Mendocino — MJV-100

Source: https://www.mendocino.courts.ca.gov/system/files/forms-and-filings/mjv-100.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY

TELEPHONE NO.: FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF MENDOCINO

UKIAH Courthouse TEN MILE Branch Court
100 North State Street 700 South Franklin Street
Ukiah, CA 95482 Fort Bragg, CA 95437

PETITIONER/PLAINTIFF: vs: RESPONDENT/DEFENDANT: CASE NUMBER:

CERTIFICATION OF ATTORNEY COMPETENCY

I, , am an Attorney at law licensed to practice in the State of California. My State Bar Number is .

Office address:

Telephone number:

I hereby certify that I meet the minimum standards for practice before a Juvenile Court set forth in the California Rules of Court, rule 5.664, California Welfare & Institutions Code § 634.3, and local rule 5.14 and that I have completed the minimum requirements for training, education, and/or experience as set forth below.

Training and Education: (Attach copies of MCLE certificates or other documentation of attendance)

Course Title Date Completed Hours Provider

Summary of Juvenile Dependence Experience:

Dated: Signature

In RE: Certification of Attorney Competency

Case No: Dated:

MJV-100 (rev 0425)