Free Complaint About Performance of Court Appointed Attorney (JC\E-003) - California

Application submitted by: (Name and Address) Name: _______________________________ Street Address: ________________________ City, State: ___________________________ TELEPHONE NO: _____________________

FOR COURT USE ONLY

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:

COMPLAINT ABOUT PERFORMANCE OF COURT APPOINTED ATTORNEY
Name of applicant: Relationship to the minor(s): Attorney's Name:

CASE NUMBER:

The specific reasons for my complaint are: (must be typewritten or printed legibly)

I am requesting the following:

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: Court No: JC\E-003 (03.05) Complaint about performance of Court appointed attorney Page 1 of 1 Date: