Complaint Regarding Performance Of Court Appointed Attorney

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Application submitted by: (Name and Address)
FOR COURT USE ONLY
Name: _______________________________
Street Address: ________________________
City, State: ___________________________
TELEPHONE NO: _____________________
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO
Street Address:
3341 Power Inn Road
City and Zip Code: Sacramento, CA 95826
Branch Name:
SITTING AS THE JUVENILE COURT
Child’s Name:
CASE NUMBER:
COMPLAINT REGARDING PERFORMANCE
OF COURT APPOINTED ATTORNEY
Name of applicant:
Relationship to the child(ren):
Attorney’s Name:
I am requesting the following:
(must be typewritten or printed legibly)
Provide the specific reasons for my complaint: (if you are requesting new counsel, do
not explain in writing; instead wait to provide the information in court)
Attach separate page if needed.
Dated: ________________________
_________________________________
Signature
Any complaint must be submitted on this form or at least have this form as a cover page to the application. The
application must be filed at the Juvenile Dependency Reception Counter, William R. Ridgeway Family
Relations Court, 3341 Power Inn Road, Sacramento, California.
Case Name:
Complaint regarding performance of Court appointed
attorney
Court No:
Page 1 of 1
Date:
JC\E-003 (08.07)

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