Untitled - California Department of Justice - CA.gov 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields. Fill in your name, address, and contact details accurately.
3. In the State Bar Membership section, indicate your status as an active member and provide your Bar number. Initial each statement confirming your compliance.
4. For Professional Liability Insurance, confirm that you carry the required insurance and attach proof if necessary. Initial to verify each statement.
5. Complete the California Rules of Court section by indicating your qualifications for appointments. Ensure you initial each relevant statement.
6. In the District Appointments section, select which Los Angeles Superior Court districts you are willing to accept appointments for.
7. Finally, review all entries for accuracy before signing and dating the form at the bottom.

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