Certificate Of Qualifications To Serve As A Parenting Coordinator {FL.110}

( FL.110 ) Mandatory Page 1 of 2 ( E .D. 7 - 1 - 18) CERTIFICATE OF QUALIFICATIONS TO SERVE AS A PARENTING COORDINATOR SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE RULES ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) : FOR COURT USE ONLY TELEPHONE: FAX NO. (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE Butte County Courthouse One Court Street, Oroville, CA 95965 (530) 532 - 7002 North Butte County Courthouse 1775 Con cord Avenue, Chico, CA 95928 (530) 532 - 7002 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER: CERTIFICATE OF QUALIFICATIONS TO SERVE AS A PARENTING COORDINATOR CASE NUMBER: I, , have completed twelve (12) hours or more in Parenting Coordination. I am a psychologist, psychiatrist, marriage and family therapist or licensed clinical social worker and have a valid current license to practice in the State of California. In addition, I have the following experience: Three (3) years post - license experience in child and family therapy and high conflict families, including provision of court ordered co - parenting counseling . Three (3) years in ev aluations for family court and/ . OR Three (3) years in court - based family mediation or assessment. I have received the following training: Six (6) hours in child development and/or psychology of divorce and custody . Twenty - four (24) hours or more of mediation training (Recommended) . Familiarity with ethical issues of custody disputes and adherence to the American Psychological Association Guidelines for Parenting Coordinators. Working knowledge of custody law, with a minimum of six (6) cases working with attorneys and/or court appearances. I am an attorney and have a current license to practice in the State of California. In addition, I have experience inthe following:Practiced family law for the last five (5) years.At least twenty (20) custody cases in which I represented a parent or a child American LegalNet, Inc. www.FormsWorkFlow.com ( FL.110 ) Mandatory Page 2 of 2 ( E .D. 7 - 1 - 18) CERTIFICATE OF QUALIFICATIONS TO SERVE AS A PARENTING COORDINATOR S UPERIOR C OURT OF C ALIFORNIA , C OUNTY OF B UTTE R ULES I have received the following training: At least thirty ( 3 0 ) hours in mediation . At least six (6) hours continuing legal education in custody law over the previous three (3) year period . The equivalent of completion of a six (6) hour course in child development . Familiarity with ethical issues and practices in providing Parenting Coordination services and the Association of Family and Conciliation Courts guideline s for Parenting Coordination. (DATE) VERIFICATION I have read Butte County Superior Court Rule 16.27 and know its contents. The matters stated in the foregoing document are true of my own knowledge. I declare under penalty of perjury of the laws of the State of California that the foregoing is true and correct and that thi s v erification document was executed on , in Butte County, California. (DATE) American LegalNet, Inc. www.FormsWorkFlow.com