attorney licensed to practice in the State of California and I meet the minimum standards of competency for practice before a Juvenile Court set forth in the California Rules of Court, Rules 5.660 – 5.664 and Superior Court of California, County of San Bernardino Local Rules 1692.4 through 1692.8 and have completed the minimum requirements for training, education and/or experience as required as set forth above.

Dated: Signed:

For Court Use Only

□Approved ☐ Denied

Dated: Signed: Presiding Judge of the Juvenile Court

13-16502-360 [Rev. Oct. 7, 2019] Optional Form CERTIFICATION OF COMPETENCY – DELINQUENCY Page 1 of 1