Form Cja 31 - Death Penalty Proceedings: Ex Parte Request For Authorization And Voucher For Expert And Other Services
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1CJA 31 DEATH PENALTY PROCEEDINGS: EX PARTE REQUEST FOR AUTHORIZATION AND VOUCHER FOR EXPERT AND OTHER SERVICES (Rev. 02/12)
1. CIR./DIST./ DIV. CODE
2. PERSON REPRESENTED
VOUCHER NUMBER
3. MAG. DKT./DEF. NUMBER
4. DIST. DKT./DEF. NUMBER
5. APPEALS DKT./DEF. NUMBER
6. OTHER DKT. NUMBER
7. IN CASE/MATTER OF (Case Name)
8. TYPE PERSON REPRESENTED
9. REPRESENTATION TYPE
Adult Defendant
Appellee
D1 28 U.S.C. § 2254 Habeas (Capital)
D4 Other (Specify)
’
’
’
’
Habeas Petitioner
Other (Specify)
D2 Federal Capital Prosecution
D7 State Clemency
’
’
’
’
Appellant
D3 28 U.S.C. § 2255 (Capital)
D8 Federal Clemency
’
’
’
10. OFFENSE(S) CHARGED (Cite U.S. Code, Title & Section) If more than one offense, list (up to five) major offenses charged, according to severity of offense.
REQUEST AND AUTHORIZATION FOR EXPERT SERVICES
11. ATTORNEY’S STATEMENT
As the attorney for the person represented, who is named above, I hereby affirm that the services requested are necessary for adequate representation. I hereby request:
Authorization to obtain the service. Estimated Compensation and Expenses:
OR
’
Z
Approval of services already obtained to be paid for by the United States pursuant to the Criminal Justice Act. (See Instructions)
’
Signature of Attorney
Date
Panel Attorney
Retained Attorney
Pro-Se
Legal Organization
’
’
’
’
ATTORNEY’S NAME (First Name, M.I., Last Name, including any suffix), AND MAILING ADDRESS
Telephone Number:
13. TYPE OF SERVICE PROVIDER
12. DESCRIPTION OF AND JUSTIFICATION FOR SERVICES (See Instructions)
(See Instructions)
01
Investigator
17
Hair/Fiber Expert
’
’
02
Interpreter/Translator
18
Computer (Hardware/
’
’
03
Psychologist
Software/Systems)
’
04
Psychiatrist
19
Paralegal Services
’
’
05
Polygraph
20
Legal Analyst/Consultant
’
’
14. COURT ORDER
Financial eligibility of the person represented having been established to the Court’s
06
Documents Examiner
21
Jury Consultant
’
’
satisfaction, the authorization requested in Item 11 is hereby granted.
07
Fingerprint Analyst
22
Mitigation Specialist
’
’
08
Accountant
23
Duplication Services
’
’
Signature of Presiding Judge or By Order of the Court
09
CALR (Westlaw/Lexis, etc.)
24
Other (Specify)
’
’
10
Chemist/Toxicologist
’
11
Ballistics
25
Litigation Support
’
’
Date of Order
Nunc Pro Tunc Date
13
Weapons/Firearms/Explosive Expert
Services
’
14
Pathologist/Medical Examiner
26
Computer Forensics
’
’
Repayment or partial repayment ordered from the person represented for this service at time of authorization.
15
Other Medical
Expert
’
YES
NO
16
Voice/Audio Analyst
’
’
’
15. STAGE OF PROCEEDING
Check the box which corresponds to the stage of the proceeding during which the work claimed at Item 16 was performed even if the work is intended to be used in
connection with a later stage of the proceeding. CHECK NO MORE THAN ONE BOX. Submit a separate voucher for each stage of the proceeding.
CAPITAL PROSECUTION
HABEAS CORPUS
OTHER PROCEEDING
a.
Pre-Trial
e.
Appeal
g.
Habeas Petition
k.
Petition for the
l.
Stay of Execution
o.
Other (Specify)
’
’
’
’
’
’
b.
Trial
f.
Petition for the
gg.
State Court Appearance
U.S. Supreme Court
m.
Appeal of Denial of Stay
’
’
’
’
c.
’
Sentencing
U.S. Supreme Court
h.
’
Evidentiary Hearing
Writ of Certiorari
n.
’
Petition for Writ of
p.
’
Clemency
d.
Other Post Trial
Writ of Certiorari
i.
Dispositive Motions
Certiorari to the U.S.
’
’
’
j.
Appeal
Supreme Court Regarding
Denial of Stay
CLAIM FOR SERVICES AND EXPENSES
FOR COURT USE ONLY
16.
SERVICES AND EXPENSES
MATH/TECHNICAL
ADDITIONAL
AMOUNT CLAIMED
ADJUSTED AMOUNT
REVIEW
(Attach itemization of services with dates)
a. Compensation
b. Travel Expenses (lodging, parking, meals, mileage, etc.)
c. Other Expenses
GRAND TOTALS (CLAIMED AND ADJUSTED):
$0.00
$0.00
17. PAYEE’S NAME (First Name, M.I., Last Name, including any suffix), AND MAILING ADDRESS
TIN:
Telephone Number:
CLAIMANT’S CERTIFICATION FOR PERIOD OF SERVICE FROM
TO
CLAIM STATUS
Final Payment
Interim Payment Number
Supplemental Payment
’
’
’
I hereby certify that the above claim is for services rendered and is correct, and that I have not sought or received pay ment (compensation or anything of value) from any other source for these services.
Signature of Claimant/Payee
Date
18. CERTIFICATION OF ATTORNEY I hereby certify that the services were rendered for this case.
Signature of Attorney
Date
APPROVED FOR PAYMENT — COURT USE ONLY
19. TOTAL COMPENSATION
20. TRAVEL EXPENSES
21. OTHER EXPENSES
22. TOTAL AMOUNT APPROVED/CERTIFIED
$0.00
23.
’
Either the cost (excluding expenses) of these services does not exceed $800, or prior authorization was obtained; OR
In the interest of justice the Court finds that timely procurement of these necessary services could not await prior authorization, even though the cost (excluding expenses) exceeds $800.
’
Signature of Presiding Judge
Date
Judge Code
24. TOTAL COMPENSATION
25. TRAVEL EXPENSES
26. OTHER EXPENSES
27. TOTAL AMOUNT APPROVED
$0.00
28. FOR REPRESENTATIONS COMMENCED AND APPELLATE PROCEEDINGS IN WHICH AN APPEAL IS PERFECTED ON OR AFTER APRIL 24, 1996,
A.
Total compensation and expense payments approved to date (include amounts withheld for interim payments) for investigative, expert and other services for this
representation is $
B.
Payment approved (compensation and expenses) in excess of the statutory threshold for investigative, expert and other services under 21 U.S.C. § 848(q)(10)(B).
Signature of Chief Judge, Court of Appeals (or Delegate)
Date
Judge Code
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