Request For Payment For Indigent Defense Services - Judiciary Of Guam
Download a blank fillable Request For Payment For Indigent Defense Services - Judiciary Of Guam in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Request For Payment For Indigent Defense Services - Judiciary Of Guam with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1JUDICIARY OF GUAM
REQUEST FOR PAYMENT FOR INDIGENT DEFENSE SERVICES
Attorney Id Number: ___________________________________
Attorney Name: _______________________________________
Court: _____ SUPREME
______ SUPERIOR
Appointing Judge: _____________________________________
Case Number(s): ______________________________________
Appointing Date: ______________________________________
Client Name: _________________________________________
Disposition Judge: _____________________________________
[
] Payment To Be Made To Me
[
] Payment To Be Made To My Firm
Social Security Number:
_________________________________
Tax Payer ID Number: __________________________________
Address: _____________________________________________
Name/Address: _______________________________________
_____________________________________________________
_____________________________________________________
Telephone No.: _______________________________________
Telephone No.: _______________________________________
CHECK TYPE OF REPRESENTATION:
[
] Supreme Court of Guam Appeal ($90 per hour up to $7,500)
[
] Felony ($90 per hour up to $7,500)
[
] Misdemeanor ($90 per hour up to $2,500)
[
] Juvenile - JD/JP ($90 per hour up to $2,500)
[
] Guardian Ad Litem ($90 per hour up to $2,500)
[
] Other - CV, DM, SP ($90 per hour up to $2,500)
HOURS MUST BE ROUNDED TO NEAREST 1/10. TIME OVER ONE HOUR MUST BE SPECIFIED (E.G. 9:15 - 10:30 A.M.). A SUMMARY OF IN AND OUT OF COURT TIME
MUST BE PROVIDED. IN COURT MUST INCLUDE TYPE OF HEARING (E.G. TRIAL). ATTACH ADDITIONAL FORM IF NECESSARY. ORIGINAL MUST BE ACCOMPANIED
WITH FOUR (4) COPIES.
COMPENSATION FOR TIME EXCEEDING THE ABOVE THRESHOLDS MUST BE APPROVED BY THE ADMINISTRATOR OF THE COURTS WITH THE CONCURRENCE OF THE
JUSTICE OR JUDGE PRESIDING OVER THE CASE.
A.
TIME SPENT IN COURT (SUMMARY MUST BE ATTACHED)
Dates from ______________ to ______________ x $90.00 PER HOUR
Subtotal $_______________
B.
TIME SPENT IN PREPARATION (SUMMARY MUST BE ATTACHED)
Dates from ______________ to ______________ x $90.00 PER HOUR
Subtotal $_______________
C.
EXPENSES (SUMMARY MUST BE ATTACHED)
Dates from ______________ to ______________
Subtotal $_______________
D.
Less Compensation Received or Claimed Earlier
Under Separate Voucher(s):
$_______________
CERTIFICATION: I Certify That I Have Provided The Services
And Incurred The Costs Described And That
I Have Not, Nor Will I, Accept Any Other
Payments For These Services Or Expenses
________________________
Signature of Payee
BILLING MUST BE SUBMITTED ON A MONTHLY BASIS PROVIDED IT EXCEEDS $250, UNLESS THE MATTER IS AT ITS DISPOSITION
STAGE.
FOR COURT USE
Verified By: _______________________________
Date: _______________________
Approved By: ______________________________
Date: _______________________
Funds Certified By: __________________________
Date: _______________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal