DCSS eDelivery Form | Lassen Superior Court
  • Temporary Judge Application

  • Applicant's Contact Information

  • Title*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Professional Qualifications

  • Active?*
  • Date of admission to State Bar of California*
     / /
  • In good standing with the State Bar?*
  • Are you certified as a specialist by the State Bar of California Board of Legal Specialization or an organization accredited by the State Bar of California?*
  • Have you been admitted to practice law in states other than the State of California?*
  • 1. Jurisdiction: *     Date Admitted:   Pick a Date*   Number of Member Years:   *
    2. Jurisdiction:    Date Admitted:   Pick a Date   Number of Member Years:      
    3. Jurisdiction:      Date Admitted:   Pick a Date   Number of Member Years:      
    4. Jurisdiction:      Date Admitted:   Pick a Date   Number of Member Years:      

  • Are you in good standing as an attorney in all other states in which you are admitted?*
  • Are you certified as a legal specialist by other states or organizations?*
  • Required questions regarding disciplinary actions:

  • Have you ever been disciplined by the State Bar, a bar association, or other professional licensing entity in any state, or by a court of record (including imposition of sanctions or being held in contempt of court)?*
  • Have you ever been convicted or pleaded no contest to a felony or misdemeanor?*
  • Are you a defendant in a pending felony or misdemeanor matter?*
  • Have you been convicted of two or more infractions in the last year?*
  • Have you ever been a party to legal proceedings?*
  • Are you subject to disciplinary proceedings by the State Bar, a bar association, or other professional licensing entity in any state, or by the court of record (including imposition of sanctions or being held in contempt of court)?*
  • Practice and Experience

  • Rows
  • Required questions concerning serving previously as a Temporary Judge:

  • Have you previously served in this court as a temporary judge?*
  • Have you ever served in other California courts as a temporary judge?*
  • Have you ever been removed by a court as a temporary judge?*
  • Additional Information

    If applicable, please respond to the following questions. (Send an email to TJP@lassencourt.ca.gov if you need to supply additional information.)
  • Training

    Email certificates of completion for all courses attended to TJP@lassencourt.ca.gov
  • Within the last three years, I have completed or will complete within 30 days the following training that satisfies the requirements of California Rules of Court, CRC 2.812, and CRC 2.813*
  • Confirmation & Submission

  • The following requirements apply to those who wish to serve as a temporary judge:*
  • You must check/agree to all of the above requirements, please check all boxes to proceed.

  • Neither court appointment nor service of an attorney as a temporary judge or a settlement attorney establishes an employment relationship between the court and the attorney. Attorneys are appointed and serve voluntarily as a temporary judge or as a settlement attorney solely at the discretion of the presiding judge. (CRC 2.811)

  • WAIVER AND AUTHORIZATION FOR RELEASE OF INFORMATION

  • I have applied to be appointed as a temporary judge in the Superior Court of California, County of Lassen. I hereby authorize the State Bar of California and the attorney-licensing authority in any other state where I am admitted to practice law to release to an authorized representative of the court, information regarding the following matters:

    1. whether I am in good standing or am otherwise authorized to practice law as a member of the State Bar of California or as an attorney in any other state where I am admitted to practice law;
    2. whether I have a record of discipline with the State Bar of California or with the licensing authority for attorneys in any state where I am admitted to practice law; and
    3. whether any disciplinary investigation or proceeding is pending against me by the State Bar of California or by the licensing authority for attorneys in any other state where I am admitted to practice law.
  • Today's Date*
     / /
  • Should be Empty: