Matagorda County, TX · Matagorda County
CPS Attorney Appointment Request Form
Attorneys use this form to request consideration for appointment as a Child Protective Services attorney ad litem in the 130th Judicial District Court.
At a glance
- Issued by
- City of Matagorda County · Matagorda County, Matagorda County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- matagordatx.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form lets an attorney request consideration for appointment as a Child Protective Services attorney ad litem in the 130th Judicial District Court. It asks for contact and professional information and requires the attorney to certify qualifications and other statements by checking applicable boxes. The form requests copies of applicable certifications and a CLE transcript for the last three years.
Who needs it
Attorneys seeking consideration for Child Protective Services ad litem appointments in the 130th Judicial District Court should complete this form.
How to submit it
Return the form with copies of applicable certifications and a CLE transcript for the last three years to Belinda Cortinas, Indigent Defense Coordinator, 1700 7th Street, Room 317, Bay City, Texas 77414, or email [email protected].
About notarization
This form has a signature line and no notary block; no sworn or notarized attachment is listed, so the attorney signs it.
How to submit this form
- 1
Download the Form
Download the CPS Attorney Appointment Request Form.
- 2
Complete the Form
Provide your contact and professional information, check the applicable qualifications, and sign the form.
- 3
Gather Attachments
Include copies of applicable certifications and a CLE transcript for the last three years.
- 4
Submit to the County
Return the form and attachments to Belinda Cortinas by mail or email using the contact information on the form.
Frequently asked questions
- Who should complete the CPS Appointment Request Form?
- An attorney seeking consideration for appointment as a Child Protective Services attorney ad litem in the 130th Judicial District Court should complete the form.
- What attachments should I include?
- Return copies of any applicable certifications and a CLE transcript for the last three years with the completed form.
- Do I need a notary for the CPS Appointment Request Form?
- No. The form has a signature line but no notary block. No sworn or notarized attachment is listed; the attorney signs the form.
- How do I submit the CPS Appointment Request Form?
- Send it with the listed attachments to Belinda Cortinas, Indigent Defense Coordinator, at the address on the form, or email it to [email protected].