Form 73-334 - Request For County Reimbursement Of Indigent Inmate Representation Page 2
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273-334 (Back)(Rev.2-08/2)
CLAIM INSTRUCTIONS FOR PAYMENT REIMBURSEMENT
1. The total amount of this reimbursement claim should correspond with the
supporting
documentation
attached to this request for payment. Incomplete supporting
documentation may delay reimbursement.
2. This claim should be mailed to the Comptroller’s office for approval.
3. Warrants and direct deposit notifications are mailed to the address on the front. Any
corrections and/or changes should be made on this form for our records to be updated.
4. An authorized official must certify this request. Please enter the county contact, e-mail
address and phone number below the certification signature.
5. Please mail the request to the Comptroller’s Judiciary Section at the address indicated on
the form.
6. A copy of this request will be returned with a state warrant or a direct deposit confirmation
within 60 days if reimbursement is due.
SUPPORTING DOCUMENTATION INSTRUCTIONS
1. The reimbursement claim request should have supporting documentation attached that
includes information substantiating the request for payment. Incomplete supporting
documentation may delay reimbursement.
2. The following information is needed to support this reimbursement claim:
a. A copy of the Fee Schedule adopted by your county (If a current fee schedule is
already on file with the Comptroller, it is not necessary to attach another one.)
(Code of Criminal Procedure, Article 26.05(c))
b. Documentation that the court notified the board (TDCJ) that a defendant before the
court is indigent and is an inmate charged with an offense committed while in the
custody of the correctional institutions division or a correction facility operated by
TDCJ.
(Code of Criminal Procedure, Article 26.051(d))
c. Documentation that the court made a request to the board (TDCJ) to provide legal
representation for the inmate before court appointment of legal counsel for the
inmate.
(Code of Criminal Procedure, Article 26.051(d))
d. Description of specific conflict of interest
.
(Code of Criminal Procedure, Article 26.051(g))
e. Copy of the payment order signed by presiding judge and copy of attorney fee
voucher submitted by each individual attorney. Must include attorney’s name and a
breakdown of hourly charges for in-court and out-of-court expenses totaling amount
paid by county.
(For verification of the amount paid and to verify that claim is within the fee schedule
adopted by the county pursuant to Code of Criminal Procedure, Article 26.05(c))
f. This certification claim by the court to the comptroller of the amount of compensation
and expenses for which the county is entitled to be reimbursed.
(Code of Criminal Procedure, Article 26.051(i))
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