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Here is the text we could read:

CONFIDENTIAL—FOR COURT USE ONLY

GC-010

STATE BAR NUMBER:

DO NOT FILE OR LODGE IN CASE FILE

ATTORNEY

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

EMAIL ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

INSURANCE
3.

STATE:

ZIP CODE:

FAX NO.:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

CERTIFICATION OF ATTORNEY QUALIFICATIONS

INITIAL

ANNUAL

INSTRUCTIONS

1. INITIAL: Before a court may appoint you as counsel for the first time under Probate Code section 1470 or 1471, you must
complete items 1, 2, and 3; complete item 4 for appointment to represent a ward or proposed ward; complete item 5 for
appointment to represent a conservatee, proposed conservatee, or person alleged to lack legal capacity; provide any additional
required information in item 7; sign the form at the bottom of page 2; and submit the form to the appointing court.

2. ANNUAL: To remain eligible for appointment, before March 31 of each calendar year following initial certification you must
complete items 1, 2, 3, and 6; provide any additional required information, including an explanation of any unsatisfied
requirements, in item 7; sign the form at the bottom of page 2; and submit the form to the appointing court.

I certify that (check all boxes that apply):

LICENSING AND DISCIPLINE
1.

I am an active member in good standing of the State Bar of California.

(Date of admission):

I am a registered legal aid attorney qualified to practice law in California under rule 9.45 of the California Rules of Court.
(Date of special admission):

I have had no professional discipline imposed in the 12 months immediately preceding the execution of this form.

I am covered by professional liability insurance with limits no lower than $100,000 per claim and $300,000 per year or any
higher limits required by local rule, if applicable.
My insurer is (specify name, address, phone number, and email address):

I am covered against professional liability at a level not lower than that in a. by a self-insurance program through my firm,
employer, or government agency. (Describe self-insurance in item 7.)

INITIAL QUALIFICATIONS
Guardianship
4.

I am qualified for appointment under Probate Code section 1470 to represent a ward or proposed ward because I have met at
least one of the requirements in rule 7.1102(a) or (b) and, if applicable, all additional requirements imposed by local rule.
(Describe qualifying experience, work arrangements, or education in item 7.)

Conservatorship and Capacity Determination
5.

I am qualified for appointment under Probate Code section 1470 or 1471 to represent a conservatee, proposed conservatee,
or person alleged to lack legal capacity because I have met at least one of the requirements in rule 7.1103(a) or (b) and, if
applicable, all additional requirements imposed by local rule. (Describe qualifying experience, work arrangements, or
education in item 7.)

ANNUAL EDUCATION
6.

I have completed the annual education requirements in rule 7.1102(c) rule 7.1103(c) and
all additional education or training requirements imposed by local rule of court for the previous calendar year.
(List the hours and applicable subjects of completed education in item 7.)

Form Approved for Optional Use
Judicial Council of California
GC-010 [Rev. January 1, 2020]

Additional space provided and signature required on page 2.

CERTIFICATION OF ATTORNEY QUALIFICATIONS

Page 1 of 2

Probate Code, §§ 1456, 1470, 1471;
Cal. Rules of Court, rules 7.1101–7.1105
www.courts.ca.gov

CERTIFICATION OF (name):

CONFIDENTIAL—FOR COURT USE ONLY

GC-010

STATE BAR NUMBER:

, ATTORNEY

Provide any additional required information, including an explanation of any unsatisfied requirements, below.

Continued on Attachment 7.

I declare under penalty of perjury under the laws of the State of California that the foregoing statements, including the statements in any
document attached to or submitted with this form, are true and correct.

Date:

(TYPE OR PRINT NAME OF CERTIFYING ATTORNEY)

(SIGNATURE)

GC-010 [Rev. January 1, 2020]

Page 2 of 2

CERTIFICATION OF ATTORNEY QUALIFICATIONS

Certification of Attorney Qualifications

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 2
Fields(s): 38
Average fields per page: 19
Reading Level: Grade 11
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

c_page_std_p_info_county was GC-010[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].CrtCounty[0] (0.55 conf)
c_page_std_p_info_branch was GC-010[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].Branch[0] (0.44 conf)
c_page_std_p_header_info_city__1 was GC-010[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].CityZip[0] (0.42 conf)
c_page_std_p_info_street was GC-010[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].Street[0] (0.44 conf)
c_page_std_p_header_info__1 was GC-010[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].MailingAdd[0] (0.42 conf)
g_c_page_std_p_header_info__1 was GC-010[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyState[0] (0.41 conf)
g_c_page_std_p_header_info__2 was GC-010[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyZip[0] (0.41 conf)
c_page_std_p_header_info_city__2 was GC-010[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyCity[0] (0.41 conf)
c_page_std_p_header_info__2 was GC-010[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyStreet[0] (0.41 conf)
g_c_page_std_p_header_info__3 was GC-010[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyFirm[0] (0.41 conf)
g_c_page_std_p_info_name was GC-010[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyName_tf[0] (0.40 conf)
c_page_std_p_header_info_phone was GC-010[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].Phone[0] (0.39 conf)
g_c_page_std_p_header_info__4 was GC-010[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].Fax[0] (0.39 conf)
c_page_std_p_header_info_email was GC-010[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].Email[0] (0.39 conf)
g_c_page_std_p_header_sf_atty_info_bar_tf was GC-010[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].BarNo_tf[0] (0.40 conf)
g_c_page_std_p_area_title__1 was GC-010[0].Page1[0].StdP1Header_sf[0].#area[0].#area[1].title_cb[0] (0.40 conf)
g_c_page_std_p_area_title__2 was GC-010[0].Page1[0].StdP1Header_sf[0].#area[0].#area[2].title_cb[1] (0.40 conf)
g_c_page_member_cb was GC-010[0].Page1[0].member_cb[0] (0.32 conf)
g_c_page_member_date was GC-010[0].Page1[0].member_date[0] (0.32 conf)
g_c_page_check_box_b__1 was GC-010[0].Page1[0].CheckBox3b[0] (0.37 conf)
g_c_page_check_box_b__2 was GC-010[0].Page1[0].CheckBox3b[1] (0.37 conf)
g_c_page_insurer_tf was GC-010[0].Page1[0].insurer_tf[0] (0.32 conf)
g_c_page_area_check_box_b was GC-010[0].Page1[0].#area[0].CheckBox3b[2] (0.37 conf)
g_c_page_check_box_b__3 was GC-010[0].Page1[0].CheckBox3b[3] (0.37 conf)
g_c_page_checkbox__1 was GC-010[0].Page1[0].Checkbox[0] (0.33 conf)
g_c_page_checkbox__2 was GC-010[0].Page1[0].Checkbox[1] (0.33 conf)
g_c_page_checkbox__3 was GC-010[0].Page1[0].Checkbox[2] (0.33 conf)
g_c_page_regist_cb was GC-010[0].Page1[0].regist_cb[0] (0.32 conf)
g_c_page_regist_date was GC-010[0].Page1[0].regist_date[0] (0.32 conf)
g_c_page_area_cover_cb__1 was GC-010[0].Page1[0].#area[1].CoverBy_cb[0] (0.37 conf)
g_c_page_area_cover_cb__2 was GC-010[0].Page1[0].#area[2].CoverAgainst_cb[0] (0.36 conf)
g_c_subform_title_party_name_atty_tf was GC-010[0].#subform[1].#subform[2].TitlePartyName[0].AttyName_tf[0] (0.38 conf)
g_c_subform_case_number_bar_tf was GC-010[0].#subform[1].#subform[2].CaseNumber[0].BarNo_tf[0] (0.38 conf)
g_c_subform_fill_text was GC-010[0].#subform[1].FillText1140[0] (0.39 conf)
g_c_subform_atty_name_tf was GC-010[0].#subform[1].AttyName_tf[0] (0.41 conf)
g_c_subform_area_text_field was GC-010[0].#subform[1].#area[0].TextField2[0] (0.42 conf)
g_c_subform_area_check_box was GC-010[0].#subform[1].#area[0].CheckBox61[0] (0.34 conf)
g_c_subform_area_attach_cb was GC-010[0].#subform[1].#area[1].attach_cb[0] (0.30 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Certification of Attorney Qualifications

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02