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E-MAIL ADDRESS Optional ATTORNEY FOR Name SUPERIOR COURT OF CALIFORNIA COUNTY OF SACRAMENTO STREET ADDRESS MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME 3341 Power Inn Road William R. Ridgeway Family Relations Courthouse Sacramento CA 95826 Sitting as the Juvenile Court CHILD REN S NAMES CASE NUMBER S Next Court Date Date Time Dept. ATTORNEY OR PARTY WITHOUT AN ATTORNEY Name State Bar number and address FOR COURT USE ONLY TELEPHONE NO. NOTICE OF REASSIGNMENT OF COURT APPOINTED ATTORNEY Without Court Order THE COURT AND ALL PARTIES ARE NOTIFIED THAT the following legal representative declares a conflict in representing the below named party and makes this reassignment of attorney Name of former legal representative with agency CLCSac-1 CLCSac Conflict PAS DAS SCJD Name of new legal representative Address Street address City and Zip Code Telephone No* The party receiving new legal representation is Other specify The matter is currently pending a type of hearing The new legal representative was notified on date Discovery to be provided to the new legal representative on date Child Mother Father hearing on date at time in Department. of the assignment of counsel* Signature of Attorney I declare under penalty of perjury under the laws of the State of California that the information in this form is true and correct to my knowledge. NOTICE OF REASSIGNMENT OF COURT APPOINTED ATTORNEY Without Court Order THE COURT AND ALL PARTIES ARE NOTIFIED THAT the following legal representative declares a conflict in representing the below named party and makes this reassignment of attorney Name of former legal representative with agency CLCSac-1 CLCSac Conflict PAS DAS SCJD Name of new legal representative Address Street address City and Zip Code Telephone No* The party receiving new legal representation is Other specify The matter is currently pending a type of hearing The new legal representative was notified on date Discovery to be provided to the new legal representative on date Child Mother Father hearing on date at time in Department. of the assignment of counsel* Signature of Attorney I declare under penalty of perjury under the laws of the State of California that the information in this form is true and correct to my knowledge..

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