Community Service Hours Verification {4009-CR}

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SOLANO CRIMINAL LAW DIVISION Fairfield Branch 600 Union Avenue, Suite 151 Fairfield, CA 94533 Vallejo Branch 321 Tuolumne St. Vallejo, CA 94590 COURT CASE NO.__________________________ NUMBER OF HOURS:_______________________ COMPLETION DATE:________________________ TO WHOM IT MAY CONCERN: The bearer of this letter has requested volunteer work with your non-profit agency. If this is agreeable with you, please supervise this person's work, monitor his/her hours, and have the volunteer return this letter to the court. NAME OF VOLUNTEER: _________________________________________________ QUALITY OF WORK: Excellent Good (Circle one) Average Unsatisfactory For verification purposes this portion to be filled out by the non-profit organization and must be completed in full: Name of non-profit organization: ____________________________________________ Address: _______________________________________________________________ Telephone No.: _______________________________________ TAX ID #: ____________________________________________ Name of Supervisor: ______________________________________________ Signature of Supervisor: ___________________________________________ Telephone No. of Supervisor: _______________________________________ Thank you for your cooperation. _____________________________________________________________________________ COMMUNITY SERVICE 4009 -CR Rev. 05-2014 American LegalNet, Inc. www.FormsWorkFlow.com