CR-191
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PEOPLE OF THE STATE OF CALIFORNIA
VS.
DEFENDANT:
CASE NUMBER:
DECLARATION OF COUNSEL FOR APPOINTMENT IN CAPITAL CASE
I request appointment under rule 4.117 of the California Rules of Court (please check 1 or 2):
1. My qualifications are set forth in the declaration on file with this court.
2. My qualifications are (attach additional sheets if necessary):
a. I am an active member of the State Bar of California. My State Bar number is:
b. I am admitted to practice pro hac vice pursuant to rule 9.40.
c. I have the following criminal or civil trial experience (specify case name, number, county,
judge, and your role, including whether you were lead or associate counsel):
d. I have the following experience in death penalty trials (specify case name, number,
county, judge, and your role, including whether you were lead or associate counsel):
e. I have the following experience with expert witnesses and psychiatric and forensic
evidence (specify):
f. In the past (specify): years, I have completed (specify): hours of specialized
training in the defense of persons accused of capital crimes (specify nature of training):
g. I have ongoing consultation support from the following experienced death penalty counsel
(name and address):
h. I am certified by the State Bar of California's Board of Legal Specialization as a
criminal law specialist.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME) (SIGNATURE)
Page 1 of 1
Form Adopted for Mandatory Use Penal Code, § 992
Judicial Council of California DECLARATION OF COUNSEL FOR APPOINTMENT IN CAPITAL CASE www.courtinfo.ca.gov
CR-191 [Rev. January 1, 2007]
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