Form 20 - Application For Fees And Other Expenses Under The Equal Access To Justice Act

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Form 20

FORM 20. Application for Fees and Other Expenses Under the Equal Access to Justice Act

APPLICATION

FOR FEES AND OTHER EXPENSES UNDER THE EQUAL ACCESS TO JUSTICE ACT

Title 28 U.S.C. § 2412(d), Title II of Public Law 96-481, 994 STAT 2325

1. COURT

2. DATE FILED

3. DOCKET NO.

UNITED STATES COURT OF APPEALS FOR THE FEDERAL CIRCUIT

4. NAME OF APPLICANT (one per form)

5. GOVERNMENT AGENCY INVOLVED IN CLAIM

6. NATURE OF APPLICATION

7. APPEAL FROM:

□ BANKRUPTCY COURT

□ DISTRICT COURT

□

Original application under 28 U.S.C. § 2412 (d) (1) (A) after judgment in civil action

against U.S.

Appeal of fees and expenses awarded by Lower Court. (If item 6B is

□

□ OTHER: ______________________________

checked go to item 7.)

Original application under 28 U.S.C. § 2412 (d) (3) after review of agency

□

7B. DOCKET NO.

7A. DATE FILED IN

decision.

LOWER COURT

Petition for leave to appeal an administrative agency fee determination

□

under 5 U.S.C. § 504 (c) (2).

8. ADMINISTRATIVE AGENCY DOCKET NO.

9. DATE FILED IN ADMINISTRATIVE AGENCY

10. SHOWING IF “PREVAILING PARTY” STATUS (28 U.S.C. § 2412 (d) (1) (B)):

□ NO

□ YES

IS AGENCY ORDER, COURT ORDER, OR OTHER RELEVENT DOCUMENT ATTACHED?

11. SHOWING OF ELIGIBILITY (28 U.S.C. § 2412 (d) (2) (B)):

□ YES

□ NO

IS NET WORTH INFORMATION ATTACHED?

12. ENTER ALLEGATION THAT GOVERNMENT POSITION WAS NOT SUBSTANTIALLY JUSTIFIED (28 U.S.C. § 2412 (d) (B)):

13. FOR EACH AMOUNT CLAIMED, PLEASE ATTACH ITEMIZATION INFORMATION INDICATING SERVICE PROVIDED, DATE,

HOURS, AND RATE (28 U.S.C. § 2412 (d) (B)):

AMOUNT CLAIMED

A. ATTORNEY FEES ................................................................................................. $ ____________________________________________

B. STUDY ...................................................................................................................

____________________________________________

C. ANALYSIS .............................................................................................................

____________________________________________

D. ENGINEERING REPORT ....................................................................................

____________________________________________

E. TEST ......................................................................................................................

____________________________________________

F. PROJECT ...............................................................................................................

____________________________________________

G. EXPERT WITNESS FEES ....................................................................................

____________________________________________

H. OTHER FEES AND EXPENSES - SPECIFY

(1) ____________________________.........................................................

____________________________________________

(2) ____________________________.........................................................

____________________________________________

(3) ____________________________..........................................................

____________________________________________

I. TOTAL FEES AND EXPENSES ............................................................................ $ ____________________________________________

14. SIGNATURE

15. DATE

NOTE: THIS FORM SHOULD ACCOMPANY YOUR CLAIM WHEN FILED WITH THE CLERK OF COURT.

Reset Fields

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