Del. R. Sup. Ct. Form 57.1-2
___________________________
Name of Qualified Tenant Advocate
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Date
To: The Justices of the Supreme Court of the State of Delaware
Re: The Application of [Name of Qualified Tenant Advocate] for permission to participate as a Qualified Tenant Advocate under Rule 57.1 of the Rules of the Supreme Court of the State of Delaware.
I, [Attorney of Supervising Agency], an attorney duly admitted to practice in the State of Delaware, affirm and certify the following:
I am an attorney at [Name of Supervising Agency]. Upon the facts known to me, [Name of Qualified Tenant Advocate] (1) is competent and eligible to participate as a Qualified Tenant Advocate under Rule 57.1 of the Rules of the Supreme Court of Delaware; (2) has not been disbarred from, and is not currently under suspension or probation with respect to the practice of law in any state or jurisdiction within the United States; (3) has not been convicted of a crime involving dishonesty or false statement in the ten-year period immediately preceding the date of this certification; (4) has not been determined to have engaged in the unauthorized practice of law in this or any other jurisdiction; and (5) has not had any prior authorization under this Rule revoked by the Chief Magistrate or the Supreme Court of Delaware.
_________________________
[Attorney of Supervising Agency]
Del. R. Sup. Ct. Form 57.1-2