Report Of Juvenile Dependency Bench Appointment(s)

Report of Juvenile Dependency Bench Appointment(s) This notice is to inform the Bar Association of San Francisco Dependency Representation Program of appointments from the bench, including any Harris appointments, on a date on which I was not the assigned attorney of the day. PLEASE NOTE: You will not be eligible for payment for any court-appointed cases unless they have been reported to the Bar Association of San Francisco. Please return this form by fax to the Bar Association of San Francisco at (415) 782-8993. Name: _________________________________________ Appointment date: _______________________________ Case name (Minor) Dept. Case # Client type* Client name (if other than minor) 1 2 3 4 5 6 7 8 9 10 11 12 *E.g., minor, mother, father, de facto parent, etc. BASF-DRP 02/28/05 Bench Notice - Dependency American LegalNet, Inc. www.FormsWorkFlow.com