-16502-360 [Rev. Oct. 7, 2019]
CERTIFICATION OF COMPETENCY – DELINQUENCY
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age 1 of 1
LAW FIRM (Name and address): STATE BAR NO:
FIRM NAME:
STREET ADDRESS:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO: FAX NO:
E-MAIL ADDRESS:
For Court Use Only
FILED Date
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.)
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:
□ Approved ☐ Denied
Dated:
Signed:
Presiding Judge of the Juvenile Court
